Unplanned Admissions - What you need to do....

Important - Patients must be placed on the Unplanned Admissions Register by 31st July 2014.

Step 1 - Download the Unplanned Admissions Outcome Manager.

Step 2 - Run the Admission Risk Stratification and Register Manager report to identify the over 18 register.

Step 3 - Process patients through the QAdmission calculator to record the QAdmissions risk score.

Step 4 - Review the Admission Risk Stratification and Register Manager to view the QAdmission scores and identify the 2%.

Step 5 - Add patients to the Admission Avoidance Register by creating a Personalised Care Plan Manager Register (2% target):

Clinical term - 67DJ Informing patients of named GP (mandatory for reporting)
Send the invite letter
Clinical term - 9NS5 Personal Care Plan Offered (optional)
Clinical term - 8CV4 Admission avoidance care started (mandatory for reporting)

Important - Personalised care plans should be in place for all patients initially added to the register by the end of September 2014.

Step 1 - For each patient record and complete Personalised Care Plan Manager template:

Clinical term - 8CSB Admission avoidance care plan agreed (mandatory for reporting)

Step 2 - Print a Personalised Care Plan that both the GP and the patient sign.

In Addition you must:

Offer a bypass number for care providers to discuss patients requiring a potential hospital admission
Offer same day telephone access to patients on the case register with an urgent medical problem.
Make contact with patients on the Personalised Care Plan Manager register within 3 days following the receipt of a discharge notification for A&E & non-elective admissions.
Regularly review emergency admissions and A&E attendances of patients from care and nursing homes.
Undertake monthly reviews of all unplanned admissions and readmissions and A&E attendances of patients on the Personalised Care Plan Manager register. Clinical term - 8CMG3 Review of admission avoidance care plan.
Carry out a review of the Personalised Care Plan Manager every three months. Clinical term - 8CMG3 Review of admission avoidance care plan.

Important - Review your 2% Personalised Care Plan Register on the 1st Day of a New Quarter.

Review Practice population (over 18 year olds) to maintain 2%. Review numbers already on the Personalised Care Plan Manager list and identify new patients if fallen below 2%.

Important - Submit reporting templates On the 31st October 2014, 31st January 2015 and 30 April 2015.

Submit reporting templates to the Integrated Care Board (ICB) for each quarters activity

Note - This guide does not include the declined/refusal Clinical terms.

For further guidance on all aspects of the Unplanned Admissions DES and timeframes refer to the following Quick Reference Guides: