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Case studies

Case studies

Children's Healthcare of Atlanta

Children's Healthcare of Atlanta is a not for profit organisation that strives to enhance the lives of children through excellence in patient care, research and education. From performing liver transplants, and helping patients keep up with their schoolwork, to building urgent care clinics in convenient locations, it supports children's health needs - serving children from all 159 counties in Georgia...

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Saúde 24 (S24) - Improving Portugal's healthcare resources

Saúde 24 (S24) is a telephone based service that offers clinical assessment, health advice and health information for the people of Portugal. The aim of the service is to direct callers to the most appropriate level of care and ease pressure on more traditional branches of the healthcare service. A private company, Linha de Ciudados de Saude (LCS), was formed to implement the S24 programme. LCS is the first private/public sector healthcare partnership of its kind in Portugal.

The Portuguese Government instigated a full procurement procedure to evaluate the different market options available. Vendors evaluated included McKesson, Dshi Systems as well as Clinical Solutions. Clinical Solutions was chosen over its competitors to provide S24 with the required software. The company was selected due to its proven ability to deliver on a national scale, as demonstrated through the partnership with NHS Direct. S24 also recognised the benefits of using a system which had unsurpassed levels of consistent outcomes with the recommendation of care, and ability to meet national requirements whilst being customisable to a changing environment.

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Moving to a paperless Walk-in Centre

Liverpool Primary Care Trust (PCT) has ambitious plans for the development and modernisation of its healthcare services, a reflection of the progressive nature of the city itself. The PCT recently took another step forward in the realisation of these plans when it integrated technology across its four Walk-in Centres (WiCs) to create one virtual urgent care centre. In March 2007, Liverpool PCT extended its patient management and clinical consultation system from two to four of the city's WiCs.

At the heart of this city the WiCs treat around 200 patients daily. They assess and treat a wide variety of cases, with minor ailments ranging from wounds and sprained limbs to coughs and colds. These WiCs are some of the busiest in the country and provide an invaluable addition to GP surgeries in the city and aim to take the pressure off A&E departments. In addition, the centres also deal with diagnostics such as screening, for example, for deep vein thrombosis and sexually transmitted infections.

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NHS Direct—Christmas 2006 case study

NHS Direct treats each caller as an individual. Its mission is to give people information and advice about health, illness and services, to help them make informed decisions about their own care and that of their families. It handles around 6.5 million telephone calls a year and its website attracts more than 1.5m visits each month. In addition NHS Direct Interactive Digital TV is available either on Freeview by going to channel 108, or on Sky Digital by pressing the interactive button on the remote control. Sky Digital includes 3000 pages of information on 500 health topics.

Increasingly, NHS Direct is the first port of call for people when they want advice or medical attention. This is especially apparent in busy periods such as Christmas, when additional pressure is put on the health service and GP surgeries are shut. NHS Direct takes the strain off other parts of the health service by using their tried and tested triage and assessment system. It helps people look after themselves at home where this is appropriate - roughly 40 per cent of all calls to NHS Direct are dealt with without needing to be referred on to other NHS services - and allocate more severe cases to the most appropriate health professionals or hospitals.

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