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We need your views on our proposals

If this overall model of care was adopted, we’d have to think about the resources we have available. National guidance requires us to open the Urgent Treatment Centre for a minimum of 12 hours, but we’d like to extend this to 15 hours or 24 hours a day to provide more access for patients.

Extending the opening hours of the Urgent Treatment Centre would impact on how long we can provide the urgent care service for children and a dressings and wound care service each day.

We want your views on this.

This is what it would look like:

Option 1

  • A&E - 24 Hours

  • Urgent Treatment Centre – 24 hours at the Arrowe Park site. Walk-in and bookable appointments. Led by GPs with a team of healthcare professionals. Access to X-Ray. Access to A&E Consultant/Service

  • Community: In your local area, there will be urgent bookable appointments via NHS 111/your GP:
    - GP or nurse appointments within 24 hours (8am-8pm)
    -Access to same day urgent care for children (0-19yrs) – available up to 8 hours a day (walk in also available)

  • Access to dressings and wound care – available up to 8 hours per day.

Option 2

  • A&E - 24 Hours

  • Urgent Treatment Centre – 15 hours at the Arrowe Park site. Walk-in and bookable appointments. Led by GPs with a team of healthcare professionals. Access to X-Ray. Access to A&E Consultant/Service

  • Community: In your local area, there will be urgent bookable appointments via NHS 111/your GP:
    - GP or nurse appointments within 24 hours (8am-8pm)
    -Access to same day urgent care for children (0-19yrs) – available up to 12 hours a day (walk in also available)

  • Access to dressings and wound care – available up to 12 hours per day.

Both options would be supported by:

  • Improved NHS 111 service (telephone and online) with assessments by doctors and nurses, including ability to prescribe
  • Local Pharmacists
  • More promotion of self-care – ‘helping you to look after yourself’

What are the pros and cons of each option?

Option 1: 24 hour opening of the Urgent Treatment Centre

Having the UTC open for 24 hours would mean that patients can be either seen and treated at the UTC or transferred to A&E for the treatment they need. This would mean:

  • A clear and consistent offer for patients, 24 hours a day, 7 days a week
  • Bookable appointments at the UTC via NHS 111 or your GP if required
  • Most patients seen within two hours
  • Access to X-ray, MRI, CT scanning and tests
  • Reduced pressure on A&E.

Urgent GP appointments will be available in your local area 8am-8pm each day, in addition to appointments in your practices.

In your local area, available for up to 8 hours each day:

  • Urgent care services for children (walk-in and bookable)
  • Dressings and wound care (bookable)

Option 2: 15 hour opening of the Urgent Treatment Centre

15 hour opening of the UTC ensures that it is open during the busiest times, but it would mean:

  • If you attend A&E when the UTC is shut, and the doctor or nurse feels your situation is not serious, you may be referred to another service e.g. an appointment in your local area the following day
  • People attending the Arrowe Park site at night would still go to A&E and may have an overnight stay
  • MIt would be harder for us to reduce the pressure on A&E, meaning longer waiting times, especially when the UTC is shut
  • People may still be confused about opening hours.

Urgent GP appointments will be available in your local area 8am-8pm each day, in addition to appointments in your practices.

In your local area, available for up to 12 hours each day:

  • Urgent care services for children (walk-in and bookable)
  • Dressings and wound care (bookable)

What we’re asking in this consultation

We would like your views on the following:

  1. How long do you think the new Urgent Treatment Centre should be open (24 hours or 15 hours)?

    National guidance requires us to open the Urgent Treatment Centre for a minimum of 12 hours, but we’d like to extend this to 15 hours or 24 hours a day.

  2. What do you think about having an urgent appointment which you can book, instead of a walk-in option?

    Bookable appointments mean you won’t have to wait for an unspecified amount of time, and you can fit your appointment around your day. The Urgent Treatment Centre will provide a walk-in facility as well as bookable appointments. Everybody that needs urgent care will still get it.

  3. What do you think of a local walk-in option for children with symptoms such as a temperature, in addition to bookable urgent appointments?

    Aimed at children between 0-19 years with minor injuries and ailments, including high temperature, vomiting, diarrhoea, small cuts and bruises, coughs/ colds, sprains and strains.

  4. What is important to you when thinking about where the Children’s Urgent Care and Dressings (wound care) service should be located?

    We want to hear your views on things like parking, convenience and accessibility to help us decide on the best locations for these services.

  5. Do you think that the model we are proposing improves on what we have now?

    We want to create a model of care that is easy to understand, that gives you more options closer to home, and that meets your changing healthcare needs. Better urgent care services can also help reduce pressure on Wirral’s only A&E.

We also welcome any other comments on our proposals.

Things you need to know...

  • Services are being redesigned with clinicians to:
    • Improve patient safety and experience
    • Get you the treatment you need when you need it
    • Give the people of Wirral the best value for money
  • Our proposals aim to offer simpler options closer to home, including urgent bookable appointments within 24 hours, a specific urgent care service for children, a dressings (wound care) service and an Urgent Treatment Centre on the Arrowe Park site.
  • Arrowe Park’s A&E is not closing, and is not part of this consultation
  • We want to deliver more local services based on your needs, ensuring you receive the care, support and treatment that matters to you