1. Unscheduled Care In NHS Fife Dr Brian Montgomery Medical Director

2. Unscheduled Care  24/7 arrangements to provide unplanned care  Primary Care  In hours 0800h – 1800h  Out of Hours – evenings, overnight and weekends  Secondary Care  24/7  Partner Organisations

3. Safe Effective Person Centred Efficient Timely Equitable

4. Unscheduled care considerations SAFE Safety of Patients Safety of Staff EFFECTIVE Quality of Care Clinical Linkages Sustainability Cost Effectiveness PERSON CENTRED Access Geography

5. PCESMIUSASNHS24A&E Patient Partners in Unscheduled Care

7. A&EPCESMIUSASNHS24 Patient Home Admit

8. Unscheduled care considerations  NHS Fife’s current model needs to change  Clinical standards  Clinical linkages  Safety

9. The challenge for today  What is the best service configuration for unscheduled care to meet the needs of the population served by NHS Fife?