The vanguard and the people it serves
This vanguard’s collective local vision is that everyone including children, young people and adults with urgent and emergency needs in West Yorkshire will get the right care in the right place, first time, every time.
The vanguard partners include:
- 11 West Yorkshire clinical commissioning groups
- five West Yorkshire system resilience groups, which include primary care and local authority partners
- six NHS acute and community providers
- three NHS mental health service providers
- Local Authority
- Yorkshire and Humber Academic Health Science Network
- West Yorkshire Healthwatch organisations
- West Yorkshire Police
- West Yorkshire Fire and Rescue Service
- NHS England
- Yorkshire Ambulance Service
The vanguard reaches a population of circa 2.6 million people.
What is changing?
This vanguard is building on a firm foundation of partnership working, shared learning and leadership to deliver the five principles set out in the national Keogh Urgent Care Review.
The vanguard will connect all urgent and emergency care services together so the overall physical and mental health and social care system becomes more than just the sum of its parts.
It will transform the services provided by local community and primary care and provide urgent acute and mental health services out of hospital where appropriate. This will mean providing responsive, urgent physical and mental health services outside of hospital every day of the week, so people can get the right care in the right place, first time and no longer queue in hospital emergency departments.
The vanguard will also work to ensure that emergency medical centres have the facilities and expertise needed to provide the highest levels of care, with services working better together. This will make sure that adults and children with more serious or life threatening emergency needs receive treatment in centres with the right facilities, processes and expertise to maximise their chances of survival and a good recovery.
There will also be a focus on self-care with individuals and communities provided with the support they need to better manage their own health and wellbeing.
Why are we doing this?
Those with mental health problems have a different health and social care experience compared to other people receiving support. This is for a number of reasons, including the demand on mental health services, access issues, and patients being placed out of area. Children and young people are also unable to consistently access appropriate age related support.
This has resulted in people of all ages being held in police cells when an alternative setting would be better for them, and the inappropriate transportation of people via the ambulance service.
There is also a move to clear pathways as defined through the Directory of Services.
- Better support for people to care for themselves or their families will reduce pressure on services and improve health and wellbeing.
- Help for people who need urgent care to get the right advice in the right place, first time will reduce unnecessary visits to A&E. Patients will receive the right care, in the right place at the right time.
- Improved patient experience and access to services.
- Safe closer to home support with a reduction in A&E attendances.
- To eliminate patients being sent for care out of area.
- Improve the service for those patients that need detaining under the S136 Mental Health Act to a more appropriate environment/ place of safety
- Reduction in the number of suicides.
- A new single operating model across health and social care.
- Improved provision of crisis care with zero tolerance for children and young people held in police cells.
Contact West Yorkshire urgent and emergency care