1. GP led Walk-in Centre in Sheffield and Rotherham; Another way of urgent health care provision by: Dr Mubashir Arain Prof Jon Nicholl Prof Mike Campbell School of Health & Related Research (ScHARR) The University of Sheffield United Kingdom 1

2. Contents Background Aims and objectives Methods Results Conclusion References 2

3. Background Resources are limited & it is important to allocate them efficiently for the health care services It is evident that Accident and Emergency (A&E) departments are over loaded with patients Unnecessary visits to A&E not only causes delay in urgent care provision but also increases cost 3

4. Background cont... 4

5. The Government started a number of urgent care services to compliment A&E in the last decade  Nurse led Walk in Centre  Minor Injuries Unit  GP out of hour service  Urgent Dental Service  NHS Direct 5

6. Background cont... In 2009, another Walk-in service started, where GPs, along with trained nurses, provide urgent care service, called GP Led walk-in centre It is expected that, in the presence of GPs and longer opening hours, these centres will help in diverting patients with minor health problems from A & E 6

7. Aims & objectives  Primary How efficiently the GP led walk-in centre services are working in Sheffield and Rotherham (under or over utilized, patients’ satisfaction, convenience of location etc)  Secondary Effect on other NHS urgent care services in Sheffield & Rotherham 7

8. Methods  Design: The Cross sectional survey of patients was conducted in Sept and Oct, 2011  Study settings: Sheffield GP-led walk in centre Rotherham GP-led walk in centre Previously validated questionnaire was used with modification Questionnaire included characteristic of patients, patients choice of service and patients’’ satisfaction and consent to participate in a POST-VISIT survey 8

9. Survey Results We were able to distribute 1821 questionnaires 1030 questionnaires were returned (response rate 57%), 64% at Rotherham and 51% at Sheffield According to the centre routine data estimates, around 30% received the questionnaire We compared some demographics of patients participated in the survey with routine data Mean age of patients in years was 30.66 in routine data and 32.1 in the survey data 9

10. Results cont… 10

11. 11

12. 12

13. Results cont… Overall satisfaction is significantly higher in Rotherham Centre as compared to Sheffield centre 13

14. Results cont… Able to look after problem yourself after the visit? 14

15. Intention to use other NHS service after visiting the centre 15

16. 16 Children Hospital A&E data 2008-2010

17. 17 Adult Hospital A&E data 2008-2010

18. 18 Minor Injury Unit data 2008-2010

19. Conclusion GP walk-in centres have increased accessibility to health care service through Longer opening hour GP access without appointments Central location Shorter waiting time than A&E Thus, opening of such primary care centres can potentially reduce unnecessary patients’ load at A & E 19

20. Thank you 20