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North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care

North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care. What does that mean?.

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North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care

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  1. North Norfolk CCGAnnual Stakeholder Event 2014Unplanned Care

  2. What does that mean? • Unscheduled care is any unplanned contact with the NHS by a person requiring or seeking help, care or advice. It follows that such demand can occur at any time, and that services must be available to meet this demand 24 hours a day. Unscheduled care includes urgent care and emergency care.1 1Commissioning a new delivery model for unscheduled care in London Urgent Care – needs prompt attention but is not life threatening Emergency Care – has life threatening injuries or conditions

  3. Kings Fund Guide http://www.kingsfund.org.uk/projects/urgent-emergency-care/alternative-guide-urgent-and-emergency-care-system-england

  4. What services do we have now? • NHS Choices • Pharmacies • 111 • Primary Care in hours and GP Out of Hours service • Norfolk County Council Community Services 0344 800 8020 • Community/Voluntary Groups • Minor Injury Unit • Walk in Centre • Accident and Emergency • 999 – life threatening emergencies

  5. North Norfolk Picture • 2013/14 over 13,000 emergency admissions to hospital in NN CCG area • Cost between £2- £2.6m per month • 58% admitted through A&E • 44% of those admitted stayed in hospital for less than 1 day • Most emergency admissions were in the 0 – 4 year and 65 years+ age bands • Older people’s medicine had highest number of admissions by speciality • 807 patients were admitted as an emergency 3 or more times during 2013/14

  6. What are we already doing about this? • Working more closely with NCC, NCH&C, Voluntary sector and other stakeholders on Integrated Care (Complex Cases) • Changes to General Practice • Volunteer Services • Self-Management, Coaching, Diabetes Education • Developing better 999 services e.g. more paramedics, recruit Community Responders • Living Well with Dementia Project • Falls Prevention

  7. Despite all of this…. • In April and May this year: • 264 more 999 calls than last year • 453 more attendances at A&E than last year • National increase in emergency admissions to hospital last year but North Norfolk has performed better

  8. Discussion Groups What more can we doto: • Ensure people get the right care quickly • Make sure emergency services are there for people that really need them

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