consistent care for those Conditions Evaluation to be patients with urgent care Nurse undertaken and further needs. work planning to be mapped. To share capacity between practices within the cluster to support the development of services, improving patient experience, coordination of care and effective risk management, and in addition, as a mechanism to winter preparedness and emergency planning. Year 2 To continue to evaluate findings and outcomes of employing a multidisciplinary team Year 3 Consider extension of employment, if extended, continue to build on good work 3 To coordinate care and the To ensure anticipatory care GP March 2018 Improved patient experience, Practices are continuing to effectiveness of risk plans are written, shared and Practices / coordination and quality of care. participate in the management through the available at patients homes Health Smooth transition of care. anticipatory care project. anticipatory care project. to assist urgent care needs Board / Since the referral age now and emergency planning Local has no limit, practices and when necessary. Authority / the community hub will look WAST to identify any further patients.
consistent care for those patients with urgent care needs. To share capacity between practices within the cluster to support the development of services, improving patient experience, coordination of care and effective risk management, and in addition, as a mechanism to winter preparedness and emergency planning. Conditions Nurse Evaluation to be undertaken and further work planning to be mapped. Year 2 To continue to evaluate findings and outcomes of employing a multidisciplinary team Year 3 Consider extension of employment, if extended, continue to build on good work 3 To coordinate care and the effectiveness of risk management through the anticipatory care project. To ensure anticipatory care plans are written, shared and available at patients homes to assist urgent care needs and emergency planning when necessary. GP Practices / Health Board / Local Authority / WAST March 2018 Improved patient experience, coordination and quality of care. Smooth transition of care. Practices are continuing to participate in the anticipatory care project. Since the referral age now has no limit, practices and the community hub will look to identify any further patients.