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Why here?

Why here?. Pat Dawson Associate Nurse Director, NHS Lothian 21 May 2009. Why me???. Phase 1: General Population in Lothian >18 Years What general public know about our services – GP, OOH, A&E, minor injuries, pharmacists etc. Quantitative Survey of Adults living in the

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Why here?

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  1. Why here? Pat Dawson Associate Nurse Director, NHS Lothian 21 May 2009

  2. Why me???

  3. Phase 1: General Population in Lothian >18 Years • What general public know about our services – GP, OOH, A&E, minor injuries, pharmacists etc. • Quantitative Survey of Adults living in the Lothians – face to face interviews >1000

  4. Phase 2: Self Referrers to A&E • Why here? Aspects of service e.g. open access, free medicines “full service/one stop shop • Why now? Advice from other sources e.g. GP/NHS24/chemist etc. • Qualitative/Quantitative Survey self referrers in A&E >18, 100 hours of face to face interviews

  5. Phase 3: Being Designed • Qualitative ?in-depth telephone or face to face or focus groups • Starting from a blank sheet - how could our services look different? • What do you want to see put in place?

  6. Phase 4: Intelligence – what we know already • Hard facts on usage/users of A&E • Research on “appropriateness of attendance” • NHS surveys A&E in RIE 2006 and 2007

  7. Q1. What was the main reason that you went to the Emergency Department? Nov. 2007                May 2006 My GP told me I should go                                                        15%                    16% Someone else at my local health centre told me I should go     2%                     2% My GP was not available                                                            3%                      3% I wanted a second opinion                                                           1%                      1% NHS 24 told me to go to an Emergency Dept.                            12%                    11% I decided that I needed to go                                                       36%                    35% A friend or relative decided that I needed to go                          16%                    17% Somebody else decided I needed to go                                      14%                     13% Not answered                                                                          2%                         2%

  8. Other Information • No ethical approval required for Phase 2 • External market research company(ies) being used • Phase 2 report end June, Phase 1&3 end July • No children/families > 18 years only • Only at RIE, may replicate to other sites

  9. Next Steps… • Analyse, share, learn, inform • Service design: A&E, MIU, CHP’s, GP’s • Marketing Communications, Social marketing

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