Salisbury Foundation Trust


Internal Reference Number: FOI_5468

Date Request Received: 07/01/2020 09:57:19

Date Request Replied To: 03/02/2020 11:45:43

This response was sent via: By Email

Request Summary: A&E High attendence deflectors

Request Category: Health

Question Number 1:
Which programmes or services (either internally developed or commissioned) to tackle high attendance rates at A&E do you possess and are in operation? e.g. To identify and address High Intensity Users (HIUs) at A&E, redirection to other services such as Minor Injury Units, etc.
Answer To Question 1:
CCG commissioned service introduced Nov/Dec 2019. No cost to SDH bar time to complete referral.
Prior to that no real formal process bar internal group meetings as part of CQUIN and interface meetings with ED/Ambulance Service
Question Number 2:
How effective have they been for the Trust?
Answer To Question 2:
Pre end of last year - some good progress made with some high impact users especially those with mental health issues and chronic pain issues
With new process to early to say as only just commissioned - top 50 identified and as and when they attend will be offered referral to HIU service
Question Number 3:
The cost (how much) of the programme or service to the Trust, per year
I wish for this information to be for the date ranges; April 2018 – March 2019, and, April 2019 – present day
Answer To Question 3:
Both are minimal cost to Trust - mainly focussed on staff time which ranges from Nursing right through to Consultant time. No external agencies have been contracted and new service is pan Wiltshire CCG commissioned.
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

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