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Urgent care service in west Kent

User AvatarPosted by Sophie Lyon at 03/09/2015 18:17:59

NHS West Kent Clinical Commissioning Group has been reviewing services for people across west Kent who need some level of urgent care.            

In particular, this covers urgent care from a GP when their practice is closed or they are at A&E with a condition that is best seen by a GP. It also includes care provided in people’s homes when they are acutely unwell.

We previously commissioned three core primary care services that delivered urgent and emergency care. 

To improve services locally, we procured an integrated service delivering both urgent primary care (out of hours GP services and GPs in A&E) and hospital at home services (previously ERRS) for west Kent residents.

The new service commenced on 1 September 2015 and is provided by Integrated Care 24 Ltd (IC24), in partnership with Kent Community Health NHS Foundation Trust (KCHFT) and Maidstone and Tunbridge Wells NHS Trust. 

The new service will be provided by IC24 and comprises of three elements:

  • West Kent Urgent Care Out of Hours Service - primary care GP service
  • West Kent Urgent Care Primary Care Service - provided with Maidstone and Tunbridge Wells NHS Trust  
  • West Kent Urgent Care Home Treatment Service - provided with Kent Community Health NHS Foundation Trust.

Primary Care Service

From September, a GP and receptionist will be based in Maidstone Hospital A&E department between midday and midnight. The GP will see patients that A&E staff have identified as being suitable for primary care.

Home Treatment Service

The new ‘Home Treatment Service’ replaced the existing ‘Enhanced Rapid Response Service’ in west Kent on 1 September.

The consultant geriatrician-led Home Treatment Service will provide responsive, short-term (up to seven days) care, 24-hours-a-day, seven-days-a-week to patients in crisis to prevent them from having to go into hospital. 

For frail, elderly patients with multiple health conditions, this means receiving the best care, quickly, in their own home. Patients with the most urgent needs will be seen within two hours of a referral. If needed, patients will be referred easily and quickly to longer-term treatment, rehabilitation and community support.

The service will also work closely with GP practices and Maidstone and Tunbridge Wells NHS Trust discharge teams to help patients leave hospital sooner, by providing a ‘step down’ service for patients who are medically fit to return home.

Find out more about the procurement process.