We’re Transforming Patient Care

Transforming Patient Care is the programme in which we will develop our services to enhance the care we provide for patients.

The two-year programme, which began in April 2017, is based on using our expertise and knowledge of the wider urgent and emergency care system to provide clinical support for patients as early as possible in their pathway of care. We will support health promotion and public health initiatives so less people need our services in the first place. Having clinical input earlier in the patient journey will allow us to provide our patients with the right care, at the right time, in the right place.

The changes will help us ensure that we can respond to the principles of the NHS Five Year Forward View and Urgent and Emergency Care Delivery Plan, and develop a service that can provide sustainable, high quality urgent and emergency care in the future.

We’re working closely with commissioners to make developments in a number of areas, including operational service delivery, workforce, interoperability, quality improvement and clinical leadership.

Here are some examples of a number of the Transforming Patient Care work streams, have been making a difference:

  • The Patient Transport Service has been making every contact count by handing out health information leaflets to patients. The first set of leaflets was focused on the flu vaccination and the most recent set, distributed in December, contained general health advice in line with NHS England and Public Health England’s Stay Well This Winter campaign.
  • The Nursing and Residential Home Triage Tool, which helps nursing home staff ensure residents get the right care, at the right time and in the right place, has been rolled out at a number of locations already. There are plans to introduce the tool to around 230 nursing and residential homes in total across the region by the end of January to support staff in making decisions about what health service to contact for their resident’s needs.
  • NHS 111 has been working closely with commissioners to pilot direct booking – this allows NHS 111 health advisors to book an appointment slot at certain health centres for primary care appointments, hopefully reducing the amount of time a patient waits to be seen.
  • The Clinical Hub has recruited a team of Emergency Medical Technicians (EMTs) as part of a pilot to help manage requests for ambulances from healthcare professionals. The EMTs can use their emergency medical experience to liaise with healthcare professionals and ensure patients get the response that is appropriate for their needs.
  • For Inter-facility transfers, a new ‘priority 1’ category is being introduced. This category has certain criteria and means that hospitals can ask for a ‘priority 1’ for those patients with the greatest need for an emergency inter-facility transfer to ensure the quickest possible response.
  • In our Emergency Operations Centres, we have started to increase the number of clinicians within our contact centres to support early clinical decision making and provide valuable support for our crews when making decisions about patient outcomes. This allows patients to access care in the community when clinically appropriate. GPs will also be introduced to our contact centres to support our clinical workforce.
  • Urgent Care Practitioners will soon be deployed across the North West. These solo responders will be assessing patients who can be cared for without the need for ED attendance or hospital admission.   

Further updates about the programme will be shared in this bulletin and on our website www.nwas.nhs.uk/transformingpatientcare