The vanguard and the people it serves
This vanguard’s vision is an integrated, coherent and intelligible urgent care system, with patients supported to access the right service via enhanced clinical navigation. Community urgent care services will be available 24 hours a day, 7 days a week, with reduced duplication and improved information sharing and signposting between providers. Patients will be able to get the care they need without having to worry about finding their way around a complex and disjointed set of services.
The vanguard partners include:
- Leicester City, East Leicestershire and Rutland and West Leicestershire clinical commissioning groups
- three local authorities – Leicester City, Leicestershire County, and Rutland County
- Arriva (patient transport service)
- University Hospitals of Leicester NHS Trust
- East Midlands Ambulance Service
- Leicestershire Partnership NHS Trust
- Derbyshire Health United (NHS 111
- Soldiers, Sailors, Airmen and Families Association (acute visiting services).
The vanguard covers a population of 1.1 million.
What is changing?
The vanguard will create an urgent and emergency care system where all the different services work together as one network. This will bring together ambulance, NHS 111, out-of-hours and other urgent services to ensure that patients get the right care, first time, including patients with mental health care needs. A clinical navigation hub will be piloted in October 2016, enabling patients who need a more skilled assessment to be warm transferred to clinicians working in the community.
The network will include a same-day response team including GPs, home visiting and crisis response services for people with urgent and acute health problems, community nursing, an older people’s assessment unit and urgent care centres. Improved mental health crisis services include a mental health triage car, increased liaison psychiatry and support for children and young people experiencing mental health crisis.
One of the vanguard partners, University of Leicester Hospitals NHS Trust, runs the largest single site accident and emergency department outside London. In April 2017, its urgent and emergency care ‘front door’ will be re-launched to include a streaming and assessment team. This team will refer patients who don’t need a full emergency response to one of a range of alternative services including ambulatory clinics for people who can be easily treated without hospital admission, assessment beds for monitoring and tests, on-the-spot urgent care centres or their GP practice or local community care.
The vanguard is also developing a model to predict activity within urgent and emergency care, as well as increasing access for staff and patients to real-time data on waiting times. The aim is to improve planning within urgent and emergency care, allowing services to ‘flex’ during times of predicted increased activity, and to enable staff and patients to make decisions about the best urgent care option. For example, the public knowing the waiting time for each urgent or emergency care service before they decide the best place to go for support.
The work of the vanguard forms part of a five-year plan that all local commissioners and health and care providers have signed up to, and which aims to redesign the way that services are delivered across the whole local health and care system. This will include supporting and developing the workforce and building the infrastructure that allows them to deliver the best care.
- Patients can access urgent health and social care 24 hours, seven days of the week through enhanced clinical navigation, both via NHS111 and a ‘single front door’ at Leicester Royal Infirmary
- Urgent mental health care needs will be given the same priority as physical ones, with the right staff and facilities in place.
Contact Leicester, Leicestershire and Rutland System Resilience Group