i. James Paget University Hospital NHS Foundation Trust (JPUH)
The GPFD service continues to support the JPUH ED team to see, assess, and treat patients as an alternative to the ED care pathway. It streamed 44,741 patients at the front door, and saw 16,333 of those patients in the GPFD service from 1 st April 2023 to 31 st March 2024. This was an annual average of 37% of those patients who walked in to be seen in ED during the GPFD service hours, who were seen at the GPFD service instead. NNPC has worked closely with the ED management team at JPUH to further strengthen ED performance by providing an increase in GPFD Service workforce at certain times such as Bank holidays periods or staffing strikes over these periods. ii. Queen Elizabeth Hospital NHS Foundation Trust (QEH) Since its inception in early January 2022, the GPFD service at the QEH has had 35,792 patient contacts in the front door streaming, and has seen 13,058 patients in the service. This was an annual average of 37% of those patients who walked in to be seen in ED during the GPFD service hours, who were seen at the GPFD service instead. The QEH is delivered with the same clinical model as JPUH. It is based on a simple ‘pull’ streaming model, which is initiated at the front door at ED by an experienced Primary Care clinician with a narrow inclusion and exclusion criteria of clinical presentation which accounts for patient safety that facilitates the safe and effective delivery of Primary Care services. iii. Norfolk and Norwich Hospitals NHS Foundation Trust (NNUH)
Since July 2023, NNPC has delivered the GPFD service at the NNUH. It is co-located within the ED footprint, and operates on a ‘push’ clinical streaming model. This means that the ED clinical team selects walk-in patients who attended to be ‘streamed’ to the GPFD Service. This is in adherence to the inclusion and exclusion criteria of:
Inclusion Criteria • All patients who present to the ED, if they are registered with a GP Practice within the UK and are assessed by a clinician to be suitable for primary care • Children over three months may be seen by the service for minor illness complaints where appropriate as assessed by the clinician. All children 3-12 months will have a temperature recorded and documented by the streaming clinician within an aim of 15 minutes. • Patients with potential dental issues that require urgent medical treatment.
North Norfolk Primary Care - Quality Account 2023/24
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