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OOH - A look at what is happening ­ developments around the country

Adur, Arun and Worthing PCT

Using co-operative but don't know yet what model will be used

Amber Valley PCT

Using co-op at the moment, but no definite plans from April

Anglesey local health board

Model: working on model to cover two counties of Anglesey and Gwynedd ­ currently using co-op

Launch: aiming for April 2004

Billericay, Brentwood and Wickford PCT

No decision yet on final model

Blackburn and District Medical Co-op

Model: current co-op using skill mix

Launch: August or September 2004

Bolton PCT

Model: doing a while systems review, no decision

on model

Launch: December 2004

Central Manchester PCT

Launch: April 2004

Dartford and Gravesham co-op

Model: PCT to take over the co-op and run the service

Launch: expected in late 2004, possibly December

Dumfries and Galloway LMC

Model: two doctors on call covering vast rural area, reduced home visits, increased skill mix

Launch: summer 2004

Eastern Board

Launch: aiming for April 2004, could be July 2004

Flintshire local health board

Too early to say

Maldon Doctors on Call

Model: to amalgamate with two or three other co-ops,

with overall organisation to be run by

Essex ambulance

Launch: aiming for July 2004

Newport local health board

Model: working across four LHBs on pan-Gwent basis

Launch: October 2004

North Manchester PCT

Launch: December 2004

Northern Board

No firm conclusions

North West Wiltshire On-Call Co-operative

Model: co-op run by the PCT using Primecare for call handling and phone triage initially

Launch: December 2004

Oxford Co-op

Model: city-wide co-op working with PCT, using a multidisciplinary service

Launch: April or early summer

Peterborough Doctors on Call

Model: Peterborough Doctors on Call has merged with NHS walk-in centre, plan for three-tier service ­ triage nurses, nurses doing face-to-face consultations, GPs

Launch: aiming for April 2004

Susdoc, Maiddoc and TTDoc

Model: consortium of three co-ops ­ Susdoc, Maiddoc

and TTDoc ­ competing against commercial deputising service Primecare for multi-trust

out-of-hours contract

Launch: co-op aiming to launch in April 2004

Western health and social services board

Launch: September/ October 2004

Worth and Aire GP Emergency Centre

Model: co-op to be discontinued, PCT to run service, likely to use nurses and A&E

Launch: aiming for April 2004 but could be later

Yorkshire Pennine Doctors on Call

Model: co-op could become limited company or could become part of wider emergency care network

Launch: aiming for April 2004

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