Health and Care Overview and Scrutiny Committee 13 September 2016
Minor Injuries and Illness Units (MIIUs) MIIUs offer timely support to people with urgent, but not life-threatening, healthcare needs, including: • sprains • cuts and wounds • skin problems i.e. rashes, bites, stings, infections • minor eye injuries • minor fractures • minor head injuries
MIIU locations Tewkesbury North Cotswolds Dilke Stroud Lydney 3 different Vale operating hours Cirencester
MIIU performance 2015-16 99.8% treated & discharged 0 twelve hour in 4 hrs (target 95%) trolley waits (0) 2hrs 20 mins 17 mins before arrival to departure times assessment for ambulance (<4hrs) arrivals (<15mins) 21 mins 0.7% left without average time to treatment being seen (<5%) (<60 mins)
Care Quality Commission (CQC) In June 2015, the CQC identified concerns regarding: • the number of qualified, experienced and skilled staff • the need for prompt assessment (“triage”) by a registered nurse • regular staff training • checks on equipment and medicines • organisational systems
The continued need for change a) Nurse recruitment b) Value for money c) Right place for care d) Recognisable opening hours • N ot about “cost -cutting ” • Recognition for other reviews (urgent care and Forest of Dean)
Options 1. Change the opening hours of all MIIUs to 8am-8pm 2. Change the opening hours of the MIIUs in Stroud and Cirencester to 8am-11pm 3. Change the opening hours of the MIIUs in Stroud and Cirencester to 8am-11pm, and also the one of the MIIUs in the Forest of Dean to 8am-8pm Given the challenges of overnight nurse recruitment and the low number of attendees after 11pm, a “Do Nothing” option was not deemed safe or viable
Main engagement • Pre-launch engagement with the Health and Care Overview and Scrutiny Committee and Healthwatch Gloucestershire • 8,000 information booklets + Freepost reply-paid cards • Visible displays in community hospitals • Booklets in public libraries and children’s centres • 18 public information events (195 attendees) • Booklets sent to all 84 GP surgeries - also promoted on GP screens • 10 staff events (78 attendees)
Working with partners Information circulated via: • Healthwatch Gloucestershire • village / community agents • the Leagues of Friends • Forest Route Community Transport • Two Rivers Housing Association • Gloucestershire Rural Community Council • Inclusion Gloucestershire
Online • Information booklet and survey available online • Dedicated email address • Facebook advertising campaign with reach of 80,966 people, 1,573 of whom directly engaged • Twitter advertising and Twitter chats
Outcome 1,170 responses from across the county
Outcome Preferred option to maintain current MIIU opening hours with the exception of Cirencester and Stroud which will close at 11pm
Key stakeholder choices Stakeholder Option Gloucestershire Hospitals NHS 1 Foundation Trust (all MIIUs close at 8pm) Stroud Town Council None Cotswolds District Council 2 (Stroud and Cirencester to close at 11pm) Forest of Dean Locality Executive Group 2 Stroud Locality Executive Group Stroud open until midnight Friends of Lydney Hospital 2 Stroud League of Friends 2
Decision • A proposal will be made by the Chief Operating Officer to support option 2, and therefore make no changes to MIIU opening times except for the overnight service at Cirencester and Stroud • The decision will be made at the Trust Board on 20 September
Recommend
More recommend
