Urgent and Emergency Care Programme The journey so far… Suzanne Hughes October 2014

System Reconfigurations eg Healthier Together GP Pharmacist Urgent Care Community Teams Urgent Care Centre Hospital ED Virtual Wards Community Services Community Pharmacist Role: prescribing Increase GP & PN numbers Develop paramedic workforce Advanced Practition- ers Increase trainee numbers, review consultant contracts, Advanced Practitioners Integrated teams: health & social care Clinicians enabling patients to self care (LTC) Urgent & Emergency Care Review Initial View of the Programme: July 2014 Systems wide change management, effective programme management 999 NWAS

Uncertainty of future provision of services per organisation – system reconfigurations & service reconfigurations Pharmacist Urgent Care Community Teams Urgent Care Centre Virtual Wards Community Services Anecdotal: many prescribers, few commissioned service GP recruitment & retention, PN workforce ‘timebomb’ Impact of performance targets, impact on emergency vehicles, paramedics or nursing Walk in/Urgent/Pr imary Care Centres? Co- located? Skill mix? Consultant, Middle Grade & nursing R&R, Staff morale, increased demand, 4hr target, ‘exit blocking’, career pathways, inappropriate admissions, urgent v. emergency Integrated teams: health & social care Clinicians enabling patients to self care (LTC) Urgent & Emergency Care Review The changing landscape: August 2014 – October 2014 Financial constraints, competitive organisations, silo working Emergency Centres & Specialist Emergency Centres Moving services out of hospital – self care General Election Hospital ED Team identity & interaction, career framework, leadership skills, training for future requirements Data? 111? 999 NWAS GP

Workforce Planning Education & Training Transformation New Roles FFP Workforce Education & Training FFP Professional & non-prof. training Plans for future health workforce

Projects & Opportunities Projects: – HEI Innovation Fund – Overseas Doctors Programme Opportunities: – Physician Associate Education development – Paramedic development – ED Leadership & team development – Career Framework design for non medical workforce – Emergency Medicine trainee improvement – Advanced Clinical Practitioner mapping – Pharmacist development – acute & community – North West International Recruitment – Pre-reg education and training review – fit for future health service needs? – ED AHPs – HCS – pathology, critical care scientists etc – Non professional groups Band 4 and below review

Next Steps Start to engage with CCGs, Public Health, Social Services and Military Services 03/12/14 Stakeholder Engagement Event – focus on Physician Associates 08/12/14 Leadership Forum Development Event – focus on developing a thought leadership forum to develop the vision and guide the programme