NNPC Annual Quality Account 2022-2023 Final v1

The clinical delivery model simple illustration :

RAIS Team Support

Call to EEAST 999, IC24 111 or own GP Practice triage: Unwell

Housebound Patient with same day / urgent healthcare needs

NCHC NEAT Team

GP Triage

Social care support

Conveyance to ED

EEAST Ambulance/ paramedic visit

Stay at home

Where possible – To admit direct to specialty if via RAIS Service

ED attendance & assessment

Feedback to GP, follow up plan where required

Emergency Admission

Discharge home

The work from 1 st February up until 31 st March 2023 has had the following impact:

887 patients were seen by the clinicians in the RAIS Team, of which

• 770 patients were either discharged (54%) or referred to their GP (38.3%) • 23 (2.8%) referred to NEAT • 18 (2.7%) were sent to hospital, of which 10 (1.2%) went directly for admission and 8 (1%) went to ED. • 90% were over 70 years of age, suggesting the frail elderly were the majority targeted patient group. These figures suggest that 92.3% of patients were effectively managed in Primary Care. Only a small number of patients required support from NCHC NEAT team, and an even smaller number required EEAST conveyance to ED. During this time EEAST data suggests that overall, 61% of urgent ambulance call outs were converted to an unscheduled conveyance, which is comparable to just 4.9% of the North Norfolk RAIS service patients. NNPC are working with the Norfolk & Waveney ICB in the continuation of the RAIS service beyond the 30 th of April 2023 to further build on the collaborative and inter-organisational working for the benefit of the System, and above all, the patients.

Acute Respiratory Infection (ARI) Community Service

The purpose of the ARI Community Services was to drive a model of support which helped to reduce pressure on systems by providing timely and appropriate care for patients with respiratory symptoms. It was initiated on a National scale NHS England in October 2022.

NNPC Quality Account 2022/23

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