1. Urgent Care
Dr Stewart Findlay

2. CONSULTATION
Durham Dales, Easington and Sedgefield (DDES) Clinical Commissioning Group (CCG) ran the Urgent Care consultation over a period of 12 weeks from 14th March to 6th June 2016
There were over 2770 local people involved in the consultation. 242 people attended the 9 Public meetings and 2 roadshows
2 x Minor Injury Units open 24 hours a day 7 days a week with 12 hours access to x-ray.
9 ‘hubs’ or Primary Care Services as they are now known to see all minor ailments/illness activity by offering extra appointments through the day and an enhanced service between 6pm and 8pm on an evening and 8am – 1pm on weekends.
In addition primary care are offering same day urgent appointments in 40 GP practices .
DDES no longer have ANY walk in facilities. All services are now pre -booked.

3. Service Change from 1 April 2017
2 x Minor Injury Units open 24 hours a day
Open 7 days a week
12 hours access to x-ray.
9 ‘hubs’ or Primary Care Services
extra appointments through the day
enhanced service between 6pm and 8pm on an evening
8am – 1pm on weekends.
In addition primary care are offering same day urgent appointments in 40 GP practices .
DDES no longer has ANY walk in facilities.
All services are now pre -booked.
2 x Minor Injury Units open 24 hours a day 7 days a week with 12 hours access to x-ray.
9 ‘hubs’ or Primary Care Services as they are now known to see all minor ailments/illness activity by offering extra appointments through the day and an enhanced service between 6pm and 8pm on an evening and 8am – 1pm on weekends.
In addition primary care are offering same day urgent appointments in 40 GP practices .
DDES no longer have ANY walk in facilities. All services are now pre -booked.

4. PICOMMUNICATION
Pocket guide co-produced with patient reference group, federations, practices and CDDFT
Delivered to every household in March
Supported by a robust radio campaign
Talk before you walk
Proving successful and message received

5. LEADING THE WAY
Full assurance from NHS England on business case and public engagement
NHS England outcomes already met for the new primary care access targets
Practices and providers using the same IT system and remotely booking patients
Collaborative working across the system with dedicated support from the CCG.
Early indication supports there are a lot less patients now accessing services inappropriately

6. OUTCOME Reduced activity by 43% in Urgent Care
Reduced A&E activity by 2.5%
We now have patients accessing the correct services
closer to home
removed much duplication in the system
Questionnaire
developed by our engagement team
support of our PRG members
for anyone who has accessed the new service
feedback on their experience so we can measure the improvements
County Durham and Darlington Local A&E Delivery Board (LADB)
The LADB brings partners health and social care together to improving Accident and Emergency (A&E) performance. 
There are five main improvements

7. Brings Together all Partners Priorities
Local A+E Delivery Board
Brings Together all Partners
Priorities
GP Streaming
NHS 111 and Clinical Advice
New Ambulance Response Programme
Reducing arrival to clear times
SAFER bundle
DTOC
Discharge to assess
Proactive visiting service
County Durham and Darlington Local A&E Delivery Board (LADB)
The LADB brings partners health and social care together to improving Accident and Emergency (A&E) performance. 
There are five main improvements

8. Did we get it right…….. ????? Table Top Discussions
Were you aware of our consultation?
What messages did you pick up and remember from pocket guide?
What could we do have done better?
Do you know what to do if you or one of your family members needs urgent care?
If anyone has accessed the service, is there any feedback on their experience