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Jarrow

Jarrow. NDUC – North. Scotswood. NDUC - Tees. Eston Grange. Vocare North East Locations. North East Operations Centres. Northern Doctors Urgent Care. North East Ambulance Service. North East NHS 111 Service. North East NHS 111. 1996. 800. 2.3 million. £23 million. Vocare Group Facts.

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Jarrow

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  1. Jarrow NDUC – North Scotswood NDUC - Tees Eston Grange Vocare North East Locations

  2. North East Operations Centres

  3. Northern Doctors Urgent Care North East Ambulance Service • North East NHS 111 Service

  4. North East NHS 111

  5. 1996 800 2.3 million £23 million Vocare Group Facts

  6. Northern Doctors Urgent Care

  7. GP Led 7 GPs in Senior Clinical Management Team 24/7 Clinical on Call Integrated Group Clinical Review

  8. Tees March 2013 NQR Performance

  9. Audit NHS Tees A&E Audit carried out by Dr Peter Haywood NHS Tees NDUC A&E/999 Audit carried out by Dr Edward Summers NDUC Period 10 June 2013 to 17 June 2013

  10. Outcomes – A&E NDUC 2857 Total A&E Attendances 922 NDUC Cases 25 NDUC A&E/999 referrals to A&E Non NDUC 2.71% of NDUC Cases 0.88% of A&E Attendances

  11. Outcomes – Admissions (not A&E) 7.5% of NDUC cases this week 5.4% of NDUC cases July 2013

  12. Total Secondary Referrals (Admissions + A&E/999) NDUC 10% (NDUC Internal) National 12-16% (Primary Care Foundation Report of April 2012)

  13. 999 Cases • complicated distressed acute retention of urine following cystoscopy that day • lab result indicating a heart attack • cardiac chest pain with history of previous heart attack • ?stroke • cardiac chest pain and difficulty in breathing • significant overdose of painkillers

  14. A+E Cases • 3 arranged after face to face assessments – 92yo fall, 93yo fall, 11yo wrist injury after discussion with A&E Consultant • 3 sent to A&E after discussion with district nurses regarding patients with catheter problems • 2 patients elected to attend A&E despite offer of centre appointment • 1 patient sent to A&E after discussion with Gynaecology on call

  15. A+E Cases • 1 patient called ambulance prior to NDUC Dr telephone assessment • 1 patient assessed at 2300hrs with eye symptoms – referred to Eye Casualty Clinic the next morning • 6yo with needle stick injury from syringe on allotment • 32yo with malaena (significant stomach bleeding) • Severe abdominal pain with pain score 10/10

  16. A+E Cases • abdominal pain • incarcerated hernia • 12m baby vomiting x40 over 34hrs • Suspect ectopic pregnancy/miscarriage • Unwell infant • ?Croup

  17. Total Secondary Referrals (Admissions + A&E/999) NDUC 10% (NDUC Internal) National 12-16% (Primary Care Foundation Report of April 2012)

  18. 2012/13

  19. 2012/13

  20. Moving Forward • • Paramedic Support • • Special Patient Notes • • Access to GP Patient Records • CREAM • (Clinical Review Evaluation and Assessment Meetings) • SERRG • (SEcondary Referral Review Group)

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