plan for the patient, all within 72 hours of the initial contact. This service was provided until March 2022, after which a business case was requested by the Commissioners. This is due to be considered by the ICB CEO’s in June 2022. Community ECG Service Commenced in early March 2022 and is due for completion by September 2022, the community ECG service was a collaboration with the James Paget University Hospital NHS Trust (JPUH) and the Queen Elizabeth Hospital NHS Trust (QEH) to provide a high quality ambulatory diagnostic cardiology service which enables the patient to receive a package of care delivered at home instead of having to travel to the Acute Trust to be provided and fitted with an ambulatory ECG machine. This service has seen the advent of an innovative, remote monitoring system solution which is patient friendly with no gels, patches or wires. It provided a full disclosure ECG data and diagnostic reports which are provided within 24 hours of test completion. Referral Support Service The referral support service commenced in October 2021 and is due to be completed in June 2022, with the aim of reducing the numbers of patients waiting to be seen by multiple specialties. This work was in collaboration with the Royal Free London NHS Trust (RFL) to identify patient groups who were ‘referred but waiting to be seen’. These patient cohorts were reviewed, triaged, optimised or escalated by a Primary Care Team. An overview of the numbers of patients who will benefit from this service is 700 ENT Patients, 1335 Dermatology Patients, & 2000 Ophthalmology Patients. Rapid Diagnostic Service Commenced in April 2021, NNPC was awarded a contract to provide a rapid diagnostic service across Norfolk & Waveney which supported the national cancer plan. This hugely valuable service provided support to both GP’s and the acute Trusts for the benefit of patients who did not meet the 2 week wait cancer referral pathway, but still had identifiable suspicious symptoms. It continues to provide the patients with timely access to dedicated GP’s, whom NNPC employs, who co-ordinates a plan of care to identify a diagnosis by access to timely investigations and clinical expertise. The service has a mixture of telephone triage, and face to face appointments. As this type of service remain a national priority until March 2024, and NNPC are hopeful that we can retain funding from the Cancer Alliance and bid for substantive funding from the commissioners to establish and expand the service as a permanent pathway across the system.
2.4.3 URGENT AND EMERGENCY CARE GP at the Front Door (GPFD)
In late September 2021, we commenced a ‘ GP at the front door ’ service at the James Paget Hospital University NHS Trust (JPUH) and at the Queen Elizabeth Hospital NHS Trust (QEH) in early January 2022. The clinical delivery is based on a simple streaming model, and it function as a GP ‘branch practice’ . With full access to patient records, it enables the safe and effective delivery of primary care to patients who would have otherwise been seen in the ED department.
NNPC Quality Account 2021/22
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