Establishing a 24/7 acute primary care visiting service Improving primary urgent care.
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Transcript of Establishing a 24/7 acute primary care visiting service Improving primary urgent care.
The case for change
• delivering the 4 hour waiting time in A&E• contribute to save 25% admissions to hospital deemed
unnecessary • North West Ambulance Service (NWAS) estimate 40% of
all 999 calls can be more appropriately managed outside of A&E
• Support for NWAS to achieve the Category A target of 75% - (8 minutes from call to attendance)
• adding support to primary care so they can focus on proactive support
Opportunities….
• A well established, high quality out of hours primary care service staffed by local GPS
• NWAS Pathfinder scheme -trained paramedics select from alternate pathways for patient care
• additional resource as part of the ‘winter monies’• well established urgent care group of health and social
care partners and clear plans for improvement
What we did….
• pilot an extension of out of hours service to cover 24/7 and provide an acute visiting service (AVS)
• AVS provide a 2 hour response time to NWAS pathfinders, some care homes and GP practices during surgery time
• utilising winter pressures money to increase capacity in the Out of Hours service
• monitor improvements against and agreed set of objectives
The difference we have made….
• in the first 6 weeks 128 people were cared for at home instead of being taken to hospital
• more than 95% of people attending A&E were seen in 4 hours or less during the winter months
• care planning supports patients and GPs working together, care will feel more joined up and tailored to need care
• NWAS Category A performance improved