NEE Urgent Treatment Service (UTS) Collaborative Morag Kirkpatrick – UTS Collaborative Programme Lead, NEE Moragkirkpatrick@nhs.net
NEE UTS Governance Structure
NEE Benefits of Collaborative – An Alliance Approach • Same System, access patient record • Staff resource – aim to rotate across sites staff across all sites • Supports 111 as SPOA • Potential to expand wider • Simple access • Decision making within UTS • Patient education & Self-care influenced by associate members Demand Patient Management Outcomes Contractual UC System Changes and Wider • Single Alliance Agreement • Developed by experts • Shared KPI’s • Influenced by UC colleagues • Shared principles • Integration with PC • Risk & gain share • Integration with community • Greater autonomy to manage service s UC system
NEE UTS Risk & Reward mechanism Purpose : Shares risks currently all providers face as individual orgs. Agree Cost of Service and percentages of Risks: Overheads and Any remaining Staffing Increasing costs Margin • funding is set templates aside for agreed with • Disjointed service delivery service agreed step Increased complexity in • changes based development on any increase and relationships and service in activity contingencies provision Potential for Unclear patient pathways, • recurrent savings based confusion/duplication Open Book on future Poor quality, lack of • reporting development and economies governance of scale in • Individual org purchasing targets/reputation compromised *NB: All Full Members part of Risk/Gain Share with exception of GPPC as EA monies are ring-fenced for this purpose only.
NEE UTS Culture & Behaviour Challenges – Working within an Alliance Approach… Contract vs Alliance Agreement Ability to Language & challenge terminology behaviours in real time Opportunity to develop Organisation principles vs Alliance rather than dictate them
NEE UTS Clinical Challenges UTS Model: Governance Assurance Framework Colcheste r 24/7 model Meets all NHSE UTS Standards Harwich Remains a Minor Clacton Injury Unit but with 8am-8pm benefits of wider Triage model service. Virtual GP support Would not meet UTS Meets UTS Standards Standards Virtual GP Support for Minor Illness GP Extended Hours
NEE UEC Timeline UC 2023 Single Oct 19 Point of NEE Access Community April 19 UTS Commences Hubs 1 st Tranche Nov 18 Primary Care Extended IUC Access commenced Nov 18 (STP Footprint)
NEE UTS and Wider UEC system 111 999 ED and Assessment Units : • Clinical Triage Ambulance conveyances Self care Advice • Ambulance GP referrals HALO • Bookable Conveyances appointments to Colcheste r PC and UTC 24/7 model Meets all NHSE Harwich UTS Standards Remains a Minor Clacton Injury Unit but with 8am-8pm benefits of wider Triage model service. Virtual GP support Would not meet UTS Meets UTS Standards Standards Virtual GP Support GP Extended for Minor Illness Hours Community Hubs Primary Care
The UEC system ask… • Continued engagement and participation of System Partners • Role model Alliance Behaviours & develop culture with own staff • Give changes a chance, no blame
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