1. A New Approach to Unscheduled Care Delivering excellence by organising our resources around the person’s needs Moray Briefing Session 1 st August 2013

2. Unscheduled Care is… urgent with the need to take action at the time of contact with services. care which cannot reasonably be foreseen or planned and can occur at any time. also referred to as unplanned, urgent or emergency care part of everyone’s role

3. Growing Pressures Increasing demand across public sector Recruitment and retention challenges Population changes Public expectations Striving to keep improving quality of care Image to be added

4. Doing Nothing is Not an Option By 2020: Grampian population +7.2% Over 65s +13.5% Length of stay +4% Emergency bed days +15.9% Emergency department attendances+7.4%

7. Whole System Approach Individuals supported to make the best decisions about their own care and to choose the right service when they need support/treatment Integrated and flexible workforce to improve care and service sustainability Access to patient information at point of contact Decision support for professionals when they need Agreed decisions are delivered to meet the person’s needs Re-enablement to support transition to self/care management and to enhance support at home and in the community.

10. What Difference Will It Make? Person-centred = improved patient experience and quality of care Building on community assets Empowerment of family and carers Building of relationships between partners Improved staff experience, professional learning Reduction of ambulance journeys Reduction of A&E attendances and emergency admissions Delivery of national targets e.g. delayed discharges, 4 hour standard, boarders, A&E attendances More effective use of public funding

11. 24/7 Consultant Level Support - Leverage of the Whole System Know Who To Turn To NHS Inform/Quality Assured Information Anticipatory Care Plans Priorities for 2013/14 Implementing partnership plans to  delayed discharges  number of staff with re- enablement skills Exploring ‘hospital at home’ model Booking of appointments  number alternatives to admission Technology Hub goes live Sept 2013 Local directory of information Enhance local networks  accessibility of patient information Clinical Guidance Intranet Technology supports communication  number of Advanced Clinical Practitioners Integration of primary/ secondary care workforce

12. Getting Involved/Further Information  Views/ideas and helping us test these  Patient, staff and partner experience E-mail - nhsg.unscheduledcare@nhs.net nhsg.unscheduledcare@nhs.net  USC Programme Newsletter  www.nhsgrampian.org/unscheduledcarewww.nhsgrampian.org/unscheduledcare