The vanguard and the people it serves
Greater Nottingham will create an urgent and emergency care system where A&E is no longer the first or ‘default’ choice for patients, by helping them access other more appropriate urgent mental and physical health services in the community.
The vanguard partners include:
- NHS Nottingham City, Nottingham West, Nottingham North and East, Erewash and Rushcliffe clinical commissioning groups
- Nottingham University Hospitals NHS Trust
- Nottinghamshire Healthcare NHS Foundation Trust
- East Midlands Ambulance NHS Trus
- Nottingham City Council
- Nottinghamshire County Council
- Nottingham CityCare Partnership
- County Health Partnerships
- Nottingham Emergency Medical Services (GP, Out of Hours)
- Derbyshire Health United (NHS 111)
- Healthwatch Nottingham and Nottinghamshire.
This vanguard has a registered patient population of approximately 700,000.
What is changing?
The vanguard will help people get the right advice in the right place, first time by making both urgent physical and mental health services easily accessible outside of hospital, so that people no longer choose to queue in the hospital emergency department.
All urgent and emergency care services will be better connected so that together, the physical, mental health and social care system delivers more efficient and improved care as a result.
This approach includes:
- Developing a clinical hub which will deliver an integrated urgent care pathway offering a viable alternative to A&E for patients;
- Supporting clinical navigation and referral of patients to appropriate settings offering an alternative to urgent hospital admission or direct admission into specialties without the patient going through A&E;
- Extending the clinical navigation service to include mental health; facilitating clinician to clinician communication to ensure patients are directed to the most appropriate support; and
- Providing primary care clinicians within A&E.
- A more efficient emergency and urgent care system will stop people automatically coming to A&E before considering other options, reducing patient frustration and waiting times
- An improved response for mental health problems will reduce the time taken to be seen by the right clinician in an appropriate place
- Adults and children with more serious or life threatening emergency needs receive timely treatment in centres with the right facilities and expertise.