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News on emergency services

Busy hospital

Get all on board to devise your A&E solutions

Short term solutions for urgent care

Nottingham University Hospitals NHS Trust

Doctor accountability helps trust bring down sepsis mortality

QUALITY: One of England’s largest teaching hospitals has achieved a dramatic turnaround in the care and survival of patients with sepsis after developing a tool to hold individual clinicians to account for their care.

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Ambulance close up

Private ambulance provider investigated over security concerns

PERFORMANCE: A private ambulance provider used by an NHS trust in Kent is being investigated after an inspection found it was insecurely storing medicine at a hotel and employed staff who had not been security checked.

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Handover delays expected to hit trust performance rating

PERFORMANCE: South Western Ambulance Service Foundation Trust is predicting a reduced performance rating from Monitor after a surge in 999 calls over winter and a large increase in the length handover delays.

Snowy UK street

Winter A&E analysis: More ambulance queues and cancelled operations

Ambulance handover delays, cancelled elective operations and delayed transfers of care all saw huge increases this winter, in what has been the most difficult year for accident and emergency departments in a decade.

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Woman making phone call

Performance of ambulance trust worries CCG

PERFORMANCE: Commissioners in East Anglia has expressed concern that East of England Ambulance Service Trust has missed a large number of targets relating to responses to 999 calls.

Critical care nurse

Exclusive: 26 trusts responsible for half of national A&E target breach

Twenty-six hospital trusts are responsible for half of the national growth in patients waiting more than four hours in accident and emergency, HSJ analysis reveals.

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Ambulance trust recruits paramedics from Poland to ease shortage

WORFORCE: South Central Ambulance Service Foundation Trust has taken on 20 paramedics from Poland as part of a worldwide search for staff.

£3.6m set aside for new ambulance base in Stoke

FINANCE: West Midlands Ambulance Service Foundation Trust has allocated £3.6m over two years to build a new ambulance base in Stoke-on-Trent.

Croydon Health Services NHS Trust

Croydon chief: New surgical assessment unit will shorten waits

STRUCTURE: Croydon Health Services Trust has opened a unit which will shorten the time some patients wait for surgery, waits in A&E and reduce patient stays, its chief executive has said.

University College London Hospital

NHS England speeds up emergency care transformation plan

NHS England will accelerate planned changes to urgent and emergency care services because of poor performance across the sector.

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Elderly man in wheelchair with smiling healthcare worker

Emergency care reform requires a whole system change

Start with understanding motivations

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A&E pharmacists pilot gets national rollout

More than 50 pilot sites will take part in a national trial of clinical pharmacists in accident and emergency departments.

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Ambulance crews assess 999 patients in their own homes

ACUTE CARE: Wakefield CCG has introduced a scheme to allow ambulance crews to assess certain patients at home following 999 calls.


Take these simple steps to ease A&E pressures in the short term

Discussions at the Emergency Care Summit

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Peter Homa is Nottingham University Hospitals Trust chief executive

We need a sustainable workforce to keep up with winter pressures

Trust did all it could preparing for winter pressures

George Osborne

Budget round up: Chancellor outlines £1.25bn mental health package

Chancellor George Osborne today outlined how a £1.25bn mental health funding package will be spent over the next five years, as part of plans for the government’s next budget.

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Tougher penalties under new NHS contract

Penalties for breaching referral to treatment targets have been toughened up to try to bring down waiting lists, in the final standard contract issued by NHS England, but sanctions for accident and emergency and elective treatment breaches have been reduced.

Emergency unit

Trauma unit accredited for another year

STRUCTURE: The trauma unit at Southport and Ormskirk Hospital Trust has been accredited for a further 12 months – but there are concerns about availability of theatres seven days a week.

Older woman in hospital bed

Drop in elective patients treated reflects A&E demand

There were fewer elective patients treated in January compared to the previous year, according to the latest data from NHS England.

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Hit or miss: Lessons from the best and worst A&E performers

The overall picture shows some economies excelled, others struggled

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Industrial chimneys smoking with pollution

Clocking on at the NHS factory: Lessons from industry

Calculating healthcare in industrial terms makes better use of staff time

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Map and compass

Non-clinical navigators can ease pressures in A&E

Reducing unnecessary accident and emergency attendances

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driving car

Let NHS staff take the front seat and drive change

Change can be lasting

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Clock doctor

Resource Centre round up: Improving urgent care

We have compiled a selection of our best commissioning, innovation and leadership articles over the past year, looking at the pressures facing emergency care and how organisations are dealing with it.


Immigration Act: Implications for GPs and trusts explained

GPs and trusts to enforce Immigration Act

A&E sliding puzzle

Solve the A&E puzzle for smarter patient care

People often view hospital as ‘best place’ for treatment

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