1. TIPS REGARDING FORMATTING
NHS 111/IUC (Integrated Urgent Care) & The Clinical Assessment Service Model (CAS) (IUC)
In London, NHS11 Integrated Urgent Care services are contracted separately by each of London’s five STP areas to four care providers, LAS in NE and SEL etc.
Historically, there have been two types of workforce within 111: health advisors (non-medical), and clinical advisors, (Nurses & Paramedics). The IUC model enables the development of a multi professional (virtual or call centre based) Clinical Assessment Service (CAS) including GPs, Advanced Nurses/Paramedics, Pharmacists, Dental Nurses and MH Nurses. IUS has moved NHS 111 from an ‘assess and refer’ model to a ‘consult and complete’ model achieved through integrating GP OOHs services and local Primary/Community Care services with NHS 111
As part of London’s IUC offer all calls with an Emergency Department or Cat 3/4 Ambulance dispositions are re-triaged by a Clinician to reduce the number of low category ambulance dispatches and attendance at ED through further clinical assessment attempting to refer callers to primary/community care services.
This provides access to electronic prescribing. If f2f is needed booking in to patients own GP, GP access hubs, local pharmacies or referring into a rapid response community service.
2.22m
111 calls since April 2018.
Increase of 14% from 2017
Nurses /Paramedics
Advanced Practitioners
Urgent Treatment Centres where directly bookable):
UCLH
Royal Free
North Middlesex
Whittington
Directly bookable in- hours GP Services:
North Central are the national first of type for GP Connect and booking standards
Directly bookable GP Extended Access Services: all Locations across STPs
CAS Outcomes include:
Self Care
Direct Booking
Prescribing
GP Home Visiting
A&E Recommendation
Ambulance Dispatch
Clinical validation of Cat 3 and 4 Ambulance dispositions
Directly bookable OOH Treatment Centres:
Virtual CAS Services
GP Extended Access
In hours GP services
Urgent Treatment Centres
GP Out- of-Hours
IVR Services: London level
(Avoids Pathways)
Mental Health Crisis
Dental
Mental Health Crisis undertaken by warm transfer to local MH Trust
Pan London Dental Service
NHS 111 online
IVR
Clinical Navigators
Pharmacists
Service Advisors
GPs
111 Health Advisors
Patient categories bypass Pathways into LCW CAS:
Under 1s
Over 75s
NHS111 Online
*5 Paramedics
*6 Care Homes
*7 Rapid Response
111
(Sent by LAS)
999
*5 LAS Crew, *6 Care Homes & *7 Rapid Response
210k Calls
Received March 2019
(Highest monthly call volume)
TIPS REGARDING FORMATTING
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Conclusions first, keep them short and to the point in the upper left-hand corner.
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Don’t forget any other logos where necessary.
42,000
111 calls received each week in London in % increase from 2018
48%
of all ED dispositions referred to 111 Overridden and changed to alterative appropriate outcome
73%
Cat 3 /4 Ambulance override rate by 111 clinician
@healthyLDN