1 Urgent Care services in Warwickshire North Andrea Green Warwickshire North Clinical Commissioning Group
2 Emergency and Urgent Care The big picture in Warwickshire North Growing demand and population has led to huge pressure on hospital emergency and urgent care services. Growing & ageing population. In Warwickshire North the population +65 years is expected to increase by 60% by In Nuneaton & Bedworth increase expected at 43% by ,000 attendances at George Eliot hospital A&E in 2014/15 up to 50% of these people could have possibly been treated effectively elsewhere
3 Emergency and Urgent Care The big picture in Warwickshire North All 28 GP practices in Warwickshire North provide at least 8 hours of service a day 18 of those GP practices offer extended hours access more than 8 hours a day GP led walk-in service at Camp Hill - 8am to 8pm seven days a week Urgent Care Centre at George Eliot Hospital - 10am to 6.30pm seven days a week pilot service opened October 2014 NHS hour, 365 day, free telephone service Out-of-Hours Primary Care Service weekdays 6.30pm to 8am, but weekends and Bank Holidays open 24 hours at George Eliot Hospital site.
4 We do not have enough GPs! Ratio of GP to registered population shows that each GP has around 200 extra patients compared with national average Extract from NHS England Primary Care Strategy 2014
5 Patient Feedback Informing Vision for Quality and feedback from pre-engagement: Vision for Quality feedback developed over 12 months Preference for face to face consultations, not telephone advice Confusion about how to access the right services quickly - this results in patients going to A&E when they can be treated elsewhere Variability in patient satisfaction with access to GPs. Pre-engagement feedback (277 responses) Need for longer GP opening hours People were prepared to travel to get the urgent care they needed People wanted same-day access to primary care as part of an urgent care system People wanted access to a GP People wanted to be streamed to appropriate urgent care.
6 Why review the urgent care services? We also have a growing and ageing population whose needs have changed. Older people often have more than one healthcare problem Confusion about what local services are available and when for both public and professionals Some difficulty accessing primary care Need to streamline care and ensure it is the best possible and offers equality of access across Warwickshire North Need a sustainable, well trained urgent care workforce that works seamlessly with primary and emergency care.
7 How many people attend urgent care services? Walk-in service at Camp Hill c 6,200 walk-in patients, April March 2015 George Eliot Hospital urgent care growing numbers with 926 in the month of March 2015 George Eliot Hospital A&E attendances from the boroughs of North Warwickshire, Nuneaton and Bedworth rising 45,649 in 2013, 47,233 in Across our population some people attend UHCW and some people may present at GUH from neighbouring CCG localities
8 Activity Walk-in service at Camp Hill The graph below illustrates the number of monthly walk-in attendances during 2011/12, 2012/13, 2013/14 and 2014/15 (10 months). (Source: Camp Hill Health Centre Practice data). It clearly demonstrates the increased activity in 2014/ Comparison of Monthly Activity by Year April May June July Aug Sept Oct Nov Dec Jan Feb Mar Month 11/12 12/13 13/14 14/15
9 Who uses Camp Hill Walk-in Service? Average walk-in presentations by postcode per day 10/2012-9/ /2013-9/ /2014-1/2015 CV CV CV CV CV CV CV other This map illustrates that the Camp Hill Walk-in Service is accessed by patients from all areas of North Warwickshire, not just Camp Hill residents. Key
10 Camp Hill Walk-in Service - most common health problems patients attend with: Ear, nose and throat Respiratory problems Stomach problems Skin problems Urinary tract infections Source: manual audit for the calendar month of January 2015
11 Walk-in attendance by hour and age at Camp Hill
12 Urgent Care Centre at George Eliot Hospital The data below illustrates monthly attendances from the commencement of the Urgent Care Centre and clearly illustrates an upward trajectory. (Source A&E data George Eliot Hospital). Month 2014 Activity seen by Urgent Care Centre Month 2015 Activity seen by Urgent Care Centre October 359 (10.50%) January 385 (13.66%) November 518 (16.02%) February 628 (19.53%) December 489 (16.61%) March 926 (31.67%) April 1,454 (43.7% May 1,595 (45.38%) Activity The top ten presenting complaints attending the Urgent Care Centre are illustrated below with upper and lower limb injury being by far the most frequent: Number of Patients % of Number of Complaint % of Patients Complaint Patients Patients Upper Limb 16.10% 532 RTC 4.56% 151 Lower limb injury 14.26% 471 Headache 2.52% 83 Abdo Pain 7.08% 234 Pregnancy-related 2.42% 80 Back pain/injury 4.66% 154 Chest Pain 1.45% 48 Unwell 4.56% 151 Allergic Reaction 1.16% 38
13 A&E Attendances at George Eliot Hospital A&E Attends April May June July Aug Sep Oct Nov Dec Jan Feb Mar Increases in A&E attendances can be seen throughout the majority of There is a definite increase in the number of attenders based on data. T^he graph illustrates a 6.8% increase in A&E attendances.
