Table 3 New and old service models
From: Community participation to design rural primary healthcare services
| Â | Community A | Community B | Community C | Community D |
|---|---|---|---|---|
Service model at start of study | 1Â ft GP | 1Â ft GP | Access to GP practice in neighbouring in larger village 50 mins drive away. Weekly local surgeries (half day), peripatetic nursing service available | Access to GP practice in neighbouring small community, 50 mins drive away. Nursing team with 2 locally based ft nurses, various carers |
2Â pt nurses; one of these also does social care | 1Â pt nurse Various pt carers | |||
Model designed | Insufficient participants attended final workshop | 1Â ft GP pt district nurse, 3Â pt care workers (including some intensive care hours) with some budget left for contingencies | 1Â ft Nurse Practitioner (working 24/7) | New resident practitioners with these skills & roles: |
Health care assistant | • Health/emergency care worker. | |||
5 hours per week of an Intensive Home Carer | • Non healthcare worker(s) to lead community health activities. | |||
| Â | Â | Â | A volunteer scheme for community carers, A first responder scheme Some budget left for contingencies | Volunteer first responder scheme to provide basic aid and emergency life support |