Public asked to share views on urgent care
Patients and the public are urged to help shape what urgent care services will look like in the future across Bury.
Urgent care services are those that are designed to assist with patients with an illness or injury that does not appear to be an emergency, but is considered too urgent to wait for routine care.
The current urgent care system in Bury has evolved over time and is complex. This leads to confusion for patients in terms of which service will best meet their needs, where to access that service and when. The current system also sees duplication which can further complicate the choices patients make.
National guidance points towards an urgent care system that is more integrated and streamlined. The proposed Bury model would echo national best practice and include changing systems to provide the following:
A single point of entry for patients in Bury who require urgent care (that is not planned or emergency care). This would likely be via a local telephone advice service to complement the NHS 111 advice line. Here appropriately qualified staff would advise the patient on which health or social care service from the full range available they need, and if possible book an appointment for them for that day, there and then
- An additional element at Fairfield General Hospital that would see patients who do not need to be at A&E being assessed and treated by primary care staff, so freeing up A&E for those needing emergency care (a similar service already runs from North Manchester General Hospital)
Dr. Victoria Moyle, lead GP for urgent care at NHS Bury Clinical Commissioning Group (CCG) said:
“Our review of urgent care services tells us that the current system is very complex, there is some duplication and patients are often confused about the best service to meet their needs. The proposed model includes a strengthened initial clinical assessment system at Fairfield General Hospital which would see GPs and primary care staff working alongside hospital teams; ensuring patients who come to A&E receive the most appropriate care to meet their needs.”
The CCG’s work has highlighted that in order to progress the proposed model there is also a need to eliminate duplication of services in the current landscape of urgent care and reinvest the money into the system. There is a proposal that the contracts for the walk in centres (WICs) in Bury and Prestwich are not re-negotiated as part of the new community services contract (currently provided by Pennine Care NHS Foundation Trust), beyond March 31st 2017.
Dr Moyle continued; “Our review has found that walk in centre services were created at a time 12 years ago when there was a very different health and social care landscape in the borough – already the centres are seeing less and less patients attend.”
Key examples of new services and initiatives that are reducing the number of attendances at the centres are;
A new wound care service that will take away 17% of the current activity of the WICs
The availability of GP and nurse appointments into the evening, at weekends and bank holidays
New quality standards to ensure that children under 12 who are considered as having an urgent clinical need have same day access to a prescribing clinician based at the Practice
Dr Moyle continued; “In addition to the new service developments, a crucial factor in the basis for the proposal is the evidence that up to 41% of the patients who use the WICs could have been treated or given advice by a local pharmacist or by information available over the phone or online at NHS Choices.”
“New local services and new ways of working have evolved that have prompted this review and given us the opportunity to shape efficient and flexible services for the future.”
“It is important that the views of patients, members of the public and stakeholders are captured on the proposed future model for urgent care so that these views can be fully considered in any future decision.”
People can give their views on the proposal in a number of ways:
An online survey is available > here
Views can be sent in via the CCG website feedback facility; by e-mail (as above) or by letter to NHS Bury Clinical Commissioning Group, Communications and Engagement Team (Urgent Care Redesign), 21 Silver Street, Bury, BL9 0EN
The proposal will be discussed at the Township Forum meetings, as follows:
Bury East - Thursday 8th September, Peel Room, Town Hall, 7pm
Prestwich - Thursday 8th September, Longfield Suite, Prestwich, 6.30pm
Ramsbottom, Tottington & North Manor - Tuesday 13th September, Ramsbottom Fire Station, Stubbins Lane, Bury BL0 0PS, 7pm
Radcliffe - Tuesday 13th September, 6pm PLEASE NOTE CHANGE OF ORIGINALLY ADVERTISED VENUE TO: Radcliffe United Reformed Church, Blackburn Street, Radcliffe, M26 3WQ
Bury West - Monday 19th September, Elton Centre, Alston Street, BL8 1SB, 7pm
Whitefield & Unsworth - Tuesday 20th September, Elms Community Centre, Green Lane, Whitefield, M45 7FD, 6.30pm
The period of engagement will run until 31st October 2016
Date: 1st September 2016
FOR PRESS & MEDIA ENQUIRIES: contact Carrie Dearden, Communications and Engagement Manager on 0161 762 3106 or email firstname.lastname@example.org