1. The Redesign of the Urgent Care System in Suffolk Introduction Training & Education Event 11 December 2013 1

2. Our Purpose To redesign the urgent care system – A&E – Ambulance - 111 – Out Of Hours – GP services – Community services – Mental Health – Social Services

3. Why look at the urgent care system now? System is struggling to meet rising demand National context Locally the Harmoni OOHs, 111 and the Serco contracts expire in March 2015

4. Transforming Urgent and Emergency Services in England, End of Phase 1 Report - led by Professor Sir Bruce Keogh Better support for people to self-care Help people with urgent care needs to get the right advice in the right place, first time. 111 service enhanced to become the smart call to make, a 24 hour, personalised, priority contact service.

5. Transforming Urgent and Emergency Services in England, End of Phase 1 Report - led by Professor Sir Bruce Keogh Provide highly responsive urgent care services outside of hospital so people no longer choose to queue in A&E. Provide faster and consistent same-day, every-day access to general practitioners, primary care and community services including local mental health teams. Harness the skills, experience and accessibility of a range of healthcare professionals including community pharmacists and ambulance paramedics.

6. Transforming Urgent and Emergency Services in England, End of Phase 1 Report - led by Professor Sir Bruce Keogh Ensure that people with serious or life threatening emergency care needs receive treatment in centres with the right facilities and expertise to maximise chances of survival and recovery. Two levels of hospital emergency departments under the current working titles of Emergency Centres and 40-70 Major Emergency Centres for specialised services. Overall number of Emergency Centres (including Major Emergency Centres) will be broadly equal to the current number of A&E departments.

7. Transforming Urgent and Emergency Services in England, End of Phase 1 Report - led by Professor Sir Bruce Keogh Connect all urgent and emergency care services together so the overall system becomes more than just the sum of its parts.

8. 5 Principles for an urgent care system in Suffolk 1.Integrated model with an overall responsibility for urgent care across the population (primary, community, mental health, social care, secondary care and the voluntary sector). 2.Available 24/7 with consistently high quality patient outcomes across the Urgent Care System

9. Principles for an urgent care system in Suffolk continued… 3.Accessed and co-ordinated via a single system 4.Shared access to information systems ideally with a single care record 5.Urgent Care to be delivered where most appropriate in the system, supported by a shift in resources, training and development, long-term, of professionals.

10. What next? Going to go through a range of scenarios that will draw out your experience and local understanding with the aim of identifying what works well (and we should retain), what needs to be changed or improved and other proposals to make the system work better