JOHN HEYWORTH Consultant Emergency Department Southampton General Hospital

CONGRATULATIONS! (on an excellent contract)

Frog on a dual-carriageway situation (is how it feels for A&E)

STRAW POLL (Taken in the hall, showed many GPs will be working OOH)

The View from the ED Trench 4 hour targets 98% by January % plateau

Primary Care in the ED No standard definition for Primary Care patient Huge range 5-40% Usually not trivial Significant resource implications Significant risk issues

Activity tsunami From midday Saturday Sunday all day Bank Holidays

Solutions No universal solution Dependent on local factors PCC/WIC in community

Opportunity Knocks Sort Primary Care emergency provision – our of hours and in hours GP SI Role of the GP in the Emergency Department Co-location

Co-location Principles Consistently available Widely publicised Separate entrance to the ED Self contained PCC Appointment by phone Some two-way traffic with the ED

Next Steps Dialogue with your Emergency Department – NOW! ED – Primary Care axis