Newcastle PCT, North Tyneside PCT and Northumberland Care Trust NHS 111 North East Roll-out Programme Overview Newcastle & North Tyneside LMC 6 November 2012 Anya Paradis Head of Commissioning

Context Increased demand on A&E and 999 Services Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Context Newcastle PCT, North Tyneside PCT and Northumberland Care Trust Approximately 37% of visits to A&E are “minor attendances” Ambulance services handle 7.5m calls per year of which 2.2m (29%) are categorised as being in the lowest category of response Cat C2 Transferring some of this demand to NHS 111 will relieve pressure

WHY? Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Department of Health’s public engagement work showed overwhelming support for a three digit number Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

What is NHS 111 Newcastle PCT, North Tyneside PCT and Northumberland Care Trust Available 24/7, 365 days a year NHS number that’s simple, free and easy to remember When medical is needed fast but it isn’t a 999 emergency Piloted in County Durham and Darlington

High Level ‘111’ Model

What provides Free to call, memorable three digit number – 111 Consistent clinical assessment of patient needs Up to date Directory of local services Professionals with a telephone link and web based access Integration with service providers Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

benefits Improved patient access Right treatment, first time Patients directed to the most local service that best meets their needs Improved management of information and intelligence to inform future commissioning decisions Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

NHS 111 NE Clinical Governance Framework Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Clinical Governance North of Tyne Newcastle PCT, North Tyneside PCT and Northumberland Care Trust NHS 111 National Clinical Leads Group NHS 111 North East Clinical Governance Group North of Tyne Urgent Care Clinical Governance North of Tyne Urgent Care Steering Group Joint Clinical Pathways Review Group Audit/Performance/Data/ Contracting North East Mobilisation Group North of Tyne Clinical Quality Review Group

Healthcare Professionals Feedback Process Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

County Durham & Darlington Experience In 2011 the NHS 111 service has received over 215,000 calls. Of those calls: 42% of patients were given a booked appointment at their local Urgent Care Centre or directed to their own GP during the in-hour period, 6% of callers were directed to their nearest Accident and Emergency Department 11% resulted in an immediate Ambulance response. Compared with similar demographic areas within the North East over the pilot period County Durham and Darlington can demonstrate an overall 14% reduction in the number of calls received by 999. An overall 3% reduction in the number of 999 incidents and a total 9% reduction in Accident and Emergency attendances Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Regional Approach Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

NHS 111 Target Operating Model Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

NHS 111 Directory of Services Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Timelines 5 year contract awarded January 2012 Phased implementation – NHS South of Tyne and Wear & NHS County Durham and Darlington December 2012 NHS Tees & NHS North of Tyne 2 nd April 2013 Newcastle PCT, North Tyneside PCT and Northumberland Care Trust

Questions? Comments? Views? Newcastle PCT, North Tyneside PCT and Northumberland Care Trust