Out of hours service for children in South Wiltshire

An out of hours GP service for children aged 0-10 years in Salisbury and South Wiltshire means parents can now book a same day appointment to see a GP at the Salisbury Walk In Health Centre.

This extended service will provide out of hours GP health advice and treatment for minor illnesses and injuries from Monday to Friday between 6.30pm-10pm, and will provide parents with a local alternative to A&E when their child is ill.

Dr Chet Sheth, spokesperson for Wiltshire Clinical Commissioning Group and GP at Three Chequers Medical Practice comments:
“We understand how worrying it is for parents to have a sick child, even more so when local GP surgeries are closed. Often the default for parents is to take their poorly child to A&E. This isn’t always the best place for them and quite often it’s local community health advice and treatment that is needed. “This new out of hours service is designed to reduce some of the pressure seen at A&E over the winter months and to provide parents with accessible, local, health advice and treatment for their child.”

Parents should ring 111 to access the service. If necessary, the call handler will then advise parents to contact the Salisbury Walk In Health Centre to make a same day appointment.

The Salisbury Walk in Centre can be found at Avon Approach, Salisbury, Wiltshire SP1 3SL. 

Patients have a responsibility to be ‘fit, willing and able’

Wiltshire patients are being encouraged to be ‘fit, willing and able’ this winter to ensure planned outpatient clinics and operations run as smoothly as possible over the traditionally pressured winter period.

Wiltshire Clinical Commissioning Group (CCG) is working with GPs and hospital clinicians across Bath and North East Somerset, Swindon and Wiltshire to help guide patients through their treatment pathways and in turn reduce the number of instances where patients do not turn up for their appointments, or decline required appointments, or dates for planned operations.

The CCG is also concerned about the increasing number of patients who are referred for cancer investigations who are declining, or choosing to postpone their appointments and assessments.

Dr Christine Blanshard, Medical Director for Salisbury Hospital  explains:
“We are asking patients to help us by helping themselves and ensuring they are fit, willing and able this winter, so that we can continue to deliver a high quality service. “When patients are not at their optimum health, do not attend their appointments, or decline the dates that we offer it wastes the time of our ever-stretched doctors and nurses. It’s important that our patients who are referred understand the requirements of them.   “During 2016/17, 23,493 outpatient appointments were missed across Salisbury Foundation Trust, Royal United Hospital in Bath and Great Western Hospital in Swindon. Between April – June 2017, 5,835 patients failed to turn up to, or declined appointments and planned surgery dates, suggesting a similar trend to the previous year.”
Dr Andy Hall from The Orchard Partnership in Fovant explains:
“With people living longer and with more complex conditions such as cancer, patient referrals for specialist health care are at an all-time high. “When referred patients do not to turn up to their appointments, or decide to postpone their outpatient appointment, or surgery it can have a detrimental effect on their current and future health – and that is our primary concern. “We recently clinically reviewed the number of patients who had been referred to hospital for potential cancer investigations who had chosen to delay their appointment. We were very worried by the high numbers and want to ensure patients understand the importance of attending.”

Wiltshire CCG has worked with clinicians to develop the ‘fit, willing and able’ campaign to help patients understand the importance of attending their appointments, particularly for patients who are referred with symptoms that could indicate cancer.

The campaign focuses on ensuring patients are:

Fit – aware of their planned treatment and are in their best health to get the maximum benefit from it. This can include maintaining a healthy weight and stopping smoking.

Willing – clear about what their treatment entails and are willing to sign up to it at the outset

Able – committed to attending future appointments and understand that this may require flexibility on their part

Dr Richard Sandford-Hill, Clinical Chair for Wiltshire CCG, explains:
“As we enter the winter period, which is notoriously challenging for the NHS nationwide, we want to help patients to have the best experience with their specialist care; at the same time as ensuring we are using our resources as efficiently as possible. “Our fit, willing and able campaign aims to ensure referred patients can and do attend their planned appointments. By helping patients to be fit for treatment, clarifying their willingness to have surgery early in the process and by being able to attend their appointments we can deliver a smooth service and help to minimise the impact of winter pressures.”

Increased emergency admittances to hospital over the winter have a knock-on effect to those patients who have been referred and have pre-planned appointments.

For more information, please visit www.wiltshireccg.nhs.uk