Exclusion Criteria • Any patient requiring intervention or investigation within ED as an urgent measure (i.e. the same day) NOTE: Patients that may require onward referral to a specialty MAY be seen by GPFD and should be encouraged to support inappropriate ED attendances, depending on the nature of their symptoms and investigations should not delay this process – there is a separate Hospital specialty referral process) • Non-traumatic chest pain • Any patients with signs or symptoms of stroke • Children under 3 months
To this end, it has been vital that the ED and GPFD staff work together to communicate effectively in relation to appropriate patient management with consideration of patient safety and better outcomes for patients. In the period of 10 th July 2023 to 31 st March 2024, the GPFD service at the NNUH has seen, assessed, and discharged 13,495 patients in the service.
In November 2023, NNPC and NNUH teams undertook a ‘pull’ model of GPFD streaming pilot. This means that the GPFD clinical team selects walk-in patients who attended to be ‘streamed’ to the GPFD Service, which came with the provision of an extra experienced Primary Care clinician at the front door to be the first point of contact for the walk-in patient to the ED front door. This method of streaming is in comparison with the ‘push’ model of the ED team ‘streaming’ the patient to the GPFD Service. The pilot resulted in an average of a 55% increase in the patient numbers being seen when compared to the previous month, and a demonstratable positive increase in the qualitative data from the patient feedback surveys. Overall, the JPUH & QEH GPFD services has had 80,553 patient streaming contacts at the front door of ED. The combination of the three GPFD services has seen, assessed, treated and discharged a total of 42,886 patients over the course of 1 st April 2023 to 31 st March 2024 (Note: The NNUH GPFD Service commenced 10 th July 2023), with the following outcomes:
North Norfolk Primary Care - Quality Account 2023/24
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