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

2. 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
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Are you confused?

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

4. 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

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