1. + Lakeside Plus Corby Urgent Care Centre

2. + Lakeside Plus Dr Stuart Maitland-Knibb Clinical Lead

3. + Lakeside Plus A new vision A quality service Delivering Urgent Unplanned Care where it is needed most IN THE COMMUNITY

4. + Lakeside Plus Take Home Messages Significant Reduction in activity in admission and ED Feedback from Patients excellent All KPI markers met Zero 4 hour breeches 1st year Predicted > £600,000 annual save in the smallest CCG in the country

5. + Lakeside Plus Community Profile Corby smallest CCG nationally Corby Population120K by 2021

6. + Lakeside Plus Primary Care Outline 5 Practices 48K -2K 29 Partners

7. + Lakeside Plus The Unit Purpose built 8 miles from nearest trauma unit, PCI 21 miles from vascular and stroke unit 32 miles from major trauma centre

8. + Lakeside Plus The Unit Purpose built Planned by health care professionals Designed to give a feeling of security and calm. Designed to increase flow

9. + Lakeside Plus What the Unit is not It's not a Minor Injury Unit It's not a Minor Illness Unit It's not a Walk in Centre It's not an Out of Hours Unit

10. + Lakeside Plus So what is it If you don't need 999 because your life or limb is at immediate risk If you cannot wait for the next available GP appointment The Urgent Care Centre is for you If you are unsure call 111

11. + Lakeside Plus Activity Open 12 hours a day See between 150-200 per day Local DGH seeing in 24 hours 160-230 Admission rate for paediatrics of study sample 4500 seen admission rate is 2% under 1 year and <1% over all

12. + Lakeside Plus Staffing 3 doctors all senior GPs with extended skills 1 medical nurse practitioner 2 injury nurse practitioners 3 nurses 2 HCA 2 radiographers 2 reception staff 3 support staff

13. + Lakeside Plus What We Offer Triage by a qualified nurse in <15 mins Primary care solution software X-Ray all room with pacs viewers Ultrasound inc fast, diagnostic and bladder Bloods inc FBC, CLOTTING, AMY, LFT, RENAL, ATERIAL GAS, LACTATE, CRP, TROP & D-dimer

14. + Lakeside Plus What We Offer Observation bays (12 day couches 4 paediatric, 4 male and 4 female) Resuscitation Ambulance bay Dr visiting service Stop the clock care delivery

15. + Lakeside Plus Clinical Governance Use both College of Emergency Medicine and Royal College of General Practice evidence and guidance with use of SOPs Secondary care validation of lab results and radiology

16. + Lakeside Plus Clinical Governance Audits used from both colleges Active in research programme Active internal and external training of staff Clinical lead works on ED consultant rota weekly Clinical lead works in pre-hospital in a consultant level helicopter post

17. + Lakeside Plus Cost Set up funded by GPs consortium (all local GPs) Tariff £44 per Patient up to 116 thereafter marginal at £13 per Patient

18. + Lakeside Plus Stats Reduction >1000 per month

19. + Lakeside Plus Stats Reduction 24%

20. + Lakeside Plus Stats Reduced by 14%

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23. + The data supplied is from GEM and this is global data. Our own data suggests a higher swing of activity from our local acute Trust to Corby Urgent Care Centre. Up to 2013 both Kettering General Hospital and Northampton General Hospital (our 2 local area hospitals), have had a mirrored increase in activity. As can be seen by the following slide. In 2013 Kettering General Hospital had a reduction in acute admissions of over 8,000. Whereas Northampton General Hospital has seen an increase of 6,000. Therefore suggesting an overall reduction at Kettering by 14,000. KGH data should be looked at as a whole because of the way they use A&E as a gateway for emergency admissions. We cannot be 100% sure but we believe the swing is due to the opening of the Urgent Care Centre near to Kettering General Hospital.

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26. + Any Questions?