Sue Holmes nee Hann

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Sue Holmes (nee Hann) IT Consultant National
Walk-in Centre Implementation Team Department of
Health Presentation to the West Yorkshire
Emergency Care Network Meeting 23 September
2005

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• NHS Walk-in Centres
• Background
• 66 nurse-led NHS Walk-in Centres have now been
  established with central funding from the
  Department of Health the first NHS Walk-in
  Centre opened in January 2000
• A further 16 NHS Walk-in Centres are being
  developed which will bring the total number of
  centrally funded NHS Walk-in Centres in England
  to 82
• Alongside this 7 NHS Walk-in Centres focusing
  particularly on commuters are being developed
  through independent procurement

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• NHS Walk-in Centres
• Access and Activity
• Open 365 days a year most NHS Walk-in Centres are
  open seven days a week from early in the morning
  until late at night a small number of centres
  are open 24 hours a day
• Offering a service to over 11 million people the
  centres are situated in convenient locations that
  allow the population quick and easy access to a
  range of NHS services
• The centres are helping to improve access for
  specific groups with particular needs including
  young people, homeless people, students, refugees
  and asylum seekers

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• NHS Walk-in Centres
• Access and Activity
• Since opening in 2000 the centres have seen over
  6.5 million people on average the centres see
  around 114 patients a day i.e. 42,000 patients a
  year depending on their location some centres
  see as many as 200 patients a day
• The centres help to improve service delivery and
  provide a local contribution towards achievement
  of the 24/48-hour primary care access target and
  the 4-hour wait AE target

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• NHS Walk-in Centres
• Range of Services
• Treatment and advice for minor ailments
• Treatment and advice for minor injuries
• Nurse prescribing from a limited formulary
• Supply of medicines under Patient Group
  Directions (PGDs)
• Additional services
• Health promotion e.g. smoking cessation
• Pregnancy testing and advice
• Sexual health/lifestyle advice
• Counselling
• Pharmacy advice
• Emergency dental advice

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• NHS Walk-in Centres
• Service Models The Early Days
• Pilot NHS Walk-in Centres were based on four
  service models
• Shop front location - standalone
• Primary Care location
• AE location
• Out of Hours location
• Acceptance of the new NHS Walk-in Centre
  nurse-led service was slow
• Engagement and support from primary and secondary
  care professionals proved difficult during early
  stages of pilot - this was a key lesson learnt

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• NHS Walk-in Centres
• Service Integration is happening now!
• In the majority of cases NHS Walk-in Centre
  nurse-led services are now seen as an integral
  part of local healthcare delivery
• Engagement and support from other healthcare
  professionals is improving
• NHS Walk-in Centre nurse-led services are now
  being fully integrated into Primary Care, AE and
  Out of Hours service settings
• NHS Walk-in Centres are working in partnership
  with paramedics and community services in a
  number of settings

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• NHS Walk-in Centres
• Service Integration is happening now!
• Satellite and mobile NHS Walk-in Centre services
  are being established
• Diagnostic services are available in a number of
  centres
• Physiotherapy services are being provided by a
  number of centres
• There are an increased number of nurses with
  extended skills working in NHS Walk-in Centres

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NHS Walk-in Centres have extended traditional
boundaries of nurse-led services in the NHS

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• NHS Walk-in Centres
• The Future?
• National branding of NHS Walk-in Centres will
  this continue?
• Central Department of Health funding will this
  continue?
• Local PCT funding will this continue?
• Wider NHS challenges
• Impact of Commissioning a Patient Led NHS
• Impact of plurality in Urgent Care
• Payment by Results
• Impact of the new NHS White paper on Out of
  Hospital Care

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A Practical Guide to setting up an NHS Walk-in
Centre A practical guide intended to support
SHAs, PCTs and primary and secondary care teams
to develop and set up an NHS Walk-in Centre can
be found at http//www.dh.gov.uk/PolicyAndGuidan
ce/PatientChoice/Waiting BookingChoice/WaitingBook
ingChoiceArticle/fs/en The Department of Health
are in the process of updating the guidance
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Thank you for your time Sue Holmes (nee
Hann) Telephone [phone] (Mobile) Email
sue.hann_at_it4you.freeserve.co.uk