STRUCTURE: Sheffield CCG is to review the way urgent care services are run and structured across the city amid concerns that the current system is struggling with high levels of demand.

Patients also have problems navigating the current system, the CCG believes.

The CCG wants urgent care services to be more accessible and convenient, cost effective and better equipped to meet fluctuations in demand.

Clinical director Zak Murray said in governing body meeting papers: “Our urgent care system increasingly struggles to meet demand and deliver clinically effective and safe services, which provide the best patient experience. Current estimates based on local audits for Sheffield suggest that around 11 per cent of adults and 40 per cent of children presenting to urgent care services could be effectively managed in general practice.”

Dr StJohn Livesey, GP Clinical Lead for Urgent Care at Sheffield CCG told HSJ: “Along with the rest of the country, Sheffield has seen an unprecedented demand and pressure on urgent care services during the recent winter months. In order to make sure that future urgent care services deliver the best possible care for patients, and are sustainable going forward, the CCG has proposed a citywide urgent care services review.

“The review will assure the CCG that urgent care services are resilient and meet the needs of local people, particularly if faced with this type of pressure again. Most importantly the review will look at improving patient experience, and in particular supporting the Sheffield healthcare system to deliver the 95 per cent pledge for patients to be seen within four hours at A&E, leading to changes that will help achieve this. In undertaking this review we will engage with and listen to Sheffield patients, our clinicians and the public, as we know this is critically important to ensure that future services work better for local people.”