Urgent Care

Our urgent care services help healthcare commissioners ensure patients have access to the right healthcare service, at the right time, in the right place, both in-hours and out-of-hours. We aim to reduce emergency admissions and unnecessary attendances at hospitals to reduce pressure on the overall healthcare system.

Our services are underpinned by our experience of answering one NHS 111 call every thirty-six seconds, and treating more than one million patients face-to-face in our urgent treatment centres and GP out-of-hours services every year. Our clinical team is made up of experienced doctors, nurses and paramedics, who can provide detailed assessment, advise on treatment options, support patients to care for themselves at home and arrange urgent care if required.

 

NHS 111

We deliver NHS 111 services across a number of geographical areas in England, 24 hours a day, 365 days a year. We are NHS England’s provider for resilience support, and the first provider to have onboarded NHS England’s new Single Virtual Contact Centre model, meaning we have the infrastructure to mobilise contracts for additional geographies at the click of a button. The service is staffed by a team of trained and regularly audited health advisers, supported by experienced nurses and paramedic clinical advisers. As well as the telephone service, we also provide clinical support for the NHS 111 online service and Clinical Assessment Service.

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GP out-of-hours

Our GP out-of-hours services across England support almost 200,000 patients every year, who have an urgent need and cannot wait until surgery opening hours. Patients are assessed and triaged over the phone and may be referred to the out-of-hours services staffed by our experienced team of doctors, nurses and other healthcare professionals.

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Urgent treatment centres

We run urgent treatment centres (UTC) and urgent care centres across England, providing fast, convenient and expert care for any NHS patient with a minor injury or illness that is not life or limb-threatening, all free at the point of care. Our team of skilled doctors, nurses and other healthcare practitioners work in partnership with the hospital or trust and efficiently stream arrivals to the Emergency Department at the front door to ensure each patient receives the vital care they need. Within the UTC, we offer treatment, advice and information for a range of minor injuries and illnesses with reduced waiting times, contributing to achieving urgent care targets.

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Acute visiting service

Totally provides an acute visiting service (AVS) as part of an integrated care system in certain regions across England. The service is for patients who need to be seen in their home or care home. Operating during the day to support primary care, AVS can be delivered as part of an integrated care system. The service helps to reduce inappropriate hospital admissions and enables patients to be cared for in the most appropriate setting.

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Integrated urgent care

Totally’s integrated care services provide access to a broad range of clinicians to deliver specialist NHS services with significant cost benefits for healthcare commissioners. Totally’s service draws on experience of delivering a broad range of urgent care services including urgent treatment centres, NHS 111 and GP out-of-hours. Patients benefit from improved access to urgent healthcare services 24/7 and a more joined-up, safer patient journey.

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Totally Quality Report 2023

Read our Quality account for 2022-23

Quality account 2023