Urgent and Emergency Care Programme
The journey so far…
Suzanne Hughes
October 2014
Initial View of the Programme:
July 2014
System
Reconfigurations eg
Healthier Together
Systems wide change
management, effective
programme
management
Urgent &
Emergency Care
Review
999
NWAS
Pharmacist
Community
Pharmacist
Role:
prescribing
GP
Urgent Care
Community
Teams
Increase
GP & PN
numbers
Develop
paramedic
workforce
Urgent
Care
Centre
Advanced
Practitioners
Hospital
ED
Increase
trainee
numbers,
review
consultant
contracts,
Advanced
Practitioners
Virtual
Wards
Community
Services
Integrated
teams:
health &
social care
Clinicians
enabling
patients to self
care (LTC)
The changing landscape:
August 2014 – October 2014
Moving services
out of hospital –
self care
Financial
constraints,
competitive
organisations, silo
working
Urgent &
Emergency Care
Review
999
NWAS
GP
Pharmacist
Data?
Anecdotal:
many
prescribers, few
commissioned
service
Data?
GP
recruitment
& retention,
PN
workforce
‘timebomb’
Emergency Centres
& Specialist
Emergency Centres
Urgent
Care
Centre
Urgent Care
Community
Teams
Data?
Data?
Impact of
performance
targets,
impact on
emergency
vehicles,
paramedics
or nursing
Walk
in/Urgent/Pr
imary Care
Centres? Colocated?
Skill mix?
Hospital
ED
Uncertainty of future
provision of services
per organisation –
system
reconfigurations &
service
reconfigurations
Team identity &
interaction, career
framework, leadership
skills, training for future
requirements
Virtual
Wards
Community
Services
Data?
Consultant, Middle
Grade & nursing
R&R, Staff morale,
increased demand,
4hr target, ‘exit
blocking’, career
pathways,
inappropriate
admissions, urgent
v. emergency
Data?
Integrated
teams:
health &
social care
Clinicians
enabling
patients to self
care (LTC)
Health
Economy
Roles
Team
Projects & Opportunities
• Projects:
– HEI Innovation Fund
– Overseas Doctors Programme
• Opportunities:
–
–
–
–
–
–
–
–
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Physician Associate Education development
Paramedic development
ED Leadership & team development
Career Framework design for non medical workforce
Emergency Medicine trainee improvement
Advanced Clinical Practitioner mapping
Pharmacist development – acute & community
North West International Recruitment
Pre-reg education and training review – fit for future health service
needs?
– ED AHPs
– HCS – pathology, critical care scientists etc
– Non professional groups Band 4 and below review
Next Steps
• Start to engage with CCGs, Public Health,
Social Services and Military Services
• 03/12/14 Stakeholder Engagement Event –
focus on Physician Associates
• 08/12/14 Leadership Forum Development
Event – focus on developing a thought
leadership forum to develop the vision and
guide the programme