1. Direction of Travel for Urgent Care
Discussion Document

2. Our health our care our say, White paper principles
Focus on peoples experience
Examine simple access so that people are assessed and directed first time to the right service
Build on best practice
Ensure consistent quality
Promote system wide integrated approach
Joint PCT, Local Authority commissioning

3. Our health our care our say white paper
Develop a multi disciplinary workforce strategy
Address IT requirements
Make best use of NHSd, particularly in supporting self care and better information on services
Support health and social care economies develop integrated urgent care services

4. Definition of Urgent Care
Urgent Care is the range of responses that health and care services provide to people who require – or who perceive the need for – urgent advice, care, treatment or diagnosis. People using services and carers should expect 24/7 consistent and rigorous assessment of the urgency of their care need and an appropriate and prompt response to that need

5. Questions Do you agree with this definition?
If not what would you change about it?
Is it right to remove the distinction between in-hours and out of hours urgent care so people have access to a consistent and rigorous assessment of the urgency of their need at any time of day or night
Please explain why you agreed or disagreed

6. Questions
Do you think health and social care services need to work better together to deliver an effective 24/7 urgent care service?
If so please explain how this could be achieved

7. Flow Chart
Please turn to page 14

8. Conceptual model of urgent Care
Page 14/15
Do you agree with the model
If not, please explain what you would change about it

9. Implementing the Six Principles
My voice as a service user or carer is clearly heard and acted on
I know how to access services if I have an urgent need
If I have an urgent need I can access care quickly and simply
My safety is paramount to everyone who cares for me

10. I can rely on getting the right care (including support for self care), whenever I need it whoever I am
The care I receive meets my needs appropriately, taking account of the urgency and value for money

11. My voice as a service user or carer is clearly heard and acted
Where we should be
People are in control and informed of their care choices
All providers of urgent care regularly assess users experience of their services
Findings are made public
Members of the community and people using services are involved at every level

12. I know how to access services if I have an urgent need
Commissioners provide clear, accurate up-to date info on range of services
Users and carers know when where and how to access services, providers can give this information
People with long term conditions have agreed personalised care plan, which they hold along with relevant records

13. If I have an urgent need I can access care quickly and simply
Commissioners map demand, and develop a range of local services inc diagnostics that give people quick access
Telephone provides one form of access and everyone knows what number to call
Most services are provided in the local community or at home by a flexible workforce in multidisciplinary teams

14. My safety is paramount to everyone who cares for me
Standards for better health
Services configured to allow care as close to home as possible
Appropriate governance and supervision are in place
Joint commissioning to ensure integrated health and social care response
Electronic information transfer

15. I can rely on getting the right care whenever I need it
Provide users with 24/7 access
Consistent rigorous assessment
People take grater responsibility for maintaining their own health
Service provision is tailored to the needs of the community
Disadvantaged groups are catered for

16. The Care I receive meets my needs appropriately
Taking account of the urgency and Value for money
Services offer rigorous assessment and care as close to home as possible
Co-location of services to reflect peoples behaviour
Whole system approach to resourcing care shifting away from hospital

17. Turning the model into realityPg
Do you agree with the description of “where we should be” for principle one, through six
If not explain what you would add or change about them
Have we identified the right national and local actions to address where we should be.

18. If not explain what you would add or change about them?
What else would make this difficult to deliver?
Can you tell us about any examples where people or services are already doing things like this?

19. Supporting implementation of the strategy
How do we put this into action?
Attitudes to risk
Integrated service responses
Rural and urban communities (and then there is Kirklees)
Are there sufficient leavers for change?
Difference between urban & rural settings
How can we deliver improved urgent care?