14 Attendance by hour A&E 2014/15 3,500 GEH A&E Attendances by Arrival Hour 3,000 2,500 2,000 1,500 1,
15 What s happened since We carried out extensive engagement during summer 2015 with local patients, members of the public, the voluntary sector and partner bodies. More than 200 people (total 274) completed a questionnaire to let Warwickshire North CCG hear their views.
16 What people told us For most people the urgent care service they were most likely to use for an urgent care need was same day access at the patient s own GP surgery. Some respondents also commented on the difficulty experienced when trying to access a GP appointment.
17 The survey also told us that: More local service based at GP surgeries with access to patients own records and experienced GPs If you are ill, you simply want to be seen by a doctor. It s helpful to be able to see a doctor out of your working hours. My GP closed for lunch, my son had injured his foot, I had to use A&E The survey also told us that when people have an urgent care need they are most likely to seek a same day urgent care appointment from their registered GP practice. However we also know that some people have expressed concern about access at their local GP practice. I don t mind where I go as long as I get what I need flexible times Doctors appointments are terrible to you get told call back at 2pm or use online appointments useless! I tried today and found I would have to wait 19 days for an appointment Need better access to trained staff - who know how to deal with urgent care issues
18 What people told us The people of Warwickshire North would like an urgent care service that is seamless with better streaming where people are seen and treated in the right place at the right time first time, with access to a doctor. Good access is essential to people with the request that consideration is given to location, travel times, transport and waiting times.
19 Used the Camp Hill Walk in was dealt with very quickly with excellent care. The survey also told us that: Walk-In service at Camphill is not responsive, waited ended up at A&E anyway My experience of Walk-in service was poor complete waste of NHS money Most people who responded were prepared to travel between 5 &10 miles and between 20 and 30 minutes to access urgent care For a significant number of people public transport was very important whilst for others parking was very important. 93% of respondents accessing the GP led urgent care service at George Eliot hospital felt the service met their requirements to a good or satisfactory level 65% of respondents who had accessed the Camp hill urgent Care walk in service expressed that the service met their requirements to a good or satisfactory level not everyone can get to Nuneaton - no public transport. Lots of people don't have access to a car. Equal access for all not just for the population of Nuneaton I Have to rely on transport by taxi, after 6pm. Camp Hill, how would people who don't drive get there? If walk in is based on the hospital site, patients can be easily transferred to A&E or admitted more effectively if necessary.
20 But what about same day access to primary care? Theme from pre-engagement people would prefer their GP Challenge GP workforce CCG submitted a bid for Prime Ministers Challenge Fund
21 We do not have enough GPs! Ratio of GP to registered population shows that each GP has around 200 extra patients compared with national average Extract from NHS England Primary Care Strategy 2014
22 We considered access and location We looked at national evidence as guidance National Urgent and Emergency Care reviewed by Professor Sir Bruce Keogh (2013) Having an urgent care centre in the grounds of a hospital means that people can be easily redirected to urgent care from A&E where an urgent care service is more appropriate
23 We considered a more flexible system Reducing hours of access would clearly not be a feasible choice for patients and members of the public who want a more flexible system.
