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News on emergency services

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 thanfour 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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Emergency department

Consultants' en masse resignation letter exposes rift with trust management

A resignation letter from four accident and emergency consultants has heavily criticised the management of Worcestershire Acute Hospitals Trust and local reconfiguration plans.

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Puzzle pieces

Local care networks model favoured by CCG

STRUCTURE: Lewisham Clinical Commissioning Group is one of six CCGs in south east London pursuing joint plans for a ‘whole system model’ of healthcare implemented by ‘local care networks’ in each borough.


Ambulance handover policy criticised by clinicians

STRUCTURE: A new handover policy introduced by South East Coast Ambulance Service Foundation Trust has been described as ‘unsafe’ by clinicians at Brighton and Sussex University Hospital Trust.

Busy hospital

Urgent care system 'near breaking point', think tank claims

Four hour target ‘distorts’ behaviour in hospitals, Nuffield Trust says

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Princess Royal University Hospital

Monitor investigates major London trust

PERFORMANCE: Monitor has launched an investigation into King’s College Hospital Foundation Trust because of ‘long standing problems’ at Princess Royal University Hospital.

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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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