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GP access systemGP access system

Birmingham North East LCNBirmingham North East LCN

Birmingham UniversityBirmingham University

Demand per week in BirminghamDemand per week in Birmingham

61,000 same day GP consultations61,000 same day GP consultations5,500 Walk In Centre/Urgent Care Centre 5,500 Walk In Centre/Urgent Care Centre

attendancesattendances4,327 attendances at A&E4,327 attendances at A&E1,731 Unplanned hospital admissions1,731 Unplanned hospital admissions

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Benefits for wider health economyBenefits for wider health economy

Reduction in A&E attendances and Reduction in A&E attendances and possible emergency admissionspossible emergency admissions

Earlier identification of patients with long Earlier identification of patients with long term conditions resulting in appropriate term conditions resulting in appropriate use of services across health economyuse of services across health economy

20% reduction in A&E attendance20% reduction in A&E attendance

Benefits for wider health economyBenefits for wider health economy

Reduction in A&E attendances and Reduction in A&E attendances and possible emergency admissionspossible emergency admissions

Earlier identification of patients with long Earlier identification of patients with long term conditions resulting in appropriate term conditions resulting in appropriate use of services across health economyuse of services across health economy

Peer-reviewed evaluation by stepped Peer-reviewed evaluation by stepped wedge cRCTwedge cRCT

Benefits to patientsBenefits to patients

Speak to their GP sooner (within 2 hours)Speak to their GP sooner (within 2 hours)See their GP sooner when appropriateSee their GP sooner when appropriateGet more time with their GP when they Get more time with their GP when they

need it need it Save time by avoiding unnecessary Save time by avoiding unnecessary

appointmentsappointments Improved continuity of careImproved continuity of careOverall improved patient experienceOverall improved patient experience

Benefits to GPsBenefits to GPs

Greater sense of controlGreater sense of controlNegotiate agenda in advanceNegotiate agenda in advanceManage patient expectationsManage patient expectationsManage caseload efficientlyManage caseload efficiently Improve utilisation of nurse and other Improve utilisation of nurse and other

healthcare professionalshealthcare professionalsReduce DNAs to almost zeroReduce DNAs to almost zeroFree up capacity within general practiceFree up capacity within general practice

Non-recurring costsNon-recurring costs Additional medical cover for the backlog of appointmentsAdditional medical cover for the backlog of appointments Additional administrative, technical and clinical time Additional administrative, technical and clinical time

during course of pilotduring course of pilot Additional IT and telephony infrastructureAdditional IT and telephony infrastructure Communications campaign promoting pilotCommunications campaign promoting pilot Project management support to oversee implementationProject management support to oversee implementation Evaluation of pilot through educational establishment by Evaluation of pilot through educational establishment by

undertaking qualitative and quantitative research to undertaking qualitative and quantitative research to evaluate delivery of objectives of projectevaluate delivery of objectives of project

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