24 The survey told us that the following things were important to the public when making decisions about urgent care services: Keep AE for Keep A&E for Emergencies only! Took farther to walk-in waited and then ended up going to A&E any way! GP service at A&E would be great - patients can be triaged down right route. Being treated in the right place at the right time Services that take pressure off A&E so only the people who need it use it Pointless having Camp Hill which is only 5 mins away from George Eliot. Camp Hill is deprived areas in North Warwickshire too Urgent care services working together and more joined up Access to urgent care without having to make an appointment Access to a doctor Urgent care fragmented and complicated Base whole service at George Eliot Hospital make it easy for patients and carers, awareness of a single point of access In an ideal world all urgent care services would be in one place
25 We considered cost The most efficient way of working will provide accessible care to the greatest number of people. It therefore needs to be located in a place where patients can be directed to the most appropriate urgent care and any further treatment they need is easily available.
26 Stakeholder Group The stakeholder group had patient representatives, members of the public, public health representation, and provider representation.
27 Stakeholder Group Session one: 15 June 2015 What they did - Helped to design the critical success factors - Agreed the weighting for each CSF - Scored the scenarios' Outcome - The critical success factors were used to help score possible scenarios
28 Scenarios Scenario Description Location Staffing Opening times One Two Three To retain the current walk-in provision, location, staffing and opening hours. Camp Hill GP Led To retain the current walk-in provision, location and staffing but reduce the opening hours of the service. Camp Hill GP Led To retain the current walk-in provision, location and opening hours, but change the staffing to Advanced Nurse Practitioner (including non-medical prescribing Camp Hill Nurse Led Current 08:00-20:00 7 days a week Reduced Opening Times 7 days a week Current 08:00 20:00 7 days a week Four To retain the current walk-in provision and location but change the staffing to Advanced Nurse Practitioner (including non-medical prescribing) and offer reduced opening hours. Camp Hill Nurse Led Reduced Opening times 11:00 19:00 7 days a week Five To relocate the walk-in provision and redirect current activity to GP led urgent care on GEH site. This would be a NHS 111 & existing Urgent Care Centre co-located 2.5 miles away on the GEH site GEH Urgent Care Pathway adjacent to A&E GP Led 24/7 Six Seven A GP led walk in service to be provided at another primary care location within Warwickshire North CCG area. Another Location GP Led This scenario is for an Advanced Nurse Practitioner (including non-medical prescribing) led walk-in service to be provided Another Location Nurse Led To be determined To be determined
29 Critical success factors - scoring criteria No Weighting Criteria 1 15 Conditions appropriately managed in an urgent care setting or appropriately redirected 2 15 I will get the right professional with the right skills and competencies to manage my diagnosis / condition (Supports sustainable Urgent Care workforce) 3 15 Relieve pressure on A&E to facilitate to best quality experience for our patients 4 10 Improve access by simplifying and making it clearer where to go for urgent care (Supports the single point of entry into single care) 5 13 Ability to organise / refer patients for diagnostics or deliver on site 6 12 Accessible parking Public transport / direct bus route 7 10 Promote continuity of care with patients own GP 8 5 Promote Accessibility for the most vulnerable groups of our population 9 5 Remove duplication of urgent care services
30 Stakeholder Group Session two: 25 June 2015 What they did - Reviewed the scores to identify the scenarios that scored highest and agree short list of options - considered the benefits and disadvantages for each of the shortlisted options
31 Key Findings Scenario 5 scored highest Redirect walk-in activity to GP-led urgent care service on GEH site Scenario 1 was the second most popular - leave Camp Hill service as currently stands issue of affordability Lowest scoring scenario was scenario 7 Scores for scenarios were broadly consistent All options which were nurse-led scored the least.
