Whipps Cross Waltham Forest Walk In Centre

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Whipps Cross Waltham ForestWalk In Centre

• Portia Omo-Bare
• Deputy Director Primary Care

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Whipps Cross Walk In CentreBackground

• Joint venture between Waltham Forest PCT, Whipps
  Cross University hospital and Waltham Forest
  Doctors on Call.
• Part of an integrated primary care access service
  offering care 24 hours a day
• Sited next door to AE

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Whipps Cross Walk In Centre

• Provide increased access advice and treatment
• Support primary care access targets
• Encourage unregistered patients to register with
  a GP
• Relieve pressure on AE and support 4 hr target

• Support integration of OOH services
• Provide services in an accessible venue
• Increase choice
• Improve patient pathways
• Establish the centre as a centre for excellence
  for education and skill
• mix

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Whipps Cross Walk In Centre

• 3 Phases
• Phase 1 included the development of 3 consulting
  rooms and refurbishment of the existing GP centre
• Phase 2 included the building of 12 consulting
  rooms, clinical treatment rooms and office
  accommodation
• Phase 3 includes extension of the reception and
  waiting area and a corridor link to AE
• to allow single integrated access to work

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AE/WiC Single Access Patient Flows

• Current Patient Groups
• AE walk in
• WiC walk in
• PELC GP Expected
• GP referrals/AE accepted patients
• AE Follow ups
• Others minimal advice/form certification etc.

• Patient groups will be clinically streamed
• AE Majors
• AE Minors
• WiC Dr
• WiC Nurse
• GP Expected
• Paediatric AE
• Other advice (local pharmacy etc)

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Draft 21/11/05
AE/WiC Single Access Patient Flows (Excluding
Paediatrics)
Single access (all patients on foot)
Meet and Greet- Redirection and request to take a
ticket and wait for assessment. Expected GP
patients requested to register.
Eye Ball assessment (all patients) In ticket
order. Patients streamed AE Majors AE
Minors WIC Dr WIC Nurse Other advice (local
pharmacy etc)
AE Majors- Patients sent directly to AE Majors
and registered in AE
AE Minors Assessment(2 triage rooms)
Reception for booking in to either Adastra or
Footman Walker dependant on stream by any
receptionist. Patients return to waiting area.
Other advice patients exit WIC with information
regarding next steps.
AE Minors Treatment
WIC Nurse Treatment
WIC Dr Treatment
Discharge Referral to AE Majors Admission
Discharge Referral to AE Minors Referral to AE
Majors
Discharge Refer To WIC Dr
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Walk In centre Next Steps

• Integration has been agreed in principle
• Next Steps, development of
• Clinical Operational Policy
• Overall Operational Policy
• Management Structures
• Workforce Structures
• Governance arrangements etc
• Set to go live April 2006!