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News on emergency services


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.

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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Nottingham University Hospitals NHS Trust

Fourth largest acute trust reveals £50m deficit forecast

One of the largest teaching hospitals in England is forecasting a year-end deficit of almost £50m, HSJ has been told.

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CCGs told to fