The vanguard and the people it serves
The urgent care system in South Devon and Torbay is being transformed to secure a sustainable future and a better quality of care. The vanguard aims to make the best use of local spending in urgent and emergency care, getting increased value for money by immediately identifying and avoiding any potential duplication in services.
The system resilience group includes:
- Torbay and South Devon NHS Foundation Trust (an integrated care organisation created in October 2015 from the merged South Devon Healthcare Foundation Trust and Torbay and Southern Devon Health and Care Trust)
- South Devon and Torbay Clinical Commissioning Group
- Torbay Council
- South Western Ambulance Services Foundation Trust
- Devon Doctors Ltd
- community pharmacies via the Local Pharmaceutical Committee
This vanguard covers a population of 287,594.
What is changing?
The new model is based on five workstreams:
- Support for enhanced self-care (where patients are helped to better manage their own health);
- More joined-up urgent care, accessed via the NHS 111 phone number and supported by a new clinical hub which links services together;
- New urgent care centres which will provide consistent, high quality services;
- A mental health crisis response service for patients of all ages delivering ‘parity of esteem’ (equal priority) for mental and physical health; and
- Shared clinical/patient records.
The vanguard is taking advantage of the support offered by the national programme in two areas – harnessing technology, and integrating commissioning and provision.
Its 2016 priorities include developing at least two urgent care centre facilities, prioritising areas of higher deprivation. The vanguard will also share electronic primary care (GP) patient records with the out-of-hours provider and establish combined GP and Accident & Emergency (A&E)/urgent care centre facilities in at least two locations.
The 2017 priorities will include making all the planned urgent care centres available, with a predicted reduction in ambulance journeys to A&E of at least five per cent. Primary care (GP) services will also be available within all A&E/urgent care centre facilities.
- The public will better understand the alternatives to A&E for non-life threatening and emergency treatment
- Self-care initiatives helping people manage their own health will reduce the pressure on the overall health care system.
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