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News on emergency services


Hunt: Peer review, not top-down targets, can improve NHS

Jeremy Hunt has praised the benefits of peer review to improve NHS standards, saying it is a better method than top-down targets.

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Simon Stevens

Stevens launches hospital chains 'vanguard'

NHS England will ‘test new ways’ of sustaining smaller hospitals, including ‘chains’ running acute services, in its latest vanguard programme launched today by Simon Stevens.

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Dorset County Hospital

Updated: Dorset acute plans include accident and emergency downgrade

STRUCTURE: The accident and emergency department at either the Royal Bournemouth Hospital or Poole Hospital could be downgraded to an urgent care centre under proposals for changes to acute services in Dorset.

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Ambulance cycle unit: man on a bike

Number of ambulance staff leaving doubles in five years

The number of frontline staff leaving ambulance services across England has almost doubled in the last five years, analysis by HSJ has found.

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Ambulance trust makes interim chief permanent

WORKFORCE: Yorkshire Ambulance Service Trust has appointed Rod Barnes as its chief executive.

St George’s Hospital

New FT probed by Monitor after finances plummet

FINANCE: St George’s University Hospitals Foundation Trust is under investigation by Monitor because of a sudden deterioration in its finances.

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Doctors meeting

Exclusive: Clinical leaders 'more willing to challenge diktats', research finds

Clinical leaders are ‘more willing to challenge or ignore diktats and messages from above’ than their managerial colleagues in clinical commissioning groups, research shared exclusively with HSJ has found.

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Tariff proposal threatens delayed discharge schemes

Schemes to reduce the number of patients with a delayed discharge have been scaled back because commissioners can no longer afford to fund them under current tariff arrangements, trust chief executives have told HSJ.

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A&E challenges will only be met if we change our workforce models

Long term solutions for improving urgent care

clinical leadership, communication, agreement, healthboard, merge

Trust replaces A&E doctors after en masse resignation

WORKFORCE: Worcestershire Acute Hospitals Trust has managed to fill four out of five vacant accident and emergency consultant posts after a group of consultants resigned en masse in protest at the way a review of acute services was being handled.


London Ambulance asks CCGs for £27m extra funding

FINANCE: London Ambulance Service Trust has asked clinical commissioning groups to contribute more than £27m extra funding to help it recruit more staff and buy new vehicles.

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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.

Twitter birds

HSJ analysis: How social media influences NHS debate

Scrutinising the hot topic of emergency performance

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

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