Experiences of Urgent Medical Care in Shropshire

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Summary of report content

Since July 2020, NHS England and NHS Improvement (NHSEI) has been piloting an NHS First service to encourage patients to call NHS 111 for an assessment of how urgent their condition is (triage) before attending accident and emergency (A&E) services. Healthwatch Shropshire wanted to gather the views and experiences from people who have used NHS 111 to understand how they were helped to access services.

During March and April 2021, 70 people answered a survey and described experiences of seeking urgent medical care after 1 December 2020.

59% of respondents said they contacted NHS 111 first when they had an urgent medical need

The proportion of people who contacted NHS 111 first varied across Shropshire, ranging from 29% in the South West to 71% in the North

Fifteen of the people who contacted NHS 111 First (36%) were booked into appointments with other services:

  • 13 of these described the process of booking an appointment as very good (11) or good (2).
  • 14 of these said they would use the system again of contacting NHS 111 first if a booked appointment could be made for them.
  • All agreed that using NHS 111 was straight forward.
  • 57% of people were seen more quickly than they expected.

Ten out of the 11 carers who contacted NHS 111 about the person they care for were able to discuss the patient’s needs with the NHS 111 health advisor.

69% of all patients who contacted NHS 111 rated their experience as very good or good.

Overall, 24 (35%) of people told us they were aware that 111 could book same day appointments with services, 38 (55%) were not aware and 7 (10%) were unsure. There was less awareness as age increased.

Overall, 49 (71%) of people were ‘very likely’ or ‘somewhat likely’ to contact NHS 111 the next time they were seeking urgent medical care. The groups that were least likely were those who had contacted their GP, where this figure fell to 36% and those who had gone straight to A&E where the figure was 50%. The figure for those who had experience of contacting NHS 111 was 78%.

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General details

Local Healthwatch
Healthwatch Shropshire
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Booking appointments
Communication with patients; treatment explanation; verbal advice
Remote appointments and digital services
Written information, guidance and publicity
Integration of services and communication between professionals
Service organisation, delivery, change and closure
Staffing - levels and training
Waiting for appointments or treatment; waiting lists for treatment

Methodology and approach

Primary research method used
Survey

Details of health and care services included in the report

Details of health and care services included in the report
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres
NHS 111
Emergency department (inc A&E)

Details of people who shared their views

Number of people who shared their views
70
Age group
18 to 24 years
25 to 49 years
65 to 79 years
80+ years
Gender
Women
Men
Non-binary people
Prefer not to say
Sexual orientation
Bisexual
Heterosexual / Straight
Gay men
Lesbians / Gay women
Other
Prefer not to say
Does this report feature carers?
Yes
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