EmergencyNews on emergency services
Jeremy Hunt has praised the benefits of peer review to improve NHS standards, saying it is a better method than top-down targets.
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.
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.
The number of frontline staff leaving ambulance services across England has almost doubled in the last five years, analysis by HSJ has found.
WORKFORCE: Yorkshire Ambulance Service Trust has appointed Rod Barnes as its chief executive.
FINANCE: St George’s University Hospitals Foundation Trust is under investigation by Monitor because of a sudden deterioration in its finances.
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.
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.
Long term solutions for improving urgent care
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.
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.
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.
Scrutinising the hot topic of emergency performance
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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