PERFORMANCE: Hardwick Clinical Commissioning Group is examining the future of a scheme which allows patients with acute problems to be visited during daytime by a nurse within two hours of a call to a GP surgery.

The one year pilot scheme – which ends this month – is run by social enterprise Derbyshire Health United, which sends out a nurse to see a patient in their home after having details passed on by  a GP surgery. The aim is to reduce pressure on 999 services and emergency departments.

But Hardwick CCG governing body papers state that there have been “inconsistent referral rates” among GPs and that some patients had refused the service.

A report to the governing body says: “Mixed views have been received from practices and issues were raised about equity with regard the cost division by practice.”

Options proposed for improving the service include basing a car in the north and the south of the locality, and increasing nurse staffing levels to satisfy peak demands in the afternoon.