“Urgent and emergency care is the range of healthcare services available to people who need medical advice, diagnosis and/or treatment quickly and unexpectedly.” (Department of Health)

Why SHAPE supports Urgent and Emergency CareAchieving improvement in urgent and emergency care is a national priority. As outlined below, SHAPE can help with relevant analyses showing your current local situation relevant to urgent and emergency care and opportunities for change.

SHAPE is based on nationally available data but cannot provide analyses of all issues relevant to urgent and emergency care. In the absence of supplementary local information, aspects it cannot cover include GP out of hours services, ambulance services, walk-in centres, urgent care centres or enhanced local primary care services. However, SHAPE does integrate data from a range of data sources. Here are suggestions on how SHAPE data can inform both strategic and local commissioning decisions regarding the future of urgent and emergency care.

Supporting Urgent and Emergency CareSHAPE case study

Understanding local needs

SHAPE can give indications of the scale of local need for Urgent and Emergency Care relative to national average on a number of key factors, including:

age structure

mortality figures for cancers and circulatory diseases,

breast and cervical screening uptake

health and disability deprivation

teenage pregnancies

QOF prevalence for CVD, COPD, CHD, atrial fibrillation, diabetes, epilepsy, heart failure, hypertension, hypothyroidism, stroke & TIA.

Assessment of available services

SHAPE can give information on activity of some currently available services, including:

Total emergency inpatient admissions of local populations

Identification of admissions for most common emergency conditions

Identification of admissions for less common emergency conditions

Multiple emergency rates by condition (i.e. number of times a patient is admitted in a year)

Examination of Length of Stay and excess bed days by particular conditions including an assessment of potential reduction in bed days if improvements were made.

Percentage of emergency re-admissions within 30 days, by particular conditions

Map of location of a number of providers including A&E departments

60, 45 & 30 minute travel time catchments around A&E hospital site

QOF COPD prevalence by GP practice site

Strategic Health Asset Planning and Evaluation

Have you tried?Focusing on outliers only (by choosing Outliers Only option from drop-down box at top of left hand panel) will quickly identify areas where your local situation differs significantly from national average and therefore may require further consideration.

Focusing on low volume HRG activity in secondary care for urgent cases that might be dealt with more effectively by concentrating treatment in smaller numbers of centres.

Inputting local information on estates to augment and refine national information available to SHAPE. SHAPE could then provide estates analyses at site level.

Mapping GP practices against population aged 65+ as an indicator of where majority of emergency hospital admissions are likely to come from.

Using the site travel distance function to see the catchment population for any selected site.

SHAPE is free to NHS professionals and Local Authority professionals with a role in Public Health or Social Care.Access to the application is by formal registration and licence agreement.

For further information:Email shape@nepho.org.uk • Telephone 0191 334 0368

Visit shape.dh.gov.uk

North East

SHAPE is a web-enabled, evidence-based application which informs and supports the strategic planning of services and physical assets across a whole health economy.

The application aims to support national policy priorities including Joint Strategic Needs Assessment, QIPP, Transforming Community Services and Clinical Commissioning.

SHAPE contains a number of key indicators from a range of datasets including: hospital activity, JSNA, public health, primary care, programme budgeting and demography. Each indicator can be mapped and is linked with information on healthcare estates performance and facilities location.

Clinical indicators by HRG4