Wandworth Local Health and Care Plan - October 2019

37 Other work Acute Transformation Outside of the Wandsworth Health and Care Plan partners are working to ensure the quality and sustainability of services meets our aspirations. Acute Transformation: Planned Care and Urgent & Emergency Care Planned Care • Developing Primary Care to support people outside of hospital where possible. • Cancer: new diagnostic tests to reduce the need for invasive procedures. Psychological support for people living with and beyond cancer. • Effective Commissioning Initiative, ensuring that procedures are evidence based. • New community services to manage hospital demand e.g. community ophthalmology services. • Clinical Assessment Services. • Outpatient Transformation and Redesign - development of virtual clinics online and over the phone. • Diagnostic pathway improvement. Urgent and Emergency Care • Ambulatory care - same day medical support for adults and children to avoid admissions to hospital. • Integration of Primary Care expertise and capacity to avoid A&E attendances where possible. • Alternative Care Pathways - working with London Ambulance Services to identify where patients can receive support quickly rather than attend A&E. • Older Peoples’ Advice and Liaison Service - providing tailored support to older people when in A&E. • Integrated Urgent Care (NHS 111).