George McLean General Manager G-MED OOH NHS Grampian

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Presentation transcript:

George McLean General Manager G-MED OOH NHS Grampian EADT Networking Event George McLean General Manager G-MED OOH NHS Grampian

confused patient.com Multiple front doors Perceived lack of access to GP Inappropriate use of services Opening times/ margin times Emergency/ urgent/ routine Doctor/ nurse/ practitioner/ clinician ??????????? Are you confused?

Background for change in Unscheduled Care Acute Services Review 1998 -Recommended “Managed Clinical Networks” Kerr Report 2005 -Recommended a “radical reconfiguration of resources” Whole system approach? Partnership Working Integration

Partnerships-can they work? SAS/ NHS 24/A&E/ OOHs Joint EMDC/ NHS 24 - call transfer SAS/ OOHs - mutual assistance, avoidable attendance A&E/ OOHs - co-location/ integration

Vision or Reality Educated patients Single front door Multidisciplinary teams Integrated working policies Seamless IT links Urgent Care 24/7