News

NHS Direct holding workshops to evaluate effectiveness

3 November 2008

NHS Direct over the next 12 weeks is to evaluate the clinical effectiveness of NHS Direct referrals and self-care advice provided to patients to ensure that it is fit for purpose, in comparison with other care provider patient pathways, and that it is evidenced based.

The organisation will be holding seven workshops up and down the country and is inviting a cross section of health and social care professionals to analyse the patient pathway experienced at NHS Direct based on the top 10 reasons for calling.

The review of anonymised case studies will inform and provide improved, faster, more accessible care that is clinically recommended and analysed by a mixture of health and social care professionals. The study may also highlight areas for further staff development when delivering urgent and self care outcomes.

It is hoped the study will engage the roles of new practitioners within health and social care as well as existing ones. Professionals from a variety of backgrounds are being invited to attend and participate in the study including social care, accident and emergency, urgent/unscheduled care and the GP out of hour’s provision.

A recent review of urgent and emergency care services by the Health Care Commission (2008)1 found that the services were performing well against individual targets, but the whole system was not working together as well as it could. The study will provide the opportunity for health care and social care professionals to network and consider the patient journey.

Helen Young, NHS Direct Clinical Director, said: “This study will help us to ensure that the Department of Health targets for 2008/09 — of over 60% of calls completed within NHS Direct and fewer than 20% referred to an urgent pathway — are clinically safe and appropriate for the patient.”

Methodology

The study will identify the most commonly used algorithms that contribute to the largest percentage of urgent, self care and other outcomes within NHS Direct. A random sample of these calls will then be anonymised and transcribed into a clinical summary and used as case studies at the Achieving Clinical Excellence events for the health and social care professionals to examine and consider independently, in small groups, what the recommended appropriate outcome for that patient would be. A control group will be included drawn from feedback to the organisation.

The workshops will be held at:

  • 27 November 2008 Bristol
  • 1 December 2008 Wakefield
  • 2 December 2008 Bolton
  • 3 December 2008 Newcastle
  • 3 December 2008 Bury St Edmunds
  • 4 December 2008 London
  • 8 December 2008 Milton Keynes

 

 
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