32 Options Appraisal of Scenarios The two top choices were shortlisted: Scenario One, Do nothing Scenario Five, relocate the Camp Hill Walk-In activity to an urgent care service at George Eliot Hospital
33 Stakeholder Group Session three: 14 September 2015 Following the pre-consultation engagement new representatives for BME communities and parents with young children were asked to join the group and attended this session What they did - considered pre consultation feedback and & key message re same day access at GP practice for urgent care - Helped to design future consultation engagement plan
34 Stakeholder Group Recommendations: to address feedback on same day access at own GP for urgent care. Take forward action and response through developing primary care strategy and proposals on out of hospital community services Undertake further engagement with the public as these plans and proposals are developed. The group confirmed their recommended options for consultation
35 The consultation The CCG would therefore like to consult publicly on two options: Option 1: To Do nothing. Option 2 :To relocate the walk-in activity from Camp Hill to GPled urgent care service at GEH site.
36 Revised Consultation Timeline October 2015 Launch of full consultation Monitor of progress against action plan and amend if necessary Information gathering with early analysis of data to assess response November 2015 Collate feedback and begin to identify themes Hold consultation meetings Continue to publicise the public consultation December 2015 Public consultation closes
Improving Urgent and Emergency care through better use of pharmacists The Royal Pharmaceutical Society (RPS) believes that pharmacists are an underutilised resource in the delivery of better urgent and
Dorset CCG Clinical Services Review PUBLIC INFORMATION EVENT FEBRUARY 2015 Why are we doing a Clinical Services Review in Dorset? NHS Dorset Clinical Commissioning Group (CCG) wants to ensure that everybody
Report by the Comptroller and Auditor General Department of Health and NHS England Stocktake of access to general practice in England HC 605 SESSION 2015-16 27 NOVEMBER 2015 4 Key facts Stocktake of access
Time to Act Urgent Care and A&E: the patient perspective May 2015 Executive Summary The NHS aims to put patients at the centre of everything that it does. Indeed, the NHS Constitution provides rights to
Improving Urgent and Emergency Care Services in Sunderland Sunderland Clinical Commissioning Group and NHS South of Tyne and Wear (on behalf of Sunderland Teaching Primary Care Trust) are working together
Patient Reference Group Report and Action Plan March 2012 Patient participation report, March 2012 Our newly formed Patient Reference Group (PRG) includes five patient representatives from a cross section
Family Caregiver Guide A Family Caregiver s Guide to Urgent Care Centers Urgent care centers help fill the gap between a doctor s office and a hospital s emergency room (ER). They provide treatment for
Overview This dashboard presents our performance in the new A&E clinical quality indicators. These 8 indicators will allow you to see the quality of care being delivered by our A&E department, and reflect
A fresh start for the regulation of independent healthcare Working together to change how we regulate independent healthcare The Care Quality Commission is the independent regulator of health and adult
Community Pharmacy in 2016/17 and beyond - proposals Stakeholder briefing sessions 1 CONTENTS Contents This presentation describes our vision for community pharmacy, and outlines proposals for achieving
St James Surgery Application to close Branch Surgery Page 1 of 11 Prepared by: Nikki Holmes, Head of Primary Care, NHS England South (South Central) Lead Director: Debra Elliott, Director of Commissioning,
Annual Patient Participation Report & Patient Survey - March 2014 Riverside Health Centre Retford Contents The Patient Reference Group (PRG)... 3 Active Practice Involvement... 3 Ethnicity of the Patient
Engagement and Patient Experience Committee (A Sub-Committee of NHS Southwark CCG Governing Body) ENCLOSURE B A&E Recovery & Improvement Plan DATE OF MEETING: September 2013 CCG DIRECTOR RESPONSIBLE: Tamsin
