Health and Care Overview and Scrutiny Committee 13 September 2016 - - PowerPoint PPT Presentation

Health and Care Overview and Scrutiny Committee 13 September 2016

Minor Injuries and Illness Units (MIIUs)

MIIUs offer timely support to people with urgent, but not life-threatening, healthcare needs, including:

• sprains
• cuts and wounds
• skin problems

i.e. rashes, bites, stings, infections

• minor eye injuries
• minor fractures
• minor head injuries

MIIU locations

North Cotswolds Cirencester Tewkesbury Dilke Lydney Stroud Vale

3 different

• perating

hours

MIIU performance 2015-16

99.8% treated & discharged

in 4 hrs (target 95%)

0 twelve hour

trolley waits (0)

2hrs 20 mins

arrival to departure times (<4hrs)

17 mins before

assessment for ambulance arrivals (<15mins)

21 mins

average time to treatment (<60 mins)

0.7% left without

being seen (<5%)

Care Quality Commission (CQC)

In June 2015, the CQC identified concerns regarding:

• the number of qualified,

experienced and skilled staff

• the need for prompt assessment

(“triage”) by a registered nurse

• regular staff training
• checks on equipment

and medicines

• organisational systems

The continued need for change

a) Nurse recruitment b) Value for money c) Right place for care d) Recognisable opening hours

• Not about “cost-cutting”
• Recognition for other

reviews (urgent care and Forest of Dean)

Options

• 1. Change the opening hours of all MIIUs to 8am-8pm
• 2. Change the opening hours of the MIIUs in Stroud

and Cirencester to 8am-11pm

• 3. Change the opening hours of the MIIUs in Stroud

and Cirencester to 8am-11pm, and also the one of the MIIUs in the Forest of Dean to 8am-8pm

Given the challenges of overnight nurse recruitment and the low number of attendees after 11pm, a “Do Nothing” option was not deemed safe or viable

Main engagement

• Pre-launch engagement with the Health and Care Overview

and Scrutiny Committee and Healthwatch Gloucestershire

• 8,000 information booklets + Freepost reply-paid cards
• Visible displays in community hospitals
• Booklets in public libraries and

children’s centres

• 18 public information events

(195 attendees)

• Booklets sent to all 84 GP

surgeries - also promoted

• n GP screens
• 10 staff events (78 attendees)

Working with partners

Information circulated via:

• Healthwatch Gloucestershire
• village / community agents
• the Leagues of Friends
• Forest Route Community

Transport

• Two Rivers Housing Association
• Gloucestershire Rural

Community Council

• Inclusion Gloucestershire

Online

• Information booklet

and survey available online

• Dedicated email address
• Facebook advertising

campaign with reach

• f 80,966 people,

1,573 of whom directly engaged

• Twitter advertising

and Twitter chats

Outcome

1,170 responses from across the county

Outcome

Preferred option to maintain current MIIU opening hours with the exception

• f Cirencester

and Stroud which will close at 11pm

Key stakeholder choices

Stakeholder Option Gloucestershire Hospitals NHS Foundation Trust 1 (all MIIUs close at 8pm) Stroud Town Council None Cotswolds District Council 2 (Stroud and Cirencester to close at 11pm) Forest of Dean Locality Executive Group 2 Stroud Locality Executive Group Stroud open until midnight Friends of Lydney Hospital 2 Stroud League of Friends 2

Decision

• A proposal will be made by

the Chief Operating Officer to support option 2, and therefore make no changes to MIIU opening times except for the overnight service at Cirencester and Stroud

• The decision will be made

at the Trust Board on 20 September