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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