Corby Urgent Care Centre

1. Corby Urgent Care Centre

2. Dr Stuart Maitland-KnibbClinical Lead

3. A new vision A quality serviceDelivering Urgent Unplanned Care where it is needed most IN THE COMMUNITY

4. Take Home Messages • Significant Reduction in activity in admission and ED • Feedback from Patients excellent • All KPI markers met • Zero 4 hour breeches • 1st year Predicted > £600,000 annual save in the smallest CCG in the country

5. Community Profile • Corby smallest CCG nationally • Corby Population120K by 2021

6. Primary Care Outline • 5 Practices 48K -2K • 29 Partners

7. The Unit • Purpose built • 8 miles from nearest trauma unit, PCI • 21 miles from vascular and stroke unit • 32 miles from major trauma centre

8. The Unit • Purpose built • Planned by health care professionals • Designed to give a feeling of security and calm. • Designed to increase flow

9. What the Unit is not • It's not a Minor Injury Unit • It's not a Minor Illness Unit • It's not a Walk in Centre • It's not an Out of Hours Unit

10. So what is it • If you don't need 999 because your life or limb is at immediate risk • If you cannot wait for the next available GP appointment • The Urgent Care Centre is for you • If you are unsure call 111

11. Activity • Open 12 hours a day • See between 150-200 per day • Local DGH seeing in 24 hours 160-230 • Admission rate for paediatrics of study sample 4500 seen admission rate is 2% under 1 year and <1% over all

12. Staffing • 3 doctors all senior GPs with extended skills • 1 medical nurse practitioner • 2 injury nurse practitioners • 3 nurses • 2 HCA • 2 radiographers • 2 reception staff • 3 support staff

13. What We Offer • Triage by a qualified nurse in <15 mins • Primary care solution software • X-Ray all room with pacs viewers • Ultrasound inc fast, diagnostic and bladder • Bloods inc FBC, CLOTTING, AMY, LFT, RENAL, ATERIAL GAS, LACTATE, CRP, TROP & D-dimer

14. What We Offer • Observation bays (12 day couches 4 paediatric, 4 male and 4 female) • Resuscitation • Ambulance bay • Dr visiting service • Stop the clock care delivery

15. Clinical Governance • Use both College of Emergency Medicine and Royal College of General Practice evidence and guidance with use of SOPs • Secondary care validation of lab results and radiology

16. Clinical Governance • Audits used from both colleges • Active in research programme • Active internal and external training of staff • Clinical lead works on ED consultant rota weekly • Clinical lead works in pre-hospital in a consultant level helicopter post

17. Cost • Set up funded by GPs consortium (all local GPs) • Tariff £44 per Patient up to 116 thereafter marginal at £13 per Patient

18. Stats • Reduction >1000 per month

19. Stats • Reduction 24%

20. Stats • Reduced by 14%

23. The data supplied is from GEM and this is global data. Our own data suggests a higher swing of activity from our local acute Trust to Corby Urgent Care Centre. • Up to 2013 both Kettering General Hospital and Northampton General Hospital (our 2 local area hospitals), have had a mirrored increase in activity. As can be seen by the following slide. • In 2013 Kettering General Hospital had a reduction in acute admissions of over 8,000. Whereas Northampton General Hospital has seen an increase of 6,000. • Therefore suggesting an overall reduction at Kettering by 14,000. • KGH data should be looked at as a whole because of the way they use A&E as a gateway for emergency admissions. • We cannot be 100% sure but we believe the swing is due to the opening of the Urgent Care Centre near to Kettering General Hospital.

26. Any Questions?