Welcome to our urgent care website
We have completed a three month public consultation about the future of urgent care services in the East Riding area and we would like to thank everyone for taking the time to give us their views.
This web area contains lots of information including:
- The background to our consultation and how we developed our proposals for consultation
- The feedback that we received
- The decisions that we have made
- Next steps
You can use the links on the right side of this page to find your way around this website. Below is a short film to help explain about our plans for improvement. The changes to urgent care services are expected to be implemented over six to nine months, in a managed way to minimise impact to patient care.
We received a great response from local people and, after careful consideration of all the feedback received as well as the clinical evidence and health need, our Governing Body made the following decisions on 21 March 2017:
- Introducing urgent care centres
The decision made by the governing body is to:
Create Three Urgent Care Centres at East Riding Community Hospital in Beverley, at Bridlington Hospital and at Goole District Hospital.
Together with – providing urgent care appointments for low level minor injuries at 8-8 centres at Driffield and Withernsea to be booked into via NHS111/Single Point of Access and undertaking the actions set out in the CCG’s full responses by locality (page 40 onwards).
The urgent care centres at Beverley, Bridlington and Goole will offer consistent opening for 16 hours a day and 365 days a year. There will be a consistent range of advice and treatment available, including access to x-ray, for all minor injuries with no variation between centres. People will know that when they arrive at an urgent care centre it will be open and they will be seen.
The three urgent care centres will be supported by booked urgent care appointments for low level minor injuries, made available at Alfred Bean Hospital in Driffield and at Withernsea Community Hospital.
- Improving community beds/wrap-around patient care
The decision made by the governing body is to:
Create an integrated community and intensive rehabilitation centre in a single location, at Beverley supported by 15 Time to Think Beds. Together with the following actions:
i. The location of time to think beds at Bridlington and South Holderness specifically
ii. The availability of an additional 10 time to think beds during the transition period
iii. Partnership working with East Riding of Yorkshire Council in respect of care home capacity and transport options
iv. The review of palliative care services to ensure the provision of service that meets the needs of individuals.
This model of care will provide intensive rehabilitation and support for people with more complex nursing needs and will also provide Time to Think Beds to support earlier discharge from acute hospital care. Time to Think Beds will be based in residential homes and be used by people who are medically fit, whilst they are waiting for complex care packages to be put into place to allow them to return home.
We have regularly met with the East Riding of Yorkshire Health, Care and Wellbeing Overview and Scrutiny Sub-Committee (HOSC) throughout the public consultation and responded to requests for clarification. The CCG responses to HOSC questions can be found at Q14 on our Frequently Asked Questions page.
On 4 April 2017 we met with the HOSC to discuss the outcome of the Urgent Care Consultation following our decisions on 21 March 2017. As a Governing Body, we carefully considered the views of patients and the public and believe we responded to the HOSC recommendations that were made. We were therefore very disappointed that HOSC members made a decision to refer us to the Secretary of State (SoS) for Health Jeremy Hunt MP. This resulted in the SoS asking the Independent Reconfiguration Panel to look at the referral and advise him on next steps to be taken.
Post consultation report to HOSC - 4 April 2017
CCG response to additional questions raised by HOSC - 4 April 2017
CCG response to HOSC following meeting on 4 April 2017 - 2 May 2017
Letter of support from Yorkshire Ambulance Service - 31 May 2017
Independent Reconfiguration Panel (IRP) Outcome
On 23 November 2017, the IRP published its report and the Secretary of State for Health wrote to the CCG agreeing ‘that the case for change has been established and implementation should proceed’.
The report and the letter was considered by the CCG's Governing Body at its meeting in public on 19 December 2017 and noted the following actions:
- That co-production of the communication plan to support implementation of the service changes proceeds.
- That discussion with HOSC are undertaken as recommended by the IRP, and these have commenced.
- That discussion with GPs are undertaken as recommended by the IRP, and these have commenced.
- Appointment of a dedicated clinical lead for urgent care which is being progressed.
The CCG is now working with local partner organisations to actively promote how people can access the new services which are expected to be up and running by the end of March 2018. More details on timescales will be made available as the CCG moves through mobilisation.