Urgent Care Services Could Be Changing

We have announced plans to improve urgent care services in East Leicestershire and Rutland and want people’s views to help us understand how the changes might affect patients.

What are urgent care services?

Urgent care services offer GP and nurse appointments when GP practices are closed on weekday evenings and at weekends and on bank holidays. You can find out more about urgent care services here.

Why are we making changes?

The contracts for the services come to an end in March 2019 and we are proposing changes to the services in response to patient feedback to make services easier to navigate for patients and make best use of NHS resources.

What we currently have

Out-of-hours GP service

There is an out-of-hours GP service at two local bases (Oakham and Lutterworth) where weekend and bank holiday GP appointments are available. These services can only be accessed by calling NHS 111 if the service is appropriate for a patient’s needs. The two bases are open at different times (Oakham from 8am to 9pm and Lutterworth from 10am to 4pm).

Nurse-led urgent care centres

There is a nurse-led service (supported by GPs) at urgent care centres in Melton Mowbray, Oakham and Market Harborough on weekday evenings from 5pm to 9pm and at weekends and on bank holidays from 9am to 7pm.

There is also a nurse-led service (supported by GPs) available at Oadby Urgent Care Centre on weekday evenings from 8pm and 9pm and at weekends and on bank holidays from 8am to 8pm.

People can walk-in for care at all of these centres. Appointments are also offered to people calling NHS 111 if the service is appropriate for their needs.

24/7 urgent care visiting service

We currently offer a 24/7 urgent care visiting service for people who are housebound and require home or community-based urgent care. People can access this service by calling NHS 111 if the service is appropriate for their needs.

Services outside East Leicestershire and Rutland

Patients can also access the following services:

  • an out-of-hours primary care service delivered at Loughborough Hospital, 24/7
  • an out-of-hours primary care service delivered at Leicester Royal Infirmary (LRI), 24/7
  • services in neighbouring areas, for example in Stamford, Rugby, Grantham and Corby

These services are overseen by our neighbouring CCGs. We will continue to commission access to these services for patients living in East Leicestershire and Rutland.

What we know

We have carefully considered recent patient feedback, the findings of our review in 2013 and 2014, looked at how the current services are being used and the availability of funding for investment. We have identified that:

  • around 90% of people who used the out-of-hours GP service at Lutterworth and Oakham could have been treated appropriately by a nurse
  • just over half (51%) of appointments available at urgent care centres in Melton Mowbray (50%), Oakham (65%) and Harborough (38%) on weekday evenings between 5pm to 6.30pm are not used, with most people accessing their GP practice instead
  • over one-third (36%) of appointments available at urgent care centres in Melton Mowbray (10%), Oakham (68%) and Harborough (28%) are not used between 5pm and 7pm at weekends and on bank holidays
  • there is a large demand for services in the Blaby district area, with more than 1,600 patients a year travelling to other sites within East Leicestershire and Rutland for out-of-hours care

 What we are proposing

We have developed our plans through discussion with GPs, nurses and patients from across our 31 GP practice Patient Participation Groups and with Healthwatch Rutland and Healthwatch Leicester and Leicestershire. We are proposing to:

  • keep local services where they are but with some changes to opening hours to reflect how we know the services are being used and to ensure best use of clinical time. This could mean a small reduction in opening hours on weekday evenings to remove the overlap with GP practice opening times. In our proposals, urgent care centres would open from 6.30pm when GP practices close. This will reduce confusion over where people should access services
  • patients have told us they find it confusing that our urgent care centres are open at different times. In response to this we are considering standardising opening hours across most of our urgent care centres at weekends and on bank holidays from 9am to 5pm. We know that usage varies across our sites but we are keen to standardise opening hours to make services easier to navigate and make best use of NHS resources. However, we want patients’ views on whether this will meet patients’ needs locally
  • provide urgent care services in the Blaby district area on weekday evenings and at weekends and on bank holidays
  • increase access to urgent care services in Lutterworth with longer opening hours than are currently available at weekends and on bank holidays with the ability to walk-in for appointments as well as book via NHS 111 to support equity of access
  • introduce clinical triage for patients walking-in to our urgent care centres to improve outcomes for our most complex patients and to help people access the right care for their needs – this could be signposting to a pharmacist, booking an appointment with their own GP or referring to another part of the health system
  • invest in primary care to ensure better access to on the day appointments when GP practices are open, which includes the option for people to book out-of-hours appointments at urgent care centres via their practice if this is convenient to them
  • ensure services are better promoted to improve understanding of the choice of local services and how to access them

Additionally, we will continue to provide access to the 24/7 urgent care home visiting service for housebound patients and to pay for our patients to use services outside of East Leicestershire and Rutland.

What this means in your area

Area Appointments for out-of-hours care can be pre-booked in advance via GP practice? Walk-in service available? Bookable by NHS 111? (following appropriate triage) Opening hours
Market Harborough 

(St Luke’s Treatment Centre, 33 Leicester Road, Market Harborough LE16 7BN)

Yes Yes Yes Weekdays, 6.30pm to 9pm

 

Weekends and bank holidays, 9am to 5pm

Melton

 (Melton Mowbray Hospital, Thorpe Road, Melton Mowbray LE13 1SJ)

Yes Yes Yes Weekdays, 6.30pm to 9pm

 

Weekends and bank holidays, 9am to 5pm

 

Oakham

(Rutland Memorial Hospital, 9 Cold Overton Road, Oakham LE15 6NT)

Yes  Yes

 

Yes Weekdays, 6.30pm to 9pm

 

Weekends and bank holidays, 9am to 5pm

 

Blaby

(Location to be determined)

Yes Yes

 

Yes Weekdays, 6.30pm to 9pm

 

Weekends and bank holidays, 9am to 5pm

 

Lutterworth

(Feilding Palmer Hospital*, Gilmorton Road, Lutterworth LE17 4DZ)

 

Yes Yes

 

Yes Weekends and bank holidays, 9am to 5pm

 

Oadby

(Oadby Urgent Care Centre, 18 The Parade, Oadby LE2 5BJ)

Yes Yes

 

Yes Weekdays, 8am to 9pm

 

Weekends and bank holidays, 8am to 8pm

 

How to share your views

You can share your views by completing the survey online at: surveymonkey.com/r/ELRurgentcare18

The survey will close at 23.59 on Tuesday 24 July 2018.

We also held two events where people could find out more about our plans.

You can also email comments or questions or request this information in another language or format by email at: enquiries@eastleicestershireandrutlandccg.nhs.uk or call us on 0116 295 3405.

More information

You can also view our full engagement document below:

 

You can find out more on our website here.

You can find out more about our 2014 consultation into urgent care centre services here.