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COVID-19: not to be sniffed at








































          P   andemic on the line
          Pandemic on the line






          As Boris Johnson briefed a nervous public on the spread of COVID-19,
          JO ELSEY was working with one of the UK’s NHS 111 service providers


               UST how big a change did the arrival of          services. The same software is used in NHS 111,
               COVID-19 make to Britain’s IT needs? In the      999, Integrated Urgent Care Clinical Assessment
          Jhealth sector, it was vast. At its peak, the         Services, NHS 111 Online, and at the reception
          volume of calls to Practice Plus Group increased by   point in urgent care and emergency departments.
          400 per cent.
                                                                The system is delivered by NHS Digital. All
          Practice Plus Group recruited more than 600 new       members of the clinical authoring team are
          and temporary staff who, after careful selection,     registered, licensed practitioners. NHS Pathways
          went through a rigorous training programme.           takes a symptom-based approach, rather than a
          Support functions were redeployed. More than 240      diagnostic one.
          staff were moved to home working.

                                                                      iveryman Jo Elsey was Head of Quality
          Signs of COVID-19 first appeared in the UK at               Governance for Primary Care Services at
          the start of January 2020. The virus was unlike        LPractice Plus Group during this difficult
          the flu pandemics planned for; it was not local,        time. Practice Plus Group is England's largest
          predictable or with a defined end. It was a             independent provider of NHS services,
          challenge to know where and when the pandemic           including the provision of 111 services. During
          would hit, and what each local NHS-system               the height of the pandemic, call centres dealt
          response would be.                                      with more than 800,000 111 calls. Safeguarding
                                                                  referrals (judged on the statutory criteria for
          NHS Pathways proved crucial to this reaction. It        adults and children at risk) increased by 80 per
          is a clinical tool used for assessing, triaging and     cent for the quarter.
          directing the public to urgent and emergency care
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