NHS Pathways 111 Directory of Services. Jackie Heardman Local DoS Lead

Transcription

1 NHS Pathways 111 Directory of Services Jackie Heardman Local DoS Lead

2 Directory of Services (DoS) The DoS consists of a collection of services, split into service types, listed under a commissioning organisation Each service is profiled to include: Demographic Info contact details, opening hours, call handler instructions etc Timeframe (Dispositions) Clinical Content (Symptom Groups / Symptom Discriminators) Service Restrictions eg age / gender / registered patient population Generally there are two main clinical updates per year (Spring/Autumn)

3 111 Triage Process Telephone Triage Symptom Group (Presenting Problem) Symptom Discriminator (level of care required) Disposition (timeframe) Service Search Services returned which match the triaged Symptom Group, Symptom Discriminator and Disposition Postcode Gender Age Opening Hours Service Capacity Ranking Outcome (returns nearest 2 of each service type)! If no services meet the criteria 2 nearest EDs will return

4 DoS Example Ranking Strategy Highest ( / Community) High (GP/OOH/WIC /MIU/UCC) Normal Low (ED) Lowest (Council)

5 Ranking by Service/Ranking by NHS Blackburn with Darwen NHS Blackpool NHS Bolton Services 48 Services 44 Services 82 NHS Liverpool NHS North Manchester NHS Oldham Services 121 Services 52 Services 53 NHS Bury Services 40 NHS Salford Services 61 NHS Central Manchester Services 41 NHS South and Vale Royal Services 53 NHS Chorley and South Ribble Services 48 NHS South Manchester Services 45 NHS Cumbria Services 112 NHS South Sefton Services 38 NHS East Lancashire Services 106 NHS Southport and Formby Services 30 NHS Eastern Cheshire Services 42 NHS St Helens Services 41 NHS Fylde and Wyre Services 39 NHS Stockport Services 67 NHS Greater Preston Services 40 NHS Tameside And Glossop Services 57 NHS Halton Services 25 NHS Trafford Services 63 NHS Heywood Middleton and Rochdale Services 49 NHS Warrington Services 39 NHS Knowsley Services 31 NHS West Cheshire Services 53 NHS Lancashire North Services 39 NHS West Lancashire Services 25 NHS Liverpool Services 121 NHS Wigan Borough Services 58 NHS North Manchester Services 52 NHS Wirral Services 85 NHS Oldham Services 53 Grand Total - Active Services 1727

6 Ranking Strategy in Action Patient calls 111 Telephone Triage Primary Care Services eg, Dental, Optom, Community Services Primary Care In Hours ( ) GP Practice Primary Care MIU WIC UCC Primary Care OOH ( ) ED (24/7/365)

7 NW Services

8 Symptom Groups / Symptom Discriminators Lloyds Bloomfield Sainsburys Bispham Tesco 8.0 Starter Template v1.10 orgname Boots UK Blackpool Rd Blackpool Blackpool Blackpool Blackpool orgtype Pharmacist Pharmacist Pharmacist Pharmacist Pharmacist Pharmacist symptom groups symptom discriminator acne, spots and pimples - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE allergic reaction - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE athlete's foot - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE bites or stings, insect or spider - PC minor injury TRUE TRUE TRUE TRUE TRUE ear discharge or ear wax - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE earache - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE eye, painful - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE eye, painful - PC extended ophthalmic assessment and management capability, minor condition (PEARS) TRUE eye, red or irritable - PC extended ophthalmic assessment and management capability, minor condition (PEARS) TRUE eye, sticky or watery - PC extended ophthalmic assessment and management capability, minor condition (PEARS) TRUE eye, visual loss or disturbance - PC extended ophthalmic assessment and management capability, minor condition (PEARS) TRUE eyelid problems - PC extended ophthalmic assessment and management capability, minor condition (PEARS) TRUE failed contraception - PC Failed Contraception over 72 hours TRUE TRUE failed contraception - PC failed contraception TRUE TRUE TRUE failed contraception - PC full Primary Care assessment and prescribing capability TRUE TRUE TRUE failed contraception - PC sexually transmitted infection TRUE TRUE hair loss - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE head lice - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE health and social information - PC failed contraception TRUE TRUE TRUE TRUE TRUE TRUE health and social information - PC medication enquiry TRUE health and social information - PC pharmacy, location information TRUE TRUE TRUE TRUE TRUE TRUE hearing problems or blocked ear - PC assessment and management capability, minor condition TRUE itch - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE limb, cold or colour change - PC assessment and management capability, minor condition TRUE mouth ulcers - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE nasal congestion - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE nhs pathways in house clinician - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE pain and/or frequency passing urine - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE rectal pain, swelling, lump or itch - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE repeat prescription - PC repeat prescription, routine TRUE TRUE TRUE TRUE TRUE TRUE repeat prescription - PC repeat prescription, urgent TRUE TRUE TRUE TRUE TRUE TRUE scabies - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE sexual problems or concerns - PC contraception issue TRUE TRUE tattoos, birthmarks or moles - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE toe pain or swelling - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE vaginal discharge - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE vaginal itch or soreness - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE wrist, hand or finger pain or swelling - PC assessment and management capability, minor condition TRUE TRUE TRUE TRUE TRUE TRUE

9 Symptom Discriminators Explained. SDs mainly fall into 3 categories AMB, ED, PC Primary Care SDs SD Full Primary Care assessment and prescribing capability This means a practitioner with the capability to perform a full clinical assessment of Primary Care conditions within the SG. The practitioner should be able to prescribe for and manage the conditions and arrange investigations, admission or referral for specialist opinion if required. SD Full mental health assessment and prescribing capability This means a practitioner with the capability to perform a full clinical assessment of mental health problems within the SG. The practitioner should be able to prescribe for and manage conditions and arrange admission if required. SD Full dental assessment and prescribing capability This means the capability to perform a full clinical assessment of dental conditions within the SG. The practitioner should be able to prescribe for and manage dental conditions relating to the SG and to arrange investigations, admission or referral for specialist opinion if required. SD Full obstetric assessment and management capability This means a Registered Midwife or Medical Practitioner who can provide assessment and advice for pregnancy-related problems within the Symptom Group and arrange investigation and admission if required. SD Assessment and management capability, minor condition This means a healthcare professional, e.g. an optician or pharmacist, with the capability to clinically assess and manage specific conditions within the SG that are unlikely to require prescription medication, further investigation or onward referral.

10 Dispositions (response timeframe) Boots UK Blackpool Lloyds Bloomfield Rd Blackpool Sainsburys Blackpool Bispham Blackpool Tesco Blackpool 8.0 Starter Template v1.10 orgname orgtype Pharmacist Pharmacist Pharmacist Pharmacist Pharmacist Pharmacist dispositions DX28: Contact Pharmacist within 12 hours TRUE TRUE TRUE TRUE TRUE TRUE DX45: Service Location Information TRUE TRUE TRUE TRUE TRUE TRUE DX79: Failed Contraception TRUE TRUE TRUE TRUE TRUE DX82: Medication Enquiry TRUE TRUE TRUE TRUE TRUE TRUE DX46: Refer to Health information within 24 hours TRUE TRUE TRUE TRUE TRUE DX97: Emergency Contraception within 2 hours TRUE TRUE TRUE TRUE TRUE TRUE DX98: Emergency Contraception within 12 hours TRUE TRUE TRUE TRUE TRUE TRUE

11 Team Contact Details Jackie Heardman 111 Team Manager ( Karen Bambrook Project Support Manager ( Sam Ibbotson Project Support Manager ( Lauren Guest Project Support Manager ( dos.maintenance@blackpool.nhs.uk or firstname.lastname@blackpool.nhs.uk

12 Any Questions?