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News on emergency services

NICE makes U-turn over publishing safe staffing guidance

Plans to publish safe nurse staffing guidance for emergency departments have been abandoned in a U-turn by the National Institute for Health and Care Excellence.

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Short and long term fixes for workforce pressures

In the face of rising pressures, we explore solutions including training rotations and a cap on agency staffing

Emergency department scene

First eight urgent and emergency care vanguards revealed

The first wave of urgent and emergency care vanguard sites has been revealed by NHS England.

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UK map

Mapped: The urgent and emergency care vanguard sites

HSJ’s map of the eight sites identified by NHS England as the first urgent and emergency care vanguards.

Surgeons in hospital

CCGs expected to fund 2.3 per cent rise in emergency activity

Clinical commissioning groups are expected to fund a 2.3 per cent increase in emergency activity this year compared to 2014-15, NHS England has confirmed.

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Clock doctor

The NHS could be world leaders in seven day working

With trusts offering all days services

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A&E, Emergency services, Emergency

Breaking the cycle: Ways to achieve A&E performance targets

This trust delivered the four hour target for first time in three years


Outdated ambulance sat navs contributed to patient deaths

Ambulance delays due to out of date satellite navigation systems could have contributed to two patient deaths, according to incidents reported to the National Reporting and Learning System.

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Blurred hospital corridor with three figures in it

Exclusive: NICE to publish A&E staffing guidance not wanted by NHS England

The National Institute for Health and Care Excellence will publish recommended nurse staffing levels for accident and emergency departments despite being asked by NHS England to drop the work, HSJ can reveal.

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Nurse on nightshift

Exclusive: All 111 and out of hours tenders suspended

NHS England has told commissioners to suspend all GP out of hours and NHS 111 procurements while it draws up new rules for creating ‘functionally integrated’ urgent care services, HSJ has learned.

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Busy hospital

Exclusive: Letters show how CCGs directed to up activity plans

Letters seen by HSJ reveal how NHS England ordered clinical commissioning groups to change their contracts with acute providers to reflect an assumption that hospital activity would grow this year.

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How to balance the push and pull of performance and demand

Hospital performance targets

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Report: Bullying and 'blame culture' prevalent across ambulance trust

WORKFORCE: Bullying is prevalent across the London Ambulance Service and the trust has a ‘blame culture’ in which bullies are perceived to have been rewarded, an independent review has found.

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Image of Anthony Marsh

Staff petition for chief executive to remain in post

WORKFORCE: More than 300 staff at East of England Ambulance Service have signed a petition to the health secretary calling for its departing chief executive to remain in his position.

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Accident scene

NHS England tells regions to create urgent care networks

NHS England has said urgent and emergency care networks should be set up across the country to set and monitor standards of care and ‘designate urgent care facilities’.

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MCP vanguard leaders: We will find the solutions

MCP vanguards report on their progress

Surgeon, surgery, surgical tools,

£2bn acute deficit may mean ‘real trouble’ for frontline services

Experts have warned that patients could end up waiting longer for treatment as acute trusts try to tackle an expected overall deficit of more than £2bn this year.

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Jane Cummings

NICE safe staffing decision not about money, says chief nurse

NHS England chief nursing officer Jane Cummings has said the National Institute for Health and Care Excellence will continue to be used for evidence reviews on safe staffing ‘where appropriate’.

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Bruce Keogh

Keogh to review elective waiting time targets

NHS England medical director Sir Bruce Keogh is to review the current waiting times standards for elective care, the organisation’s chief executive Simon Stevens has announced.

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University College London Hospital

Emergency care to be 'completely redesigned' within three years, says Stevens

Urgent and emergency care will undergo a “complete redesign” and be in “a very different place by the middle of this Parliament”, the NHS England chief executive has announced.

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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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