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In the accident and emergency department

Understanding personal preferences and needs in the accident and emergency department: The Glasgow 80

The aim of Realistic Medicine is to improve patient care; ensuring that people receive appropriate and beneficial care that is evidence-based and in tune with their personal preferences. In July 2019, the Scottish Government made up to £200K available to help NHS Boards progress Value Based Healthcare Improvement projects in 2019/ 2020.

After review, the Scottish Government funded 10 bids of up to £70k each to undertake pilot projects across Scotland. NHS Greater Glasgow and Clyde were awarded funding to undertake an innovative programme of work in the Accident and Emergency setting in Glasgow Royal Infirmary.

The aim of this programme is to work with ‘frequent attenders’ to GRI A&E. A Liaison nurse will be employed for 18 months to support this group. The specific role of this Liaison Nurse will be to take time with the patient, in attempt to understand their personal preferences and needs. Shared decision making about future interactions with health and social care services will be the focus of this service; providing an equal partnership between that individual patient and service provider. We will work with GP practices and established third sector services. If available, we will work with the Link Workers who provide services in Deep End GP practices, which service much of the GRI catchment area. We will also support anticipatory care planning as appropriate and learn from pre-existing programmes of work across NHS Scotland. We will co-produce all aspects of the design and implementation of this innovation with service users.

For more information about this project, please contact: [email protected]