Leicester, Leicestershire and Rutland to lead NHS into new era of urgent care

Leicester, Leicestershire and Rutland to lead NHS into new era of urgent care

24th July 2015

NHS England Chief Executive Simon Stevens and the NHS Five Year Forward View partners today (Friday) announced eight new vanguards that will launch the transformation of urgent and emergency care for more than nine million people.

This includes the Leicester, Leicestershire and Rutland System Resilience Group that will take the lead in improving urgent care for 1.1 million people in the area.

This comes as NHS England also revealed the success of Regional Major Trauma Networks which, after they were set up just three years ago, have seen a remarkable 50 per cent increase in the odds of survival for trauma patients revealed in a new independent audit by the Trauma Audit and Research Network (TARN).

Building on the recent success in improving trauma survival rates, the urgent and emergency care vanguards are tasked with changing the way in which all organisations work together to provide care in a more joined up way for patients.

Urgent care will be delivered, not just in hospitals but also by GPs, pharmacists, community teams, ambulance services, NHS 111, social care and others, and through patients being given support and education to manage their own conditions. Another aim is to break down boundaries between physical and mental health to improve the quality of care and experience for all.

The eight new vanguards will spearhead this work and, like other vanguards, will benefit from a programme of support and investment from the £200m transformation fund.

Six vanguards will cover smaller local systems which may include hospitals and surrounding GP practices and social care, while two network vanguards will be working with much larger populations to integrate care on a greater scale.

In Leicester, Leicestershire and Rutland this will mean the creation of a new alliance-based urgent and emergency care system where all providers work as one network. This will bring together ambulance, NHS 111, out-of-hours and single point of access services to ensure that patients get the right care, first time. It will also mean the City’s hospital urgent and emergency care front door will be redesigned to include an assessment team.

Toby Sanders, Managing Director of West Leicestershire Clinical Commissioning Group said: “We are delighted that our application has been successful. It is a great recognition of the progress we have made over the last twelve months across Leicester, Leicestershire and Rutland. However, we recognise that there is so much more that we need to do to create an urgent and emergency care system that is wrapped around individual patients leading to a significant improvement in their experience of our health services locally.
“The Vanguard will give us access to expertise and support from national clinical leads who will bring new cutting edge ideas to help us to develop our local health and care services. This will enable us to implement our plans and offer more rapid improvements to our urgent and emergency care system.”

NHS England’s Chief executive, Simon Stevens, said: “Starting today, the NHS will begin joining up the often confusing array of A&E, GP out of hours, minor injuries clinics, ambulance services and 111 so that patients know where they can get urgent help easily and effortlessly, 7 days a week. That’s why we’re backing what our frontline nurses, doctors and other staff, in partnership with local communities, to radically redesign our urgent and emergency services."

Professor Chris Moran, NHS England’s National Clinical Director for Trauma Care, said: “It’s enormously rewarding for the NHS and the people it serves that in just three years we have seen a fifty per cent increase in the odds of survival with life-threatening injuries, that’s hundreds more patients saved since the networks started.”

Professor Keith Willett, NHS England’s Director of Acute Care, who is leading the Urgent and Emergency Care transformation, said: “This proves a modern NHS needs a very different approach and shows, we can transform patient care.

“These networks and new vanguards will support and improve all our local urgent and emergency care services, such as A&E departments, urgent care centres, GPs, NHS 111 and community, social care and ambulance services, so no one is working isolated from expert advice 24 hours a day.”

“All over the country there are pockets of best practice yielding enormous benefits; but to ensure our urgent care services are sustainable for the future every region must begin delivering faster, better and safer care. Now it is time for the new urgent and emergency care vanguards to design the best solutions locally.”

Today’s launch of the vanguards comes in the face of pressure on all NHS frontline emergency services, with increased A&E attendances and emergency admissions, and both ambulance and NHS 111 services facing rising demands.

The Urgent and Emergency Care vanguards are a key element within the NHS Five Year Forward View which is a partnership between NHS England, the Care Quality Commission, Health Education England, Monitor, the Trust Development Authority, Public Health England and the National Institute for Health and Care Excellence and represent the next step in the transformation of Urgent and Emergency Care for the NHS announced by Sir Bruce Keogh, NHS England’s National Medical Director, in 2013.

The Leicester, Leicestershire and Rutland System Resilience Group (SRG) Vanguard covers the City of Leicester, Counties of Leicestershire and Rutland and surrounding towns, serving a population of 1.1 million people.

The Vanguard will create a new alliance-based urgent and emergency care system where all providers work as one network. This will bring together ambulance, NHS111, OOH and Single Point of Access services to ensure that patients get the right care, first time.

The network will include a same-day response team with GPs, acute home-visiting and crisis response services, community nursing, older peoples’ assessment unit and urgent care centres.

University of Leicester Hospitals NHS Trust (UHL) runs the largest single site A&E department outside London. In 2016, the hospital’s urgent and emergency care front door will be re-launched to include an assessment team with the ability to refer patients to ambulatory clinics, assessment beds, on-the-spot urgent care centres or primary or community care.

Our plans are owned by the Leicester, Leicestershire and Rutland System Resilience Group and the following Urgent Care Board (UCB) partners and have the support of our senior clinicians (doctors, nurses and therapists) and managers:

• The three Leicester, Leicestershire and Rutland Clinical Commissioning Groups (Leicester City, East Leicestershire and Rutland and West Leicestershire).
• The three upper tier local authorities (Leicester City, Leicestershire County and Rutland County).
• Arriva (patient transport service)
• University Hospitals of Leicester NHS Trust
• East Midlands Ambulance Service (EMAS)
• Leicestershire Partnership NHS Trust
• George Eliot (LRI Urgent Care Centre)
• Central Nottinghamshire Clinical Services (GP out of hours/Loughborough UCC)
• Derbyshire Health United (NHS111)
• Soldiers, Sailors, Airmen and Families Association