ENC No. 21 Meeting Trust Board Date 2 nd June 2016 Title of Paper Lead Director Author PURPOSE OF THE PAPER Surgical Assessment Unit Steven Vaughan, Interim Chief Operating Officer Rachael Benson, Divisional
Prime Minister s Challenge Fund (PMCF): Improving Access to General Practice Innovation Showcase Series Using Technology to Improve Access February 2015: Showcase Two About PMCF In October 2013, the Prime
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Harmoni - Hanley Health Centre Tel: 03001236759 Date of Inspection:
GREATER MANCHESTER HEALTH AND SOCIAL CARE DEVOLUTION STRATEGIC PARTNERSHIP BOARD 5 Date: 29 January 2016 Subject: Dementia United A 5 year improvement programme for dementia in Greater Manchester Report
Update on Stroke Reconfiguration Programme Birmingham, Solihull and Black Country Agenda Item no 6 1. Purpose To provide an overview of the Birmingham, Solihull and Black Country Stroke reconfiguration
Inspecting Informing Improving Not just a matter of time A review of urgent and emergency care services in England Service review September 2008 Commission for Healthcare Audit and Inspection This document
Trust Clinical Strategy 2012 2022 Approved January 2013 This page is intentionally blank 2 Version 0.1.0 Trudi Kemp 04.09.12 First version for comment Version 0.1.2 Trudi Kemp 12.09.12 With draft quality
Estuary View Minor Injury Unit Introduction I have been asked to provide an article about the history of the Minor Injury Unit in Whitstable and to describe the current facility at Estuary View Medical
Bristol, North Somerset, Somerset and South Gloucestershire Area Team 2014/15 Patient Participation Enhanced Service Practice Name: St George Health Centre Practice Code: L81062 Signed on behalf of practice:
EVALUATION OF THE PATIENT LEADERSHIP DEVELOPMENT PROGRAMME PILOT FOR THAMES VALLEY - NHS ENGLAND, OXFORD ACADEMIC HEALTH SCIENCE NETWORK AND THAMES VALLEY AND WESSEX LEADERSHIP ACADEMY Thoreya Swage September
Emergency Care Practitioner (ECP) Policy DOCUMENT PROFILE and CONTROL. Purpose of the document: is to be an overarching policy which directs all Emergency Care Practitioners to more detailed policies/procedures.
Sunbury Community Health Dental Service Quality and Safety Report Quality, safety and continuous improvement are at the heart of everything we do at Sunbury Community Health. We constantly work to recognise
Clinical Quality Strategy A systematic approach to the development and maintenance of safe effective compassionate healthcare April 2014-17 Liz Herring, director of nursing, quality & development Susan
SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST D1 EXECUTIVE SUMMARY REPORT TO THE TRUST HEALTHCARE GOVERNANCE COMMITTEE HELD ON 25 JULY 2011 Subject Annual Complaints Report 20/11 Supporting Director
Our plans for urgent care in Worcestershire Have your say February 2014 1 Introduction In April 2013, GP practices across Worcestershire came together to form clinical commissioning groups (CCGs). We are
The CQC s approach to regulating urgent care Ruth Rankine Deputy Chief Inspector for Primary Care CQC NHS Confederation Urgent and Emergency Care Forum Ruth Rankine Deputy Chief Inspector of General Practice
Patient Transport Keeping the wheels in motion Public and stakeholder engagement to inform the service specification for Patient Transport Services in North and North East Lincolnshire, July - September
Gateway Reference 5917 IMPLEMENTING LOCAL COMMISSIONING FOR PRIMARY CARE DENTISTRY 1. Background Factsheet 7: Commissioning out-of-hours services 1.1 Primary Care Trusts are formally responsible now and
Quality summary report: PMS Practices CLCH Quality Report Jan Dec 2011 Service exact name Personal Medical Services Practices Address line 1 Address line 2 Town/city County Postcode No. beds Website London
1 Contents Part 1... 3 Statement and Introduction from the Chief Executive... 3 Services Provided... 6 Part 2... 8 Looking Forward - Improving Quality in 2016/17... 8 Part 3... 9 Looking Back 2015/16...
