We are currently in the process of upgrading our website. During the next few days parts of the website may not function correctly.
Please be patient during these changes. Any problems are likely to be temporary so please check back again soon if you encounter a problem.
The new website should be easier to navigate, and we will be able to keep it more up to date to keep you informed about your local out of hours healthcare provision.
Since 1st April 2006, Nottingham OOH midwives have been taking calls directly from patients and alerting NEMS when they go out on a call. At specified times, NEMS checks on the safety of the midwife and raise the alarm if the midwife is in danger or cannot be contacted.
On 1st April 2006, the current Emergency Patient Allocation Service
(Provided by EMAS) ended and was replaced by a new and different service - the Clinical Navigator, provided by Nottingham Emergency Medical Services (NEMS).
The NEMS Clinical Navigator service is specifically for GPs and other primary care health professionals seeking urgent hospital based assessment or admission for adult patients with general medical and general surgical conditions only.
However, the navigator service will also be offering a range of alternatives to same-day hospital assessment or admission where clinically safe. Initially, these will be:
? Telephone advice from a medical or surgical hospital consultant
? Access to same day or next day urgent assessment appointments ( medical/ surgical)
? Access to selected same day or next day urgent diagnostics appointments (with reporting)
As the navigator service will be provided by and for primary care, we believe it has considerable potential to expand and develop, to include other patient groups and more alternatives to hospital-based care. Therefore, we will be working with you to explore service development options, looking for ways of delivering better patient care, in a primary care setting. For example, there may be opportunities for shifting some diagnostic testing or assessment work from hospital to the treatment centre at NEMS and the development of a ?directory enquiries service? around existing referral pathways to a wide range of services.
A planned early development will be the facilitation and organization of alternatives to hospital bed-based care, including intermediate care, community matrons, social support at home and care homes. This will be done by the NEMS navigator nurse.
Where urgent hospital based care is needed, the Clinical Navigator staff will contact the Hospital Capacity Manager, who has an overview of capacity across the combined QMC and City Hospital sites. As the two hospitals are now in effect one organization on two sites, our understanding is that there will be less emphasis placed on the patient?s ?previous attendance? as a determiner of allocation.
Since 1st April 2006 NEMS call handlers have been providing this service, talking to patients and relaying messages to the OOH district nurses. As the district nurses are housed in the NEMS building during the evening and overnight, we believe that we can provide a more responsive service to patients than previously.
We are currently developing exciting opportunities within primary care and have both part and full time positions available, in-hours and out-of-hours.
The work currently involves:
? face-to-face patient consultations
? telephone consultations
? primary care consultations within the Emergency Department at Queens Medical Centre
If you are a Registered General Nurse or State Registered Paramedic please write to Julie Bailey (Clinical Services Manager)
or Linda Black (Nurse Manager) for more information.
? Any necessary training will be given
? Excellent rates of pay
? Enhancements for Bank Holidays
WE CURRENTLY EMPLOY A ROLLING RECRUITMENT PROGRAMME.
If you want to be at the forefront of primary care development this is the place to be!
Let NEMS take the strain out of getting your employees' Criminal Record Bureau Disclosures for an ?11 administration fee.
Read all about our service and download the necessary forms from our website.
NEMS CRB Service.
In 2004, GPs signed up to a new contract (General Medical Services Contract) which introduced many benefits for patients and GPs. One of the most important changes in the new contract was about responsibility for out of hours care. GPs were given the opportunity to 'opt out' of this responsibility, passing it to the Primary Care Trust (PCT) covering the geographical catchment area of their practice.
Locally, the four Nottingham PCTs (Broxtowe & Hucknall, Gedling, Nottingham City and Rushcliffe) commissioned NEMS to provide out of hours urgent primary care on behalf of all local GPs, from 4th October 2004. The Out of Hours care is actually provided by a mutual society - NEMS Community Benefit Services Limited - which was formed as a not for profit organization funded by the Nottingham PCTs.
The scope of care remains as before, that is care that would normally be provided by a GP surgery and which cannot safely wait until the surgery is next open. However, the team of staff involved in providing care at NEMS has expanded and we now employ in excess of 100 people, excluding doctors who work for NEMS on a sessional basis. Our clinical team includes health care assistants, nurses, paramedics and doctors. Patient needs are met by the most appropriate clinician but doctors are available during all our opening hours for face to face consultations at home or in the primary care centre, as dictated by clinical need.
The clinical team is supported by our operational staff who include telephone call handlers, drivers, workload co-ordinators and session leaders. Where transport is a problem, we can offer a transport service to bring patients into our primary care centre. In the background, we have a team of administrative and managerial staff who aim to secure the resources required to ensure NEMS is able to provide high quality care in a suitably equipped environment.