Provision of ED Primary Care Stream (GP Onsite Services)

Provision of an ED (Emergency Dept) Primary Care Streaming service on behalf of University Hospitals Birmingham NHS Foundation Trust (UHB) under the Provider Selection Regime (PSR) Competitive Process.

A significant proportion of self-attending patients present to the Emergency Departments (ED) at UHB with conditions that are able to manage within primary care. Whilst measures are in place to re-direct many of these patients back into primary care are in action, there is always likely to be the need for provision of primary care services.

The successful provider will:

• see patients after initial nurse navigation into the primary care stream, working alongside the ED team to see the right patient, in the right place, first time.

• have access to bedside and point of care testing as per national UTC specification, including Blood glucose testing, urine dip, pregnancy testing, ECG, venous blood gas testing which includes Haemoglobin, lactate and electrolytes. Where same day radiology imaging is felt to be required, access to plain film imaging is available, any other modality would be via discussion with the ED consultant.

• review patients across the full age spectrum.

• not be expected to see patients presenting with an injury.

• be able to refer as per in the primary care to any receiving specialty using standard referral into Trust processes.

• deal with any patient complaints or reported incidents in the first instance with the ED ‘consultant of the day’ maintaining ownership of any significant incidents etc.

The staffing model of the successful provider can consist of a combination of doctors and Advanced Nurse Practitioners (ANP), but as a minimum should include one doctor (GP) on site at any one time.

The contract shall be for a period of 2 years with an option to extend for a further 2 x 12 month periods.

The contract shall be awarded by hospital site as individual lots as follows:

Lot 1 Queen Elizabeth Hospital Lot 2 Birmingham Heartlands Hospital Lot 3 Good Hope Hospital

Bidders may submit for one or more lots