SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

NCAT recommendation CIG response See section
What is the detail around an
integrated training strategy for
EM doctors, nurses, ENPs,
ANPs, PAs etc. Linking all
major EDs and UCCs together
with a consistent clear
governance system will be vital
to selling it to the staff – the
most valuable commodity!
How exactly will the Out Of
Hours GP service work and
where will they be based What
is the predicted workload that it
will off load from the UCC and
EDs based upon the success of
the last 3 years
Better modelling data is
recommended in order to
understand the scale of higher
dependency (ambulance borne)
patients that will be redistributed
around NWL after
reconfiguration.
What is the economic model for
running each of the UCCs
(payment per patient by a
private AQP model or as part of
an EM commissioned integrated
service)
The clinical teams within
existing emergency
departments do not feel they
are involved enough in the
process and developing the
“story” of the emerging models
being proposed for unscheduled
care.
Consistent joint governance
arrangements linking UCCs and EDs
developed.
CIG recommendation that
arrangements are put in place to
rotate staff through ED, UCC and
primary care for training purposes.
CIG recommendation that joint
training programme is established
which allows for the rotation of staff
through UCCs and EDs.
Development of this training course
should be led by NW London Lead
Providers of Training, LETBs and
Deaneries.
Recommendation that GP OOH
services are integrated with UCCs.
In the opinion of the CIG, any
decision on the integration of GP Out
of Hours services with UCC services
should be taken by local
commissioners, based on a
consideration of local needs and
contractual arrangements.
Further work at a local level is
required in this area.
Detailed activity modelling conducted
to understand distribution of
ambulance-borne patients, post
reconfiguration
Detailed activity modelling conducted
to understand likely volume of UCC
to ED transfers (ambulance-borne
and otherwise)
UCC to ED transfer protocol drafted
Current NWL approaches to UCC
contract management collated and
shared with CCGs (this analysis
contains confidential financial
information and is not included in this
report)
In the opinion of the CIG, UCC
payment structures should be
determined by local commissioners.
Consultants form all NWL EDs
represented on CIG and actively
involved in developing
recommendations
CIG chair site visits to all NWL EDs
and UCCs to engage with staff
Section 7.14.8 – UCC
governance
Chapter 14 – UCC
minimum staff
competences
Chapter 8b – UCC
integration with primary
care
Section 4 – the
Emergency and Urgent
Care Clinical
Implementation and
Planning Group
7b. Work of the Emergency and Urgent Care CIG 150