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Published byMillicent Smith Modified over 9 years ago
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Easter Fri 3 rd April- Mon 6 th April 10am-10pm Dr Guy Mansford, Clinical Lead, Nottingham West CCG
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Built for 350 patients per day Staffing issues Flow through and out of hospital
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To see 100% of walking wounded. To see if 3 GP’s could keep up with work load To see if we could send home 50% of work
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A total of 507 out of 623 adult self-presenters were seen by the GPs GPs saw 81% of all adult self-presenters Some obvious cuts/fractures were seen directly by nurses
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Patients were seen quickly and no delay over the usual triage nurse system 54% of all adult self-presenters were re-directed away from ED 203 patients discharged straight home 71 were sent to NEMS
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There was no increase in re-attendance Patient satisfaction was higher than with standard ED
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Positive experience -patients, GPs, ED staff and NEMS. High morale in department. Case mix of patients – ‘GP light’ 4 hour GP shifts are appropriate Enabled ED staff to see their patients earlier Proof of concept – 3GPs at the front door appeared to offer appropriate capacity Co-ordinator required for future trials GPs regularly doing shifts would speed up
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Need to include children Repeat trial over Whitsun Bank Holiday w/e Consider commissioning service full time
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