1. North Norfolk CCG Annual Stakeholder Event 2014 Unplanned Care

2. What does that mean? Unscheduled care is any unplanned contact with the NHS by a person requiring or seeking help, care or advice. It follows that such demand can occur at any time, and that services must be available to meet this demand 24 hours a day. Unscheduled care includes urgent care and emergency care. 1 1 Commissioning a new delivery model for unscheduled care in London Urgent Care – needs prompt attention but is not life threatening Emergency Care – has life threatening injuries or conditions

3. Kings Fund Guide http://www.kingsfund.org.uk/projects/urgent -emergency-care/alternative-guide-urgent- and-emergency-care-system-england

4. What services do we have now? NHS Choices Pharmacies 111 Primary Care in hours and GP Out of Hours service Norfolk County Council Community Services 0344 800 8020 Community/Voluntary Groups Minor Injury Unit Walk in Centre Accident and Emergency 999 – life threatening emergencies

5. North Norfolk Picture 2013/14 over 13,000 emergency admissions to hospital in NN CCG area Cost between £2- £2.6m per month 58% admitted through A&E 44% of those admitted stayed in hospital for less than 1 day Most emergency admissions were in the 0 – 4 year and 65 years+ age bands Older people’s medicine had highest number of admissions by speciality 807 patients were admitted as an emergency 3 or more times during 2013/14

6. What are we already doing about this? Working more closely with NCC, NCH&C, Voluntary sector and other stakeholders on Integrated Care (Complex Cases) Changes to General Practice Volunteer Services Self-Management, Coaching, Diabetes Education Developing better 999 services e.g. more paramedics, recruit Community Responders Living Well with Dementia Project Falls Prevention

7. Despite all of this…. In April and May this year: 264 more 999 calls than last year 453 more attendances at A&E than last year National increase in emergency admissions to hospital last year but North Norfolk has performed better

8. Discussion Groups What more can we do to: Ensure people get the right care quickly Make sure emergency services are there for people that really need them