NNPC Annual Quality Account 2023-2024 FINAL

• 70% of patients being discharged with a non-cancer diagnosis • 9% of patients being diagnosed with cancer • 21% of patients being discharged with an alternative or no diagnosis Referral validation – Ear, Nose, and Throat (ENT) Speciality - James Paget University Hospital NHS Foundation Trust (JPUH) In June 2023, NNPC supported the JPUH with referral validation for patients on the ENT waiting list, having already waited 46+ weeks to be seen. We contacted with a total of 573 patients to validate their referral, with the results that: • 4% no longer required the appointment, as they had been treated elsewhere, so removed from the waiting list • 9% no longer required the appointment, as the symptoms had resolved, so removed from the waiting list • 29% of patients were uncontactable, or had been referred to the service more than once during their waiting list period • 58% still required the appointment 2.3 Urgent & Emergency Care Acute Respiratory Infection (ARI) Services

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 acute respiratory symptoms. It was initiated on a National scale NHS England as part of the Winter planning in 2022, and 2023 alike. As part of the 2023 Winter planning, the ARI service was commissioned by the Norfolk and Waveney ICB and delivered by NNPC in the North, West, and Gorleston & Mid-South Norfolk areas.

The patients were seen in the ARI same day service with specific respiratory symptoms in clinics, which were in addition to the usual general practice clinics held on a daily basis. The additional capacity is also intended to reduce the burden of acute respiratory illness on primary care releasing time for primary care to support patients where continuity of care is most important (such as those with existing long-term conditions and co-morbidity). i. North Norfolk The North Norfolk area ARI service was delivered across the majority of the 19 Practices on a hub based model. Commencing on the 8 th January 2024 until 29 th February 2024, the service delivered 1,882 appointments, with the outcomes of:

North Norfolk Primary Care - Quality Account 2023/24

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