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National Review of GP Out of Hours Service - Health Service ...

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12.5. Standard <strong>Service</strong> Level<br />

Agreement:<br />

The standard service level<br />

agreement as set out in the<br />

appendix to be applied to all<br />

cooperatives.<br />

12.6 DDoc /Caredoc Nurse<br />

Telephone Triage Agreement:<br />

<strong>Review</strong> agreement.<br />

All cooperatives have signed‐<strong>of</strong>f on<br />

the standard service level agreement<br />

which will be reviewed bi‐yearly.<br />

DDoc to tender for the provision <strong>of</strong><br />

nurse telephone triage to ensure<br />

costs are in line with nurse<br />

telephone triage nationally.<br />

12.7 <strong>GP</strong>/Nurse Telephone Triage:<br />

1. Consultations completed with <strong>GP</strong>s<br />

Nurse telephone triage to be<br />

undertaken nationally.<br />

in NEDoc.<br />

2. Consideration given by DNE to<br />

tender for nurse telephone triage in<br />

NEDoc. (In this event, a joint<br />

tendering process with DDoc (6),<br />

and KDoc (2) where triage is not<br />

undertaken<br />

currently, should be<br />

considered).<br />

12.8 Drivers in Cooperatives:<br />

<strong>Review</strong> the delivery <strong>of</strong> services by<br />

drivers in the context <strong>of</strong> cost<br />

effectiveness.<br />

12.9 Drugs Stock List:<br />

A <strong>National</strong> Drugs Stock List to be<br />

applied to all cooperatives.<br />

12.10 Areas not covered by an <strong>Out</strong> <strong>of</strong><br />

<strong>Hours</strong> <strong>Service</strong>:<br />

Engage with non‐participating<br />

<strong>GP</strong>s nationally.<br />

12.11 Patient Satisfaction Surveys:<br />

Standardise the template for<br />

undertaking patient satisfaction<br />

surveys.<br />

12.12 <strong>GP</strong> <strong>Out</strong> <strong>of</strong> <strong>Hours</strong>’ <strong>Service</strong>s in<br />

Border Areas – CAWT.<br />

Continue and expand the service<br />

as appropriate.<br />

12.13 <strong>National</strong> Contract for the<br />

Installation/Maintenance/<br />

Upgrading <strong>of</strong> IT Systems.<br />

Tender for a national contract.<br />

3. Nurse telephone triage clinical<br />

decision<br />

support s<strong>of</strong>tware<br />

implemented in all cooperatives.<br />

1. Alternative service provision has<br />

been<br />

considered e.g. tendering<br />

process.<br />

2. Reduction in driver costs<br />

considered<br />

e.g. on call arrangements<br />

/ taxies.<br />

1. The compilation <strong>of</strong> a <strong>National</strong><br />

Drugs Stock List is complete.<br />

2. Only drugs as itemised in the<br />

Stock List are held in treatment<br />

centres/doctors’ bags.<br />

Consultations commenced with non‐<br />

participating <strong>GP</strong>s to ensure 100%<br />

out <strong>of</strong> hours’ coverage nationally.<br />

1. Regional management has linked<br />

with the Office <strong>of</strong> Consumer Affairs.<br />

2. The national template has a focus<br />

on rating outcomes <strong>of</strong> the service.<br />

CAWT continues to review the<br />

urgent <strong>GP</strong> out <strong>of</strong> hours’ service<br />

requirement in the Border areas on<br />

a regular basis.<br />

Management in the four regions<br />

have agreed a national process to<br />

tender for the installation,<br />

maintenance and upgrading <strong>of</strong> IT<br />

systems in the <strong>GP</strong> cooperatives.<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

RDO Immediately TBD<br />

21

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