OOH

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OOH
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Outline the service

• Outline the service
• Describe first 6 months

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What are OOH hours

• 1800 to 0800 overnight - 14 hours
• 1800 Friday to 0800 Monday - 60 hours
• Public Holidays

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Remember Public Holidays

• Can mean 4 days in a row 96 hours

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PH
MMH
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Glasgow Royal Infirmary
Edinburgh Royal Infirmary
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garve
allness
dingwall
inverness
nairn
invermorriston
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Nursing staff round the clock both sites
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Doctor at Broadford round the clock
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Doctor at Portree till midnight
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Frontline ambulances at Lochcarron, Kyle,
Broadford, Portree, Dunvegan
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Plus Midwives on call
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Plus DNs on call
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Backup doctor available to Broadford
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• for simultaneous distant crises
• allow 2 doctor procedures
• allow a doctor to escort

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Backup doctor available in the North
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• for simultaneous distant crises
• used twice in 6 months

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One vehicle and one driver
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• based weekday evenings Portree
• wee hours weekends Broadford

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Accept patients via

• self presentation
• referral by NHS24
• 999 ambulance
• GPs
• DNs
• CPNs
• Police..etc.

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Dec to May MMH and PH

• Total contacts 1556

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MMH PH
796 760
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Self referrals 780
NHS24 referrals 499
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Total self referrals 780
MMH 340
PH 440
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Total NHS24 referrals 499
MMH 254
PH 245
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Total NHS24x999 referrals 18
MMH 11
PH 7
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Total 999 referrals 120
MMH 87
PH 33
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Total GP referrals 90
MMH 80
PH 10
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Attendances by month
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total MMH PH
Dec 241 141 100
Jan 307 169 138
Feb 252 138 114
Mar 282 134 148
Apr 284 165 119
May 324 184 140
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total MMH PH
June
July
Aug
Sep
Oct
Nov
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Outcomes
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Discharged
MMH 484
PH 588
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Admitted
MMH 219
PH 46
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Phone only
MMH 41
PH 28
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Transferred
MMH 28
PH 64
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Portree to MMH 46
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Portree to Raigmore 13
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Seen by nurses only?
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Seen by Nursing Staff Only
MMH 0
PH 48
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• 9 x same renal colic patient
• 6 redressings
• 3 did not wait
• 4 discussed with doctor on phone
• 26 cuts grazes glass eye replaced!

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After 2400 at PH?

• 8 in wee hours 0000 to 0300

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injury R shoulder and elbow
acute asthmatic attack
discomfort in chest previous mi
head injury/laceration
fall scalp lac
head injury
lac finger with knife
alleged assault
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Total Home Visits 99
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total MMH PH
Dec 15 2 13
Jan 17 7 10
Feb 20 9 11
Mar 21 5 16
Apr 16 6 10
May 10 2 8
Total 99 31 68
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13 DN referrals to service in total
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Problems?

• Very few with service itself
• NHS24 best avoided if you are ill

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Summary

• A working service

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Questions?
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