1 / 21

Mutual Integrated Care Model for Nairn & Ardersier: Enhancing Community Wellness Together

Explore the integrated primary care and A&E model led by Dr. Adrian Baker in Nairn & Ardersier since 1997. This innovative approach involves mutual collaboration between healthcare providers like AHPs, pharmacy, nursing, GPs, and community hospitals to deliver efficient and personalized care. By prioritizing local community needs and implementing a patient-centric approach, this model aims to enhance overall wellness, reduce costs, and provide timely care transitions when required.

cyndi
Télécharger la présentation

Mutual Integrated Care Model for Nairn & Ardersier: Enhancing Community Wellness Together

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mutuality, A&E and Primary Care Dr Adrian Baker Clinical Lead Nairn & Ardersier

  2. Carers & Voluntary AHP’s / Pharmacy Nursing GP’s Community Hospitals Secondary / Tertiary Care 99 ? OR 999

  3. Nairn and Ardersier c1997 • The service has been in operation since March 1997. • PCEC 250-400 calls to the service each month. • A&E 100 – 300 attendances a month • There is minimal use of protocols, referring instead to guidelines or a more experienced opinion when necessary. National guidelines are utilised when possible. • Each nurse uses their own clinical judgement and defines their own level of competence (and doctors respect this). • The PCEC service is fully integrated with A&E

  4. Localities / Parish ?

  5. Integrated response • GP • SAS / Home care alerts / telecare • A&E / PCEC integrated • Nurses for palliative care • Care plans, Alerts, Integrated IT (Vision) • Community Support Team / NHS Home Care, OOH home care • Patients call single number

  6. Journey of Dependence • Home Care - £6,000 per case per year (34M hours, 69,000 clients) • NHS 24 - £36.67 per call • OOH PCEC £68.00 • GP in hours contact £30.00 • District nurse / Health Visitor £40.89 • A&E £92.50 • Admission (Ave 10 days) £2,784 • 51x and other dispossessed patients • Long stay care £ 20,111 a year

  7. EEA by practice for Highland

  8. Pyramid to Oil Tanker

  9. EEA rates by Locality (>65, >75, >85)

  10. Local nurse talks to patient Same number – one point of contact 24/7 Can See & treat Local Knowledge - ALERTS Can discharge Can call in extended local Primary Care Team & Social Services Very Close, consistent working with GP’s Remote nurse American Algorithm 7% UK GDP vs 14% USA Advice Or GP Or A&E Or Ambulance Ice cream High cost (Effective?) Remote working Local vs National system

  11. Since Opt Out • NHS 24 1.5M calls a year • A&E increase 6% a year • Cost NHS 24 = £55M = £10 a patient • Lochaber / Nairn & Ardersier = £150,000 • With a locally based Telephone triage system could this money be put to better use? (NHS Highland £3.3M)

  12. “If difficult…..

  13. …….Don’t…….

  14. …….Do”

  15. Vision • Equity of funding and service • Local services to ensure local response • Clinically and socially appropriate response. Mental Health • Ability to stabilise and transfer to secondary care when necessary • Integration with Social Services

More Related