Chase Farm Hospital Urgent Care Centre Clare Kapoor Head of - PowerPoint PPT Presentation

Chase Farm Hospital Urgent Care Centre Clare Kapoor Head of Unplanned Care, Enfield CCG 1

Background The Urgent Care Centre (UCC) at Chase Farm Hospital (CFH) opened in December 2013. The UCC was open from 9am-9pm, 365 days of the year. In January 2015, the CFH UCC opening hours extended from 8am-10pm. The extension to the opening hours has continued. Local clinicians working with local people for a healthier future

Background The Royal Free London has approached commissioners about the possibility of reducing the opening hours of the Chase Farm UCC by one hour with the last patient being booked at 9pm. We would like to hear your views on the opening hours at Chase Farm Hospital Urgent Care Centre. Local clinicians working with local people for a healthier future

Clinical View We have been seeking clinical view from local health care partners. We have a GP online survey in place, have presented at GP events and have been meeting with local partners, upon request. Local clinicians working with local people for a healthier future

CFH UCC Activity Local clinicians working with local people for a healthier future

UCC Activity by Borough The main users of UCC services at the Chase Farm site are Enfield patients followed by Hertfordshire residents. During the last hour of service there is a lower % of Enfield resident attendances compared to overall attendance. General activity is at 82% Enfield residents but this drops to 70% during 9pm-10pm. This may indicate that users are travelling to this service as other services have already closed by this time. Summary of 9pm-10pm attenders: • 70% Enfield • 10% from East and NE HERTS • 5% from Haringey • 4% from Barnet • 3% from Herts Valley • 8% from other areas but not neighbouring boroughs Local clinicians working with local people for a healthier future

UCC Activity Chase Farm Urgent Care Centre Activity Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Number of attenders 3458 2930 3386 3228 3565 3581 3587 3153 3500 3482 3561 3334 Average attenders per day 112 105 109 108 115 119 116 102 117 112 119 108 Average hourly attenders 2100- 3 2 2 4 3 4 4 4 3 3 3 4 2200hrs The last hour of service between 9-10pm is the quietest hour of the day, with 1,139 attendances in 2018. This is an average of 3-4 patients who present in the last hour and is 2.75% of daily activity. Data provided by RFL Jan-Dec 2018 Local clinicians working with local people for a healthier future

UCC Activity Activity Month Arrival Hour Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 8 5% 7% 8% 7% 7% 7% 8% 8% 6% 6% 7% 8% 9 9% 10% 10% 8% 9% 9% 9% 7% 10% 9% 9% 8% 10 9% 11% 11% 9% 10% 9% 10% 9% 8% 9% 10% 10% 11 10% 9% 9% 8% 8% 8% 9% 8% 8% 10% 9% 9% 12 9% 8% 8% 8% 8% 8% 8% 8% 8% 9% 7% 9% 13 8% 7% 7% 7% 7% 8% 7% 8% 7% 7% 8% 8% 14 9% 8% 7% 8% 7% 6% 7% 7% 7% 7% 7% 6% 15 7% 8% 6% 7% 6% 6% 6% 8% 7% 6% 7% 7% 16 7% 7% 7% 8% 7% 7% 6% 6% 8% 7% 6% 7% 17 6% 7% 7% 6% 7% 7% 7% 7% 7% 7% 6% 7% 18 8% 6% 7% 7% 7% 8% 7% 8% 8% 8% 8% 7% 19 6% 6% 6% 8% 7% 9% 7% 7% 7% 7% 6% 6% 20 4% 5% 5% 5% 6% 6% 6% 6% 5% 5% 5% 5% 21 2% 2% 2% 3% 3% 3% 4% 3% 2% 3% 3% 3% 22 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% Legend Scale 0% - 2.99% 3% - 4.99% 5% - 6.99% 7% - 8.99% 9% - 100% The busiest hours at the UCC are 8am -12 noon. Monday and Wednesday are the two busiest days of the week and generally weekdays are busier than weekend. Data provided by RFL Jan-Dec 2018 Local clinicians working with local people for a healthier future

UCC by Age UCC activity by age 9pm-10pm Arrival by Age Age split by % Greatest service users during 9-10pm are the Age Band 9pm-10pm Total Activity 9pm-10pm 0 - 17 241 9,152 34.9% working age adult group between the ages of 18 - 64 400 16,303 57.9% 18-64. Followed by 35% children and only 7% 65 - 74 35 1,988 5.1% 75 & Over 15 2,193 2.2% over the age of 65 . Grand Total 691 29,636 UCC activity by age all hours Activity % Age Band Male Female Total Male Female Total 0 - 17 4,856 4,296 9,152 35.0% 27.2% 30.9% 18 - 64 7,279 9,023 16,302 52.5% 57.2% 55.0% 65 - 74 813 1,175 1,988 5.9% 7.4% 6.7% 75 & Over 915 1,278 2,193 6.6% 8.1% 7.4% Total 13,863 15,772 29,635 100% 100% 100% Data provided by NEL CSU 2018/19 Local clinicians working with local people for a healthier future

UCC by Gender UCC activity by gender Gender 9pm-10pm Female 56.4% Male 43.6% Data provided by NEL CSU 2018/19 Local clinicians working with local people for a healthier future

UCC by Ethnicity Data provided by NEL CSU 2018/19 Local clinicians working with local people for a healthier future

UCC reason for attendance Allergy 5 Data has been grouped by main symptom. Asthma 7 Bite 13 Celluitis 1 • 64% illness Cough 34 • 32% injury D&V 18 Dental 1 Diabetes 1 Dressing 22 Foreign body 20 Heart 2 Infection 93 Injury 324 Lump 18 Mental health 4 Pain 245 Pregnancy 5 Rash 59 Respiratory 18 RTA 15 Stroke 1 Swollen 22 Temperature 77 Tonsillitis 15 This would support the use of the GP out of hours service at Unkown 76 UTI 38 CFH site for the majority of attenders and this would limit Virus 2 the need to travel to other services. Wound 3 Grand Total 1,139 Local clinicians working with local people for a healthier future

Travel time analysis Alternative services to CFH UCC include Barnet Hospital UCC and North Middlesex Hospital UCC. Although anyone attending with an illness can been seen by the GP out-of-hours service if appropriate, accessible via 111. Travel time analysis is detailed below. Local clinicians working with local people for a healthier future

CFH UCC While engagement on these proposals is ongoing, the Chase Farm UCC remains open to walk-in patients from 8am-10pm. The integrated urgent care service (GP Out of Hours) which is based at the Chase Farm Hospital UCC from 6:30pm - 8am, 7 days a week. Access to this service is via NHS 111. Local clinicians working with local people for a healthier future

How can you help? Public engagement 24 th June to 19 th July 2019: Please fill in the online questionnaire. Your views can be submitted anonymously. The survey and seeking views will be supported by Enfield Healthwatch. If you would like to talk to someone about the proposed change to Chase Farm UCC’s opening hours, you can contact enfccg.communications@nhs.net Local clinicians working with local people for a healthier future

Questions Local clinicians working with local people for a healthier future