Urgent Care

- QP A&E Indicators-Use of A&E- RightCare

Royal Derby Hospital

Wellbrook Medical Centre, Hilton

QP 12-14

• Review data on A+E attendances• Including consideration of whether access in

the practice is appropriate in light of patterns of A+E attendance

• External peer review of data• Proposals on improved access / service

redesign• Improvement plan + report

Reasons for A&E attendance

• Minor injuries• Mental illness• Alcohol problems• Minor illness in children• Unable to access primary care• Frail elderly• Chronic disease

Frail Elderly

• Care Outside Hospital– Intermediate Care– Nursing home support– Community matrons– Falls prevention

Frail elderly - dementia

• Dementia Care– Early diagnosis • Memory assessment service• Dementia support service

– Dementia care at RDH– Care home support

RightCare

• Significant increase in number of plans• DHU believe excessive number• Many patients could be adequately managed

with Special Patient Note• ?Need to review use of RightCare