1. Urgent Care Winter Planning Peter Crutchfield BME Health Forum Wednesday 27 th November 2013

2. Who are we? Statutory organisation Responsible for 188, 000 registered patients and an estimated day time visiting population of up to 1m people Work together with West London, Hammersmith & Fulham and Hounslow CCGs – the CWHH Collaborative Small team dedicated to Central London CCG, with a larger team shared across the CWHH Collaborative, supported by the North West London Commissioning Support Unit 2

3. Winter Pressure Plans Role of providers Our Commissioning Support Unit (monitoring) Additional funding to ease winter pressures: – 7 day access to primary care – Invest in step up/down beds, extending therapies and re-enablement services to 7 day working, increasing capacity in rapid response team – Increase funding to acute trusts to increase clinical input to Urgent Care Centres, with 24/7 opening at St Mary’s and Hammersmith Hospital, increasing consultant cover in A&Es, increase patients seen via ambulatory care pathways and facilitate timely discharge, funding 7 day social care team in acute trusts – Funding to support 24/7 psychiatric liaison at Hammersmith Hospital Medical support to rapid response nursing team to help enhance the team’s ability to avoid hospital admissions (West London CCG) 3

4. Communications 7 day access to GPs (tri-borough) – Central London CCG to date - postcard, posters, phone boxes, schools, GP practices, libraries, Church Street notice boards, mail drop in Church Street Developing a winter pressures marketing plan across local CCGs – initiatives and keep people well over winter How you can help – Advice and ideas on how to best to reach the groups you work with – email helena.stokes@nhs.net 4

5. Improving Urgent Care Homeless outreach – working with Hopkinson hostel Groundswell – targeting high A&E attenders and supporting homeless people to stay well with primary care BME Insight Project – understanding how we can improve urgent care for BME communities Further insight work to understand why people choose services 5