1. Planned Review -
Winter 08-09

2. Planned review What is it ? Who provides it? To whom?
Where is it provided?

3. All 999 patients are taken to A & E
True?

4. All 999 patients are taken to A & E
False

5. March 2009 Total 999 calls – 42,681 Total stop at EMDC- 13,665
Total treat at scene- 4,760
Total not taken to A & E 18,425
Around 43%

6. Safety netting
See and Treat
999 that could be looked after at home

7. Process Phone HUB Leave information
Doctor will call back in an hour max 2hours

8. SBAR
Situation
Background
Assessment
Recommendation

9. Result SAS referrals to LUCS 1 Dec 07 – 31 May 08: 321

10. Lessons learned Clinician to clinician discussion essential
1– 2 hrs too long
Changing practice takes longer than anticipated

11. Relaunch
Watch this space…….