Welcome and Introduction Suzannah Power Lay Member for Public and Patient Involvement
Agenda Welcome and Introduction 10 mins Urgent Care Centre 50 mins Tea/Coffee Break 10 mins Update on your care, your way 30 mins Comments from the Floor 20 mins
You Said. We Did. • Pharmaceutical Needs Assessment • Primary Care: Preparing for the Future • RUH Park and Ride • Survey Coming Soon!
Dates for the diary • Community Services Design Day Bath Racecourse – Thursday 21 May • Medicines Optimisation Roadshow Bristol – Thursday 7 th May
The Urgent Care Centre - One Year On Catherine Phillips Commissioning Manager for Urgent Care and Non-Acute Services Dr Elizabeth Hersch Claire Ruiz GP lead for Urgent Care Clinical Support Manager, BDUC
The story so far… • September/October 2012 – Public consultation • February 2013 – Procurement commenced • April 2014 – Opened to the public • December 2014 – Busiest month (esp. Christmas) • April 2015 – What have we learned?
Official opening by Sir Bruce Keogh
Why was the Urgent Care Centre built? 1. Ageing population, tourists and students 2. Increasing demand and expectations 3. People living longer with long term conditions 4. Finite resources and unequal use 5. A desire to integrate and simplify services 6. In line with national recommendations 7. Reduce pressure on the Emergency Department 8. Right care, right place, right person, right time
How many people are being seen? 4,000 3,500 3,000 All commissioners total Patients seen 2,500 BaNES TOTAL 2,000 BANES OOH Slots 1,500 1,000 BaNES UCC total 500 0
How does this compare to the old system? 2014/15 2012/13 Number of Number of patients patients GP-led health centre 20,401 UCC (BaNES) 9,649 (BaNES) UCC (Wiltshire, 3,287 GP-led health centre 5485 Somerset, and others) (Wiltshire, Somerset, and others) GP OOH 20,693 GP OOH 14,384 Total 40,270 Total 33,629
Who is using the service?
Who is using the service? 0-3 mths 3mths – 5yrs Over 70 5-10 Male Female 11-20 61-70 51-60 21-30 41-50 31-40
Why are they going to the UCC?
The Top 10 Diagnoses from UCC and GP OOH (extract from February 2015) 0 10 20 30 40 50 60 70 80 90 100 Abdominal Pain Unknown Cause Patient found to be well Rash Cough Urinary Tract Infection (UTI) Sore Throat Low Back Pain Fever (unknown origin) Nausea & Vomiting Eye Problem
How do people end up at the UCC? Ward and Streamed and Home Visits: Discharged: 133 1314 OOH Telephone advice: 9819 Walk in: 12558 Via 111: 11471
What about transport?
Times of arrival (extract from February 2015) • Busiest times are evenings and weekends when parking is more readily available • Bus services operate from city centre
How much money was saved? Over £0.5 million every year How has it been spent? Reinvested into other local NHS services
How do I access services now? All you need to remember is three phone numbers... Your GP practice – for all problems (except minor injuries) 111 – when your GP practice is closed 999 – for life threatening emergencies Pharmacies are also a good first port of call
Where do I go if….. I have a nasty cough Call 111 or contact your GP I want antibiotics Call 111 or contact your GP I’ve sprained my ankle Call 111 or contact your GP
Where do I go if….. I’ve got an unusual rash Call 111 I’ve run out of medication Call 111 (or visit your pharmacist ) I’ve cut myself Call 111
Services for vulnerable groups Homeless Health Service (at Julian House) • Comprehensive health care services for homeless single adults for an illness or minor injury • Single homeless people are frequent users of emergency departments. Gypsy and Traveller Outreach Service (pilot project) • Combined clinical and social outreach team with the aim of reducing poor health and mortality rates for vulnerable adults. • Includes health promotion advice and signposting to health, social care and voluntary services.
Thank you for listening Any questions?
BREAK
Your Care, Your Way Report from Phase 1
Community Services Community services are health and care services that are delivered at a persons home or in nearby local settings.
Scope of review
Phases of the review
Engagement so far… • Over 30 engagement events • Over 500 face to face contacts • Over 800 website visits, social media interactions and emails
Key Themes • Provide more joined up care • Consider the whole person • Focus on prevention Care • Reduce social isolation • Build community capacity Support • Guide people through the system • Value the workforce and volunteers • Share information more effectively Enablers • Embrace new technology
Plans for Phase Two • Survey for health and care professionals • Bespoke survey for children and young people • Design workshops at Bath Racecourse on 21 May • Workshops with patient groups and seldom heard groups in June and July. • Formal consultation in September and October
Working together… be bold . be ambitious . be imaginative .
Get involved and spread the word Come to our Write a letter other events Visit the website #ycywbanes Send an email Debate on Give us a call Facebook
COMMENTS FROM THE FLOOR
A couple of questions • What would you like on the agenda in June? – Primary Care Co-Commissioning? – CCG Operational Plan 2014-16? – Something else? • Should we change the name of the group?
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