Representatives of One Medicare, Dr Jenkins
and Mr Elwood gave a presentation to the Board as the providers of
the Urgent Care Centre at the Royal Berkshire Bracknell Healthspace
and made the following points:
- In terms of their background, One
Medicare was now entering their tenth year in practice. They were
based in Leeds and had centres across Yorkshire, Lincolnshire as
well as an office in London and now the Urgent Care Centre (UCC) in
Bracknell Forest. Their role included build, design and managing
GP’s in good quality community premises. They were an
experienced team clinically and operationally. One of their core
values as an organisation was to put patients first, this was
- The Bracknell Forest UCC would be a
place for people with acute need for medical help but who did not
need emergency care. The UCC would cover illness and injury; this
would include fractures and dislocations. X-rays could also be
undertaken at the UCC. The UCC would be able to deal with most
sports and playground injuries. The UCC would not be able to treat
critically ill patients, major trauma, and fractures to long bones
- The UCC would be run in accordance
with the requirements of local commissioners. One Medicare was keen
to fulfil the needs of the local community. It would be open 8-8pm
every day of the year. There would be a paediatric clinic which
would run after school and bookable appointments would be available
for this. One of the GPs at the UCC had a strong paediatric
background and would be available to see children under
- GPs would be on site throughout the
opening times of the UCC as well as an emergency nurse
practitioner. GPs would be able to refer to the UCC and so too
would the NHS 111 line.
- The UCC would keep people in the
community and would look and feel like primary care, this was
deliberate. Local GPs would have knowledge of their patient’s
attendance within four hours, electronically. There was recognition
that it was important that the UCC did not interfere with the
relationship between the GP and patient.
- There would be a Patient Education
Centre, advocating ‘talk before you walk’. Given that
people were living longer, self care was critical. One Medicare had
already had discussions with the Public Health team around smoking
cessation and healthy eating and joint work in these areas.
- One Medicare would work closely with
A&E, Clinical Commissioning Groups, the South Central Ambulance
Service and the 111 NHS line.
- One Medicare would encourage patient
and community feedback and would present feedback in a transparent
way on notice boards and on their website for all to see. Further
an action plan would be created based on feedback.
In response to Board members’ queries,
representatives from One Medicare made the following points:
- The target for waiting times at the
UCC would be 30 minutes.
- One Medicare had also presented to
the Bracknell and Ascot Clinical Commissioning Group as well as
Public and Participation Groups.
- The UCC would adopt local
safeguarding policy and act in accordance with locally agreed
protocols for adults and children.
- It would be key to communicate an
integrated message to the public around when to go to A&E or
the UCC. They would work with Public Health and other local
partners to ensure a consistent message was achieved.
- If the UCC experienced frequent
attenders, these people would be considered further and a care plan
developed where appropriate.
- The UCC would be able to access
patient information and would be subject to the Caldecott Guardian
principles. They recognised that the more patient information that
they were able to access, the safer the experience would be for the
- It would not be necessary to
register to attend the UCC, the UCC would support those patients
that were not registered anywhere in the NHS. These patients often
had chaotic lifestyles and were hard to reach and suffered
inequalities in the health system.
- It was confirmed that if patients
arrived at A&E and could be referred back to the UCC, this
would happen. There would be a round robin to gauge capacity of all
health providers locally. They would also work with the Ambulance
teams to ensure patients were brought to the UCC and not A&E
The Board welcomed the strong emphasis of
The Director of Adult Services, Health &
Housing stated that it would be key to work closely with One
Medicare on a jointly commissioned service for older people and for
the UCC to be able to refer patients in and out of the
Council’s social care services.
The Chairman thanked Dr Jenkins and Mr Elwood
for their presentation and stated that he looked forward to seeing
the UCC up and running.