NHS 111 North East Roll-out Programme Overview

1. NHS 111 North East Roll-out Programme Overview Newcastle & North Tyneside LMC 6 November 2012 Anya Paradis Head of Commissioning Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

2. Context Increased demand on A&E and 999 Services Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

3. Context Approximately 37% of visits to A&E are “minor attendances” Ambulance services handle 7.5m calls per year of which 2.2m (29%) are categorised as being in the lowest category of response Cat C2 Transferring some of this demand to NHS 111 will relieve pressure Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

4. WHY? Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

5. Department of Health’s public engagement work showed overwhelming support for a three digit number Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

6. What is NHS 111 NHS number that’s simple, free and easy to remember When medical is needed fast but it isn’t a 999 emergency Available 24/7, 365 days a year Piloted in County Durham and Darlington Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

7. High Level ‘111’ Model

8. What provides • Free to call, memorable three digit number – 111 • Consistent clinical assessment of patient needs • Up to date Directory of local services • Professionals with a telephone link and web based access • Integration with service providers Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

9. benefits • Improved patient access • Right treatment, first time • Patients directed to the most local service that best meets their needs • Improved management of information and intelligence to inform future commissioning decisions Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

10. NHS 111 NE Clinical Governance Framework Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

11. Clinical Governance North of Tyne NHS 111 National Clinical Leads Group North East Mobilisation Group NHS 111 North East Clinical Governance Group North of Tyne Urgent Care Steering Group North of Tyne Urgent Care Clinical Governance Joint Clinical Pathways Review Group Audit/Performance/Data/Contracting North of Tyne Clinical Quality Review Group Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

12. Healthcare Professionals Feedback Process Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

13. County Durham & Darlington Experience In 2011 the NHS 111 service has received over 215,000 calls. Of those calls: • 42% of patients were given a booked appointment at their local Urgent Care Centre or directed to their own GP during the in-hour period, • 6% of callers were directed to their nearest Accident and Emergency Department • 11% resulted in an immediate Ambulance response. Compared with similar demographic areas within the North East over the pilot period County Durham and Darlington can demonstrate an overall • 14% reduction in the number of calls received by 999. • An overall 3% reduction in the number of 999 incidents and a total • 9% reduction in Accident and Emergency attendances Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

14. Regional Approach Specification Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

15. NHS 111 Target Operating Model Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

16. NHS 111 Directory of Services Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

17. Timelines • 5 year contract awarded January 2012 • Phased implementation – • NHS South of Tyne and Wear & NHS County Durham and Darlington December 2012 • NHS Tees & NHS North of Tyne 2nd April 2013 Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

18. Questions? Comments? Views? Newcastle PCT, North Tyneside PCT and Northumberland Care Trust