NHS 111 implementation in the South West January 2012
Feb 10, 2016
NHS 111 implementationin the South West
January 2012
What is NHS 111?
A new national NHS telephone advice line and signposting service
For patients with urgent health problems which require assessment but are not so serious as to require 999
Free to call number 24/7 to respond to people’s healthcare needs when:
they need medical help fast, but do not believe it is a 999 emergency they do not know who to call for medical help, for example they do not
have a GP to call or are away from home they think they need to go to A&E or another NHS urgent care service they require health information, signposting, or reassurance about
what to do next There will be three options to call: 999 – 111 – or GP practice
during daytime
Why do we need it? Nationally:
People are confused by what is available and too often use a service which is not the best one to meet their needs
Research in 2009:– 38% were not sure of care options available for less serious
conditions outside GP hours– 50% were more likely to use A&E on an evening/weekend to
access NHS help – Variation in quality between different types of service and
different areas of the country In the South West:
The Next Stage Review in 2008/9 found that people were unclear about the options available to deal with an urgent care need and did not know which number to call
The Strategic Framework for Health in the South West identified a need to streamline access to urgent care to help route patients to the most appropriate service first time
The current picture
Government commitment 2010
‘The government will […] Develop a coherent 24/7 urgent care service in every area of England that makes sense to patients when they have to make choices about their care. This will incorporate GP out-of-hours services and provide urgent medical care for people registered with a GP elsewhere. We will make care more accessible by introducing, informed by evaluation, a single telephone number for every kind of urgent and social care and by using technology to help people communicate with their clinicians.
White Paper Equity and excellence: Liberating the NHS, July 2010
NHS 111 - national implementation
NHS 111 is a national programme Four national pilot sites set up in 2010:
County Durham and Darlington (North East) Nottingham City (East Midlands) Lincolnshire (East of England) Luton (East of England)
Department of Health & Secretary of State commitment to implementation in all localities by April 2013
NHS 111 - aims
The aim is to simplify access to the urgent care system Specifically by:
improving public access to urgent healthcare helping people use the right service first time, including self-
care providing management information on usage of services to
commissioners enabling and supporting quality and productivity plans for
urgent care
NHS 111 - core principles
The minimum requirements are set out in a national specification NHS 111 service must be able, 24/7, to:
dispatch an ambulance without delay complete a clinical assessment on the first call without the
need for call back refer calls to other providers without re-triage transfer clinical assessment information to other providers book appointments where appropriate signpost to another service, where outside the scope of 111 conform to national quality and clinical governance standards
What will NHS 111 look like?
ACCESS
ANSWER
ASSESSMENT Clinical AssessmentConsistent assessment of clinical needs
NHS 111 call advisersLocally commissioned call handling
APPROPRIATECARE
Directory of local skills and services Provided by each NHS organisation in a PCT area, including
opening hours, referral criteria, and real- time capacity
999 A&E MIU GPin hrs
GPOOH DNWiC
Midwife Pharmacy NHS Direct Other services
Commissioner configuration in the South West
20 shadow Clinical Commissioning Groups Seven Primary Care Trust clusters:
NHS Bath & North East Somerset and NHS Wiltshire NHS Bristol, North Somerset, South Gloucestershire NHS Somerset NHS Gloucestershire and NHS Swindon NHS Dorset and NHS Bournemouth & Poole NHS Devon, Plymouth and Torbay NHS Cornwall
Planning for NHS 111 in the South West
NHS 111 services will be managed on a Primary Care Trust cluster basis
Primary Care Trust clusters are working with Clinical Commissioning Groups and providers to:
specify the requirements for the local service develop a comprehensive Directory of Service which will
inform the choice of service people have when they call 111 develop robust clinical governance arrangements
Co-ordinated procurement across the South West with locally defined lots based on PCT cluster areas
Some facts and figures Current call volumes in South West:
~750k 999 calls ~450k NHS Direct calls ~1.1m Out of Hours calls
Populations (5.3m for South West):Primary Care Trust Population
NHS Bristol North Somerset and South Gloucestershire 925,507
NHS Gloucestershire and Swindon 792,900
NHS Bath and North East Somerset and Wiltshire 643,030
NHS Devon, Plymouth and Torbay 1,138,100
NHS Bournemouth and Poole and Dorset 710,200
NHS Somerset 538,494
NHS Cornwall and Isles of Scilly 533,300
Timeline
Advert published September 2011
Pre-Qualification Questionnaire November 2011
Invitation to Tender January 2012
Contract award June 2012
Mobilisation period June 2012 – Jan 2013
Phased implementation Jan – March 2013