Agenda item

Urgent & Emergency Care Review - Progress Report

To receive a progress report on the Urgent and Emergency Care Review.

(15 mins)

Minutes:

Carolyn Lawson, Urgent Care Lead, Berkshire West CCGs presented the Urgent & Emergency Care Review Progress Report.

 

During the discussion of this item the following points were made:

 

·         Urgent and emergency care was one of the new models of care set out in the NHS Five Year Forward View.  The Urgent and Emergency Care Review proposed a fundamental shift in the way urgent and emergency care services were provided. 

·         The patient offer for 2020 would be:

Ø  A single number – NHS 111 – for all your urgent health needs;

Ø  Be able to speak to a clinician if needed;

Ø  That your health records are always available to clinicians treating you wherever you are (111, 999, community, hospital);

Ø  To be booked into right service for you when convenient to you;

Ø  Care close to home (at home) unless need a specialist service;

Ø  Provide specialist decision support and care through a network.

·         Carolyn Lawson outlined the vision for future systems.  It was a challenging vision and would not be a quick fix.

·         NHS England had been working with stakeholders on transformational change. 

·         NHS England had developed a route map that outlined high-level expectations to support networks and System Resilience Groups in prioritising their delivery of the Review.

·         Monitor and NHS England had published “Urgent and emergency care: a potential new payment model”, which highlighted potential payment options and provided guidance on how a new payment approach might be implemented in practice.

·         With regards to NHS 111, it had been agreed that an integrated NHS 111/Urgent Care Service for Thames Valley would be commissioned.  Patients who required it would be offered immediate access to a wide range of clinicians, both experienced generalists and specialists.  This model would also offer advice to health professionals locally, such as paramedics and emergency technicians, so that no decision need be taken in isolation.

·         Board members were reminded of the role of the Berkshire West Urgent Care Programme Board.

·         In response to a question from Dr Llewellyn, Dr Zylstra emphasised that the report set out the basic structure of the system and there was more work to be done.  Carolyn Lawson explained that the infrastructure behind the system was under consideration.

·         Councillor Haitham Taylor asked whether there was an opportunity to feed in as a Health and Wellbeing Board.

·         Clare Rebbeck expressed concern regarding GP capacity, particularly in light of the forthcoming development of the Strategic Development Locations.  She indicated that Montague Park residents had been signposted to Wokingham Medical Centre as the nearest surgery.  However, many of them had been unable to get appointments or had opted to remain registered at their previous surgery.

·         Councillor Bray questioned whether there was likely to be financial consequences for commissioning in Wokingham and was informed that it was not a likely result of the NHS 111/Urgent Care Service procurement.

 

RESOLVED:  That

 

1)  the report and the action being taken nationally and locally to deliver the objectives of the “Urgent and Emergency Care Review” be noted.

 

2)  how the local health and social care system currently works in partnership to support good patient flow around the system, which is critical is to the success of our local urgent and emergency care system, be noted.

 

Supporting documents: