Direction of Travel for Urgent Care Discussion Document

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

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

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

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

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

Flow Chart Please turn to page 14

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

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

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

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

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

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

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

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

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

Turning the model into reality Pg 26- 37 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.

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?

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?