NNPC Annual Quality Account 2022-2023 Final v1

• 82% of GPFD patients return home with either a treatment given, no treatment, no follow up or discharged from the service. • 8% are referred back to their registered GP practice. • 5% are referred back to ED. • 3% are referred for an outpatient appointment. • 2% are referred for an inpatient appointment. During 2022/23, there has been two periods of an initiative to support non-conveyance of ambulance patients to ED. This involved NNPC GPFD service clinicians working with East of England Ambulance Service NHS Trust (EEAST) with the provision of an advice line directly to the ambulance crew on scene with a patient. The aim of this pilot was to provide the ambulance clinicians with advice which might enable them to not convey a patient to hospital, unless necessary. The links with the GPFD service provided the crews with valuable advice via clinician-to-clinician dialogue with full access to the medical record for safe and improved patient care and management. From the Winter pilot, which ran from the 27 th December 2022 until the 17 th April 2023, the outcomes of the GPFD / EEAST advice line were:

ii) Queen Elizabeth Hospital Kings Lynn NHS Foundation Trust (QEH)

NNPC commenced the GPFD Service at QEH in early January 2022, with the same clinical model as that of JPUH. It is based on a simple streaming model, with a narrow inclusion and exclusion criteria of clinical presentation which accounts for patient safety, which enables the safe and effective delivery of Primary Care services. The clinician who sees the patient has full access to the clinical record, and functions as a ‘satellite’ GP hub, working on behalf of the patients registered Practice.

NNPC Quality Account 2022/23

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