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Efficient Partnership for Urgent Care in Bassetlaw System

This article discusses the successful collaboration of the Nottinghamshire Healthcare, Doncaster and Bassetlaw Teaching Hospital, and Bassetlaw CCG in improving the urgent care system in Bassetlaw. The focus is on enhancing workforce skills, improving systems, and building strong relationships. The article also highlights the historical challenges, opportunities secured in the past year, and future plans for a single front door model and maintaining ED performance.

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Efficient Partnership for Urgent Care in Bassetlaw System

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  1. Partnership Working Bassetlaw System – urgentcare agenda4 March 2019Keeley Sheldon - Nottinghamshire HealthcareLesley Hammond – Doncaster and Bassetlaw Teaching HospitalCatherine Huby - Bassetlaw CCGKeeley Sheldon www.dbth.nhs.uk

  2. Background • Acute Trust – ED high performance but significant growth in attends in18/19. • CCG – Commissioners – High performing CCG • Notts Health Care – Leading the way in Bassetlaw for community urgent response services including GP OOHS • PCH – partnership approach between the urgent care system and the proactive care model within the PCHs inc delivery of Ask my GP, normal emergency apptsetc • LA – shared records at front door, IDT approach embedded, re-ablement and recovery focus • Third sector Services and social prescribing All delivering high standards of care www.dbth.nhs.uk

  3. Fact Finding • LH -ED back ground Operational • Review of services as new in post • Understanding Partners • How we work together • How we get the most • Workforce skills • Systems working • Relationships www.dbth.nhs.uk

  4. Historical Challenges • Silo thinking. • Transactional focus. • Reactive • Demand ripple towards increased ED attends www.dbth.nhs.uk

  5. Opportunities secured over last 12 months • System leadership strengthened across all partners • Forged strong trusting relationships between CCG and community provider • Focus converted to transformational thinking • System sign up and commitment to rapid improvement events like system perfect • Learning culture and continuous improvement. www.dbth.nhs.uk

  6. Successors from the collaboration • Potential new single front door model • ED 4 hour performance maintained • Right demand threshold care for by right service provision responsively • Conversion rate from ED attend to admission maintained. • Daily system MDT discharge hub • Proactive discharge planning • DTOCs low • Long stay Wednesdays • DTOCs remain low • Reduction in stranded and super stranded patients • Proactive high escalation protocols • System support to organisation escalation • Open transparent working relationships to on day challenges • Swift de-escalation • calmness www.dbth.nhs.uk

  7. The Future www.dbth.nhs.uk

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