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AIM
To evaluate the service
LEARNING OBJECTIVES
To understand how the NHS Walk-In Service operates.
To understand how to evaluate a service
LEARNING OUTCOMES
To identify advantages and disadvantages of the service to the patient.
To make a constructive plan to improve the service. |
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| INTRODUCTION - WHAT ARE NHS WALK-IN CLINICS? | |||||
| Discuss and explain the following history and points. Start by asking what the students already know. Give out the information sheet 'What are NHS Walk-in Clinics? | |||||
| WHAT ARE NHS WALK-IN CLINICS?
The first 40 Walk-in Clinics were set up in December 2000. They have wide opening hours (normally 7a.m. to 10p.m. every day). They have walk-in access, without the need for an appointment. Patients do not have to be local residents to be treated. They have a convenient location. They provide information and treatment for minor conditions. They offer health promotion and support people in caring for themselves. Clinics should build on, not compete with or duplicate existing services. They maximise the role and time of nurses. The nurses are able to help patients identify when it is appropriate to contact their GP. Nurses are able to refer patients to their GP or Accident and Emergency (A&E). The nurses do not administer prescriptions. Nurses are supported by computerised decision support systems. They have good links with local general practices (GPs) for support and advice. Services which meet the needs of their identified local population. |
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Information sheet What are NHS Walk-In Clinics? Click here to download this resource material as a pdf file |
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The first 40 Walk-in Clinics were set up in December 2000. They have wide opening hours (normally 7a.m. to 10p.m. every day). They have walk-in access, without the need for an appointment. Patients do not have to be local residents to be treated. They have a convenient location. They provide information and treatment for minor conditions. They offer health promotion and support people in caring for themselves. Clinics should build on, not compete with or duplicate existing services. They maximise the role and time of nurses. The nurses are able to help patients identify when it is appropriate to contact their GP. Nurses are able to refer patients to their GP or Accident and Emergency (A&E). The nurses do not administer prescriptions. Nurses are supported by computerised decision support systems. They have good links with local general practices (GPs) for support and advice. Services which meet the needs of their identified local population. |
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TASK A - ADVANTAGES AND DISADVANTAGES
Place the students into groups of 4. Ask each group to list on flip chart paper both the advantages and disadvantages of the walk-in clinics for one or both of the case studies (Bill and Dorothy). |
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CASE STUDY: BILL
Bill is in his late 60's. He arrived accompanied by his partner, who drove him into the walk-in centre.
He presented the nurses with a septic toe, and medical history of rheumatoid arthritis.
He is registered with a NHS GP and private chiropodist.
He needs advice and a possible referral to a specialist for a toenail removal.
He had read about the walk-in centre in the local press.
He was able to access immediate advice and the walk-in clinic were able to refer him to a chiropodist on site for a second opinion. CASE STUDY: DOROTHY Dorothy is in her late teens.
She arrived by bus.
She had unprotected sexual intercourse within the past 24 hours and wanted emergency contraception (EC). She has attended the walk-in centre for EC on previous occasions.
She preferred to attend the walk-in, due to the privacy and the nurses were able to give her an extensive consultation on contraception and types most suited to her needs.
She learned of the NHS walk-in centre at school and has recommended the service to her friends. The Nurse provided emergency contraception (EC).
Place the following issues on the board or up in the room to stimulate discussion
Ask the students to feedback by asking each group to describe in turn one advantage and one disadvantage, repetition of an answer is to be encouraged as it reinforces the importance of that point. Summarise these in the room for the whole group on paper, OHP or on the
board. |
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TASK B - HOW CAN THE NHS WALK-IN SERVICE BE IMPROVED?
The students in their groups of 4 must believe that they have been given the job of presenting a plan to improve the NHS walk-in service.
Discuss the issues raised in the previous exercise with them.
Ask the students to think as creatively as possible about how to:
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EXTENSION
For their Unit 1 assignments the students must evaluate the services provided by their chosen organisation. |
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University of Bristol June 2002. The National Evaluation of NHS Walk in Centres
Sally Patric Unit Manager. May 2003. The Slough NHS Walk in Centre, Berkshire. NHS Direct Telephone line May 2003 Tel:.0845 4647 or www.nhsdirect.nhs.uk Slough NHS Dental Access Centre Upton Hospital, Albert Street, Slough SL1 2BJ
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Information Sheet
Click here to download this resource material as a pdf file |
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| Bill is in his late 60's. He arrived accompanied by his partner, who drove him into the walk-in centre.
He presented the nurses with a septic toe, and medical history of rheumatoid arthritis. He is registered with a NHS GP and private chiropodist. He needs advice and a possible referral to a specialist for a toenail removal. He had read about the walk-in centre in the local press. He was able to access immediate advice and the walk-in clinic were able to refer him to a chiropodist on site for a second opinion. Case Study: Dorothy Dorothy is in her late teens.
She arrived by bus.
She had unprotected sexual intercourse within the past 24 hours and wanted emergency contraception (EC). She has attended the walk-in centre for EC on previous occasions.
She preferred to attend the walk-in, due to the privacy and the nurses were able to give her an extensive consultation on contraception and types most suited to her needs.
She learned of the NHS walk-in centre at school and has recommended the service to her friends. The Nurse provided emergency contraception (EC).
Place the following issues on the board or up in the room to stimulate discussion
Ask the students to feedback by asking each group to describe in turn one advantage and one disadvantage, repetition of an answer is to be encouraged as it reinforces the importance of that point. Summarise these in the room for the whole group on paper, OHP or on the
board. |
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Response Sheet
Click here to download this resource material as a pdf file
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