Urgent Care Centres: What works best? – Primary Care Foundation – October 2012

Posted on November 13, 2012. Filed under: Primary Hlth Care | Tags: , |

Urgent Care Centres: What works best? – Primary Care Foundation – October 2012

Extract from the executive summary:

“Urgent care centres of various types have evolved as a way of meeting these needs. But we found little published evidence that they reduce attendances at A&E and some suggestion that they might increase the total burden on the NHS. Certainly many are meeting primary care needs (though some count these cases as urgent) and they are now firmly established. Many have the loyal support of local users who rally to defend their local centre when commissioners attempt to replace it.

This discussion paper looks at the different models for providing urgent care services and evaluates their impact.”

Primary Care Foundation UK

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Benchmark of out of hours. An overview across the services. Report from the Primary Care Foundation – 19 April 2012

Posted on April 24, 2012. Filed under: Emergency Medicine, General Practice, Primary Hlth Care | Tags: , |

Benchmark of out of hours. An overview across the services. Report from the Primary Care Foundation – 19 April 2012

Prepared by Henry Clay

[Urgent care in general practice – benchmark report from April 2012]

Using data to Improve Care: A new national benchmark for Out of Hours services

“The Department of Health were keen to drive reliable comparisons of performance across out of hours services in England, building on the established national quality requirements, but breaking new ground in measuring outcomes as well as process.  Following a competitive tender, the Primary Care Foundation were appointed in November 2007 to develop a benchmark of out of hours services that would be seen as credible by commissioners and providers alike and would serve as a basis for service improvement.  The overall aim was to make accurate comparisons across different services so that providers and commissioners were in a position to recognise and take action to improve care for their patients.”

… continues

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Primary Care and Emergency Departments: Report from the Primary Care Foundation – March 2010

Posted on March 16, 2010. Filed under: Emergency Medicine, General Practice | Tags: |

Primary Care and Emergency Departments: Report from the Primary Care Foundation – March 2010
Prepared by David Carson, Henry Clay and Rick Stern

From the Executive summary:

“The number of primary care clinicians based within or alongside emergency departments has expanded rapidly in recent years, promising better care for patients who do not need emergency department services and a reduction in admissions.

Primary care practitioners can enhance emergency departments by bringing vital skills and expertise to a multi-disciplinary team. To achieve this, managers and clinicians need to develop strong working relationships. Building mutual respect takes time, but it is vital if initiatives of this kind are to lead to a more integrated service. As one GP put it “if everyone is involved it becomes seen as a joint baby, not a primary care service in their midst”.

Successful schemes are the product of sustained attempts to test out new ideas, learn from each other and improve patient care, based on clear recognition of the skills of each group of clinicians and mutual respect. However, in practice there can be a clash of cultures, with staff divided by different training, approaches to managing risk, governance systems, language and their experience of different case mixes.”

…continues

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