A New Approach to Unscheduled Care

Delivering excellence by organising our resources around the person’s needs

2 0 2 0

Moray Briefing Session

1st August 2013

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

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

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%

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.

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

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

Getting Involved/Further Information

Views/ideas and helping us test these

Patient, staff and partner experience

E-mail - nhsg.unscheduledcare@nhs.net

USC Programme Newsletter

www.nhsgrampian.org/unscheduledcare