IMProVE Integrated management and proactive care for the vulnerable and elderly. Questions and Answers How can I have my say? Come along to one of our drop-in sessions, or fill in a questionnaire. Full
Oxfordshire Clinical Commissioning Group Non-Emergency Patient Transport Service Pre-engagement Paper for Oxfordshire Joint Health Overview & Scrutiny Committee Thursday 1 May 2014, 10:00. Background NHS
Profile of the members of the PRG Thornaby and Barwick Medical Group 2014 Local Participation Report (The data and information contained within this report is gathered from and relates to Thornaby & Barwick
Procuring Surrey Community Health Services for 2017 and Beyond Information and Networking Event Friday 25 th September 2015 Kemp Room, HG Wells Centre, Church Street East, Woking, Surrey GU21 6HJ AGENDA
BOARD OF DIRECTORS PAPER COVER SHEET Meeting date: 9 November 6 Agenda item: 7. Title: COMPLAINTS REPORT QUARTER 6/7 (1 July 6 3 September 6) Purpose: To update the board on the number and type of complaints
Inspection Report We are the regulator: Our job is to check whether hospitals, care homes and care services are meeting essential standards. Eastham Walk In Centre Eastham Clinic, Eastham Rake, Eastham,
Primary Care Urgent Care - Case for Change Primary Care-led Urgent Care services are those which provide unscheduled care for patients with an urgent need, in a primary (rather than a secondary) care setting.
Performance Monitoring for Commissioners: Out-of-hours Service Introduction The detailed specification for the Cumbria and Lancashire out of hours project was to provide a consultant led out of hours Telemedicine
District health boards: Availability and accessibility of after-hours services Progress in responding to the Auditor-General s recommendations Published under section 21 of the Public Audit Act 2001. June
Understanding the Patient Journey - Process Mapping Why Process Map? It is important to understand how patients proceed through the care delivery system. The best way to achieve this is through process
Liverpool Women s NHS Foundation Trust Complaints Annual Report : 203-4 Contents Summary... 3 Strategic Context... 4 Complaint Levels... 5 Location of Complaints... 6 Causes of Complaints... 8 Timeliness
GP attitudes and practices relating to the provision of medical evidence as part of the Employment and Support Allowance (ESA) claim process Background CAB advisers know it s more likely the Department
Your health, your rights Hospital waiting times: how quickly you should receive hospital care Who is this factsheet for and what is it about? This factsheet is for anyone who requires hospital treatment
Results of the Patient Survey January 2014 Part 1 Use of Accident and Emergency services Q1: Have you ever visited a hospital A&E department between 8am - 6.30pm, Monday to Friday? 41% 59% We particularly
Patient Participation Group Report 2013/2014 Component: 1 After the patient participation group s inception in 2011 we meet on a regular basis to discuss patient issues and Practice improvements with the
Integrating NHS 111 and out-of-hours services in North Central London Dr Denise Bavin NHS 111 and GP Out of Hours NHS 111 NHS 111 is a free telephone number to help people with urgent, but not lifethreatening,
South Tyneside NHS Foundation Trust Dermatology and Minor Surgery Services Providing a range of NHS services in Gateshead, South Tyneside and Sunderland. Dermatology and Minor Surgery Services The dermatology
Norfolk Health Overview and Scrutiny Committee 4 March 2010 Item no 10 Relocation of Costessey Medical Practice Information Report from NHS Norfolk Suggested approach from Maureen Orr, Scrutiny Support
Annex D: Standard Reporting Template Practice Name: Richford Gate Medical Practice Practice Code: E85016 [Name] Area Team 2014/15 Patient Participation Enhanced Service Reporting Template Signed on behalf
Shaping the future CQC s strategy for 2016 to 2021 What our strategy means for the health and adult social care services we regulate Enter OF FOR Foreword We have set out in our accompanying strategy our
Care Quality Commission (CQC) Registration What does it mean for you? Frequently Asked Questions (FAQs) Please note: This document should be treated and used as guidance only. You should consider the individual
1 Ann Radmore Chief Executive A time for change The need for change What change looks like How changes can improve patient care Staff engagement Working together to bring about change A TIME FOR CHANGE
Winterton Medical Practice Patient News Here at the Practice we are always looking at new ways to keep our patient s informed of the services that are available to them. We have responded to feedback from
Access to GP Services for Deaf People Responses from GP Surgeries Report BACKGROUND One of the issues consistently raised with Healthwatch Worcestershire has been that deaf people and their families were
1 Improving General Practice a call to action Evidence pack NHS England Analytical Service August 2013/14 Introduction to this pack This evidence pack has been produced to support the call to action to
Board of Directors (Public) Item 6.4 Subject: Annual Review of Complaints Process Date of meeting: 28 th April, 2015 Prepared by: Lisa Gurrell Patient and family support Manager Presented by: Sue Pemberton
PEARTREE MEDICAL CENTRE 159 Peartree Road Normanton Derby DE23 8NQ Patient & Practice Charter 2013 1 Telephone: 01332 360692 Fax: 01332 368181 Out of Hours: 111 Peartree Medical Centre Staff Doctors Dr
A step-by-step guide to making a complaint about health and social care www.healthwatchhampshire.co.uk Step by step Page 3 Are you concerned about something that is happening now? Do you need to make a
Birmingham GP SURVEY REPORT Griffins Brook Medical Centre 119 Griffins Brook Lane, Birmingham B30 1QN Contents 1 2 3 4 5 6 7 Foreward & Background The Process Griffins Brook Medical Centre Patients Survey
We would like to give a big thank you to all those people who completed our patient questionnaire survey. This is the only way we know how we are doing and helps us to focus on areas of weakness in the
Patient Choice Strategy Page 1 of 14 Contents Page 1 Background 4 2 Putting Patients and the Public at the Heart of Health and 5 Healthcare in West Lancashire 3 Where are we now and where do we need to
30 April 2015 Northgate Patient Dear Northgate Patient, Northgate Surgery is moving to Cross Keys House, 14 Haslett Avenue West on 1 June 2015 We are writing to update you on our plans to improve the services
Complaints Annual Report 2013/14 1. INTRODUCTION This is the complaints annual report for Hampshire Hospitals NHS Foundation Trust (HHFT) for the period 1 April 2013 to 31 March 2014. Hampshire Hospitals
Transport Schemes in Poole Information collated by Poole Well being Collaborative January 2014 1. Poole Community Transport Services: a. Dial a Bus b. Voluntary driver scheme c. Concessionary travel 2.
Minutes of Patient Participation Group (PPG) Meeting Beckett House Practice 6.30-8pm Wednesday 8 th July 2015 Attendance from the Practice: Dr Elizabeth McGinn (GP Partner), Sandra Connolly (Practice Manager)
A Report of Peoples Experience of West Midlands Ambulance Services 11 th September 2014 Report of Peoples Experience of WMAS Services Sept 2014-Final Page 1 of 11 Contents Page 1. Executive Summary 3 2.
A Health and Wellbeing Strategy for Bexley Listening to you, working for you www.bexley.gov.uk Introduction FOREWORD Health and wellbeing is everybody s business, and our joint aim is to improve the health
Questions often asked by patients and answers from the Randolph Surgery 1. Why does the Randolph Surgery insist that everyone over 40 (or anyone who requires prescribed medication under 40) has a comprehensive
Non-Emergency Patient Transport Services Public Consultation Report 1 Contents 1. Introduction... 3 2. Background... 3 2.1. What are non-emergency patient transport services... 3 2.2. Local The picture
Gloucestershire Health and Care Scrutiny Committee Report Title Purpose of Report Is this for information or decision? Author Organisation Gloucestershire Clinical Commissioning Group update on Non- Emergency
Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Together we are better Foreword by the Director of Nursing
Barts Health NHS Trust Mile End Hospital Quality report Bancroft Road London E1 4DG Telephone: 020 8880 6493 www.bartshealth.nhs.uk Date of inspection visit: 7 November 2013 Date of publication: January
THE LEISTON SURGERY PATIENT SATISFACTION SURVEY 28-29 USING THE GENERAL PRACTICE ASSESSMENT QUESTIONNAIRE Distribution: GPs PCT Staff PPG Date March 29 Page 2 of 16 REPORT ON PATIENT SATISFACTION SURVEY
Illness such as gastroenteritis and upper respiratory tract infections, along with injuries caused by accidents in the home, are the leading causes of attendances at Accident & Emergency and hospitalisation