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Bridging the GapAllied Health Professionals in General Practice
Matt Holmes – Urgent Care Practitioner
Clarendon Park Medical Centre, Leicester
The Urgent Care Practitioner
• An Advanced Practitioner– Paramedic / ECP– Nurse / ENP / ANP
• History of Urgent and Unscheduled Care and Routine Primary Care
• Confident and Competent Telephone Consultations leading to various dispositions
The Urgent Appointment Service
Same Day Appointments• GP Slots (Face-to-Face / TelCon)
• Minor Illness & Injury Clinics
• Home Visiting
• Practice Nurse / Phlebotomy
The GP Surgery
• More Accessibility– The patient can ALWAYS see a doctor if
they need to.
• Less Locums (less cost)
• More GP/Patient Time– Advanced Care Plans– Health Care of The Elderly
The Patient
ALL PATIENTS• Easier Access• Quicker Service• Guaranteed Appointments• Increased Satisfaction
The Outcome
Vital Statistics – Dec ‘13 to April ‘14
2263 328 544 758 25 556 52
14.5% 24.6%1.1%33.5%24.0% 2.3%
73.7%
2014
Calls Prescription GP MIaMI Team Advice Home Visit
December 457 66 99 170 5 107 10
January 431 59 120 128 4 108 12
February 412 54 123 123 8 88 16
March 511 90 112 167 4 128 10
April 458 59 90 170 4 125 4
58.1%
The Pies don’t Lie
15%
25%
32%
1%
24%
3%
Year to Date
28%
72%
Practitioner:GP Appointments
PractitionerLed
GP Led
MIaMI
GP
Script
Advice
The Figures
GP Time Redirected
AppointmentsRedirected
Financial Benefit
Complete Avoidance
286 ½ Hours
1719 Slots
£42,975
40%
The Future
• An Urgent Care Practitioner in EVERY GP Surgery
• An Urgent Appointment Service for EVERY GP Surgery
• A dedicated Education and Accreditation Program for aspiring UCPs
