Mansfield ACUTE Home Visiting Service

NEMS have been commissioned to provide ANP response to acute visit requests during the hours of 9am – 5pm from 1st November 2017 until 31st March 2018for Mansfield as part of the New Model of Care Vanguard Project.

The purpose of the AHVS service trial is to help practice teams effectively manage their patients who have an acute medical need in primary care setting, thus avoiding unnecessary or minimal use of secondary care emergency services.

The service is for same day, urgent acute visits – not for follow ups, routine or non-urgent requests

GPs will triage Home Visit requests by 10.00am wherever possible and can refer to the Acute Home Visiting Service (AHVS) for those patients who:

•Require an urgent visit which, if delayed would result in an emergency admission

•Require an urgent visit with a high probability of onward referral to secondary care

Exclusions Criteria

The service is not for routine home visits which can safely wait for a GP visit in the early afternoon.

Patients experiencing the following are also excluded from this service:

•Outside the Area covered by AHVS

•Patients with acute mental health issues

•Patients who require an emergency response of 999

•Patients requiring obstetric management

•Paediatrics under the age of 18 years of age

•Known violent patients

•Where the environment would be deemed as unsafe

•Patients who following GP’s telephone assessment do not require an urgent visit.

•Out-of-hours requests

•Visits for patients with a life threatening illness unless known to be end of life and have appropriate plans already in place

•Routine home visiting for reasons such as medication reviews, long term condition reviews, anything that a patient would be given a routine appointment in surgery for if they were able to get there

Referral Procedure:

  • Practices will continue to receive the visit requests from patients / carers / care homes.
  • The visit requests will be triaged at the practice as early as possible in the day.
  • If it is felt the visit request is suitable for the NEMS ANP as per the inclusion criteria, the practice will telephone

0115 846 2378

  • Please provide as much detail as possible re: the condition of the patient – not enough to say “sleepy” or “poor appetite”.
  • NEMS will ring the practice back within 30 minutes of receiving the referral if they are NOT able to carry out the visit.
  • Please provide the practice’s bypass number for the ANP to be able to communicate back to the practice / GP if necessary.
  • If the visiting ANP has any queries regarding the patient, the GP will be contacted immediately for discussion / advice.
  • As NEMS are not on mobile SystmOne working, they will feedback the results of the visit via the Adastra system in the same way you receive notification of out of hours visits.

It is estimated the full time ANP should be able to go to @ 10 visits per day. Please bear in mind this limit on capacity and try to get referrals in to the service as early as possible in the day so that visits can be booked in early & arranged most efficiently around urgency, geography, etc.