EmergencyNews on emergency services
Short term solutions for urgent care
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.
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.
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.
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.
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.
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.
WORFORCE: South Central Ambulance Service Foundation Trust has taken on 20 paramedics from Poland as part of a worldwide search for staff.
FINANCE: West Midlands Ambulance Service Foundation Trust has allocated £3.6m over two years to build a new ambulance base in Stoke-on-Trent.
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.
NHS England will accelerate planned changes to urgent and emergency care services because of poor performance across the sector.
Start with understanding motivations
More than 50 pilot sites will take part in a national trial of clinical pharmacists in accident and emergency departments.
ACUTE CARE: Wakefield CCG has introduced a scheme to allow ambulance crews to assess certain patients at home following 999 calls.
Discussions at the Emergency Care Summit
Trust did all it could preparing for winter pressures
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.
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.
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.
There were fewer elective patients treated in January compared to the previous year, according to the latest data from NHS England.
The overall picture shows some economies excelled, others struggled
Avoidable deaths mystery
Calculating healthcare in industrial terms makes better use of staff time
Reducing unnecessary accident and emergency attendances
Change can be lasting
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.
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