Why do urgent care services need to change?

UC Web banner - why to things need to change

Our consultation is now closed you can read our feedback report here

At a national level there is a desire to:

• Develop a more integrated urgent care system that ensures patients are treated in the most
appropriate setting for their needs
• Simplify the structure of urgent care services to reduce confusion amongst patients and ensure they
access the right service, first time
• Reduce pressure on accident and emergency departments by treating patients with minor symptoms
either in primary care or in the community.

The NHS Five Year Forward View (5YFV) (published in 2014) outlined the need to redesign urgent and emergency care services in England to ensure that they are safe, sustainable and that they provide high quality care consistently. Providing urgent care in a more integrated way, within a specialist Urgent Care Centre available 24hrs a day 7 days a week, supports this key national guidance.

The CCG has invested in the expansion of the A&E at Hull Royal Infirmary, but we still want to encourage people to use alternatives whenever appropriate.

The CCG has taken the opportunity to speak to people across the city about their health and healthcare since 2013, and feedback about experience of local urgent care services has helped to develop the proposals, particularly in relation to the GP out-of-hours service and MIUs.

Surveys showed that 92% of respondents* agreed that care or treatment should be available at all times (including evenings and weekends).

When people were asked for the one thing that should be introduced to provide urgent/out of hours care in a way that would suit them or their family’s needs, the majority of comments focused on extended opening hours, out of hours care, response times and access to services including location and availability of parking.

Feedback also indicated some confusion and uncertainty of how and where to access urgent care services, opening times, what treatment is available**. Patients and the public have also spoken about the lack of x-ray as this is not currently provided at either of the MIU sites.

*Hull Peoples’ Panel 2014
**Community Services Procurement consultation 2015