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

make an appointment with their own GP practice. Where appropriate, this will be
achieved using the „111‟ service
Patients attending the UCC who are not registered with a GP will be treated by the
UCC according to the same criteria as a registered patient. In addition, they will be
supported by the staff in the centre to register with a local practice of their choice
Patients may be referred to community based services, including general dental
services, pharmacy services, community nursing, and social and voluntary services.
UCC reception staff will have up-to-date details of all community and primary care
based services and will be able to provide patients with contact numbers/service
details and opening times in order that they are redirected to core primary care
service provision
The Provider will issue discharge summaries to GP practices within 24 hours,
providing relevant clinical and treatment information, medication and any necessary
follow-up care.
7.16.2 Recommendations for local determination
Consider entering arrangements with local GP Networks to „ringfence‟ small numbers
of appointment slots for patients positively re-directed from the UCC (specifically
those presenting with non-urgent indications who feel they are unable to secure an
appointment with their own GP).
Explore options around integrating UCC with local GP Out of Hours service.
General Practice representation on Joint Clinical Governance Group – CCGs are
already represented as commissioners, however, there may be value in additional
GP representation as clinicians.
Consider incorporating rotations through local primary care services into the ongoing
training of UCC GPs and ENPs.
Hold regular audits of UCC patient attendance to identify patterns (for example
frequent attenders). Communicate results to relevant GP practices and Networks in
support of their continuous improvement processes.
7.17 UCC workforce standards
Drawing on recommendations made by Healthcare for London 14 , College of Emergency
Medicine 15 and London Health Programmes, the E&UC CIG has proposed a set of minimum
competences for urgent care centre staff and minimum levels of cover. Chapter 14 details
the workforce implications and discusses the training and recruitment approach for UCCs.
7.18 Equalities
In addition to the work conducted by the CIG. Additional analysis of the proposals has been
undertaken by the programme to understand the impact on the groups defined as protected by
legislation. The resulting impact assessment identified four key sub-groups that could
potentially be adversely affected by the proposed changes to emergency and urgent care
services:
Children
14 „A service model for urgent care centres – commissioning advice for PCTs‟ – Healthcare for London; January
2010
15 CEM (2011) Emergency Medicine The Way Ahead
7b. Work of the Emergency and Urgent Care CIG 177