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News on emergency services


Ambulance response times and elective waiting list grow

Ambulance trusts are struggling to meet the target to get to a patient within eight minutes of an emergency call, the latest data from NHS England shows.

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Mapped: Every NHS England vanguard project

HSJ has mapped all 50 vanguards that will introduce new care models across the country. Explore the map to see what changes each vanguard intends to make.

A&E sign

Leading London trust told to improve by CQC

PERFORMANCE: King’s College Hospital Foundation Trust has been rated ‘requires improvement’ after the Care Quality Commission found overcrowding in emergency departments and patients waiting for long periods.

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Simon Stevens

Stevens: 'Decisive action' needed to keep NHS in the black

The NHS will struggle to stay in the black this year unless ‘decisive action’ is taken to reduce the cost of temporary staffing, the NHS England chief executive has warned.

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Royal college warning over staffing 'pressure' on maternity wards

A second medical royal college has told HSJ it is concerned over the extent of gaps in rotas for junior doctors, with some maternity wards having a vacancy rate of 15-20 per cent.

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Introduce new A&E targets, royal college president says

Accident and emergency departments should be judged by two new targets alongside the four hour target, the president of the Royal College of Emergency Medicine has said.

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Birmingham CCG removes £4m integration savings from QIPP plan

FINANCE: Commissioners in Birmingham have removed from their annual efficiency plan this year’s expected savings from the better care fund because the financial gains were unlikely to be realised this year.

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Glen Burley

Midlands trust chief executive joins national A&E support team

The chief executive of South Warwickshire Foundation Trust has joined a new emergency support team set up by the national regulators and the Department of Health.

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Medway Maritime hospital

Updated: Ambulances to be diverted from Medway following CQC inspection

PERFORMANCE: Ambulances will be temporarily diverted from the accident and emergency department at Medway Foundation Trust two mornings this week under a plan from NHS England.

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Vanguards reveal transformation plans and barriers to change

The urgent and emergency care vanguards are overhauling 111 systems and moving activity out of hospital, but the constraints of finance and workforce shortages are a concern, HSJ has been told.

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Hospital door

Exclusive: 27 urgent and emergency care systems to get targeted support

Twenty-seven urgent and emergency care systems that are struggling to meet the four hour target will be given targeted support as part of a programme announced today.

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Monitor: High bed occupancy to blame for worst A&E performance in a decade

The worst accident and emergency performance against the four hour target in more than 10 years was due to hospitals struggling with very high bed occupancy rates, Monitor has concluded.

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Conceptual image of head filled with cog gears

Thousands of mental health patients sent 'out of area'

More than 2,100 mental health patients were forced to travel out of area for an inpatient bed in May this year, according to data published by the Health and Social Care Information Centre.

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Police officer

Thousands of mental health patients still detained in police cells

Almost 4,000 people detained under the Mental Health Act are still being forced to stay in police cells rather than a hospital, despite a 54 per cent fall over the last three years.

Samantha Jones

Exclusive: Vanguards urged to quickly become ‘battering ram of change’

The urgent and emergency care vanguards are the ‘battering ram of change’ and should quickly test new ideas to be replicated nationally, the director of NHS England’s new care models programme has said.

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Yorkshire ambulance trust must improve, says CQC

Yorkshire Ambulance Service Trust has been told to improve following a Care Quality Commission inspection.

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National officials tell hospitals seven day service priorities

Hospitals have been told by national officials to focus on improving access to medical consultants and diagnostic services as part of efforts to improve care for NHS patients at weekends.

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Ambulance scene

East of England Ambulance appoints new chief executive

WORKFORCE: East of England Ambulance Service Trust has appointed Robert Morton as its new chief executive.

Surgical tools

Demand for elective care highest in seven years

The number of patients waiting to start treatment has hit the highest point in seven years, according to the latest data from NHS England.

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Struggling emergency care systems to get winter buddies

A buddy system for poorly performing urgent and emergency care systems will be introduced this winter in an attempt to help the ‘most challenged’ areas.

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Data, paperless NHS,, information and technology, healthcare data

Paperless NHS: How to transform hospital IT

How to deliver better hospital IT systems

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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.

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