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North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care. What does that mean?. - PowerPoint PPT Presentation
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North Norfolk CCGAnnual Stakeholder Event 2014
Unplanned Care
What does that mean?• Unscheduled care is any unplanned contact with the
NHS by a person requiring or seeking help, care or advice. It follows that such demand can occur at any time, and that services must be available to meet this demand 24 hours a day. Unscheduled care includes urgent care and emergency care.1
1 Commissioning a new delivery model for unscheduled care in London
Urgent Care – needs prompt attention but is not life threatening
Emergency Care – has life threatening injuries or conditions
Kings Fund Guide
http://www.kingsfund.org.uk/projects/urgent-emergency-care/alternative-guide-urgent-and-emergency-care-system-england
What services do we have now?• NHS Choices• Pharmacies• 111• Primary Care in hours and GP Out of Hours service• Norfolk County Council Community Services 0344 800 8020• Community/Voluntary Groups• Minor Injury Unit• Walk in Centre• Accident and Emergency• 999 – life threatening emergencies
North Norfolk Picture• 2013/14 over 13,000 emergency admissions to hospital in NN CCG
area• Cost between £2- £2.6m per month• 58% admitted through A&E• 44% of those admitted stayed in hospital for less than 1 day• Most emergency admissions were in the 0 – 4 year and 65 years+
age bands• Older people’s medicine had highest number of admissions by
speciality• 807 patients were admitted as an emergency 3 or more times
during 2013/14
What are we already doing about this?• Working more closely with NCC, NCH&C, Voluntary sector
and other stakeholders on Integrated Care (Complex Cases)• Changes to General Practice• Volunteer Services• Self-Management, Coaching, Diabetes Education• Developing better 999 services e.g. more paramedics, recruit
Community Responders• Living Well with Dementia Project• Falls Prevention
Despite all of this….In April and May this year:
• 264 more 999 calls than last year• 453 more attendances at A&E than last year• National increase in emergency admissions
to hospital last year but North Norfolk has performed better
Discussion Groups
What more can we do to:Ensure people get the right care
quicklyMake sure emergency services are
there for people that really need them