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Integrated Urgent Health Care

A key project focus of the Integrated Urgent Health Care Board is same-day access to primary care.

Same-day access to primary care

What are we trying to do?

Engage with primary care to create a shared understanding of the current state of timeliness of access to appointments

Encourage and support general practices wishing to consider alternative approaches to appointment scheduling, acute streaming and provision of same-day care that contributes to the achievement of the NHSP Headline Target: Every Northlander with urgent health needs has same-day access to primary care. 

Why is this important for community and patients?

Patients who consider they have an urgent health need want timely access to primary care, preferably with their own GP.

Early interventions to address acute needs improve outcomes for patients and their whanau.

Inability to get a same-day GP appointment has been identified as an unmet need by participants in the NZ Health Survey and as a reason for attending an Emergency Department by ED survey participants.  Availability of GP appointments is not something that is routinely measured and there are varying perceptions of the extent of the issue

Progress to date

Key stakeholders have been identified and a project steering group, including clinical leadership, established.

A joint NDHB and PHO research proposal is currently under development with support from Auckland University.  Access to primary care can be measured at many different interfaces and the focus of this research is the availability of same-day GP appointments.

The research findings will sit alongside analysis of Accident and Medical and ED utilisation, and ASH and acute hospitalisations data reported at general practice enrolled population level.  The process for collation of these ‘general practice information reports’ is currently being finalised.

The research will be framed as a knowledge translation project to support GPs to consider the impact of the various models of general practice appointment scheduling and acute streaming for their patients, and for themselves and their business.

What key approaches will we take?  What themes will we concentrate on?

Evidence-informed approach.

Knowledge translation.

Reducing inequities.

Improving patient and GP satisfaction.

Scope of general practice.

Specific actions in 2015/16 to deliver improved performance

·      Undertaking of joint research proposal.

·      Collation and dissemination of general practice information reports.

·      Delivery of knowledge transfer opportunities.

Measuring and monitoring performance

Project milestones are being monitored to measure progress towards the development and completion of the research project, general practice information reports and knowledge translation opportunities.

Longer term this project will contribute to:

Is anyone better off?

An increase in the availability of same-day GP appointments.

A reduction in the number of patients reporting use of ED because they could not get a same-day general practice appointment.



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