What are the alternatives for patients who are not life threatened?

1
What are the alternatives for patients who are
not life threatened?

• Clinical Telephone Advice
• Walk in Centres
• Minor Injuries Units
• Intermediate Care
• Falls teams
• District nurses
• Mental Health Crisis Intervention Teams
• Primary care
• Social services
• NHS Direct

2
Requires us to change

• Provide telephone advice to callers with
  non-serious conditions
• Develop referral pathways
• Send a professional who is trained in the
  recognition and treatment of non-life threatened,
  but often complex, patients

3
Education for Emergency Care Practitioners St
Georges Medical School/Kingston University
4
Around the Country
Merseyside relatively clear care pathways
East Anglia strong links with GPs non
escalation of cases unless necessary basic
principle, extended practice
Sheffield rotation through control MIUs,
also focus on older peoples needs
Staffordshire clear location in demand patches,
CPOs senior role in service, patient focused
ethos
Warwickshire v. competent practitioners, open
access routes to role, clerking into acute sector
West Country strong educational package some
extensions in practice