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People with long term conditions can sometimes become unwell and need urgent or emergency care and treatment to get well again. For what are called urgent care sensitive conditions an effective and efficient urgent and emergency care service should prevent the need for admission and treat people with the right care, in the right place, first time.

By monitoring these conditions, we can see how effectively services are managing demands and focus on how well avoidable admissions for acute episodes are achieved.

Urgent care sensitive conditions, extends the concept of ambulatory care sensitive conditions and focuses on avoidable admissions for acute episodes of “urgent care sensitive conditions”. In this way urgent and emergency care services can monitor how effectively the services are managing demand for care for urgent conditions without admitting the patient to a hospital bed.

Urgent care sensitive conditions extends the chronic ambulatory conditions and includes:

COPD; acute mental health crisis; non-specific chest pain; falls (patients aged 74 years or over); non-specific abdominal pain; deep vein thrombosis; cellulitis; pyrexial child (patients aged 6 years or under); blocked tubes, catheters and feeding tubes; hypoglycaemia; urinary tract infection; angina; epileptic fit and minor head injuries.

There are large inequalities in the rate of emergency admissions for urgent care sensitive conditions when comparting the most deprived to the least deprived areas nationally, with people from the most deprived being twice as likely to be admitted to hospital. Locally, inequalities persist and these should be minimised for the benefit of patients, with the rate of emergency admissions for urgent care sensitive conditions in more as well as less deprived areas reducing overtime.

How are we doing (our urgent and emergency care focus)

A well performing, an urgent and emergency care system should prevent the need for an admission for both ambulatory care sensitive conditions and for urgent care sensitive conditions.

Our CCG shows the greatest need for improvement.

What we have achieved in 2016/17

Our plans for supporting those with long-term conditions over the next two years with their urgent and emergency care needs

Across West Yorkshire the urgent and emergency care vanguard and accelerator site has resulted in the formation of a region wide approach, with the vanguard programme expecting to see changes over the next two years. To support this West Yorkshire wide programme in our CCG over the next two years we will aim to (please not that this is nott an exhaustive list):

Our urgent & emergency care commissioning plans for the next five years

The programme is concerned with transforming services in community and there are other transformation programmes that link to the metrics related to long term conditions such as the Urgent & Emergency Care Board, Bradford Beating Diabetes and Bradford Breathing Better. You can find out about these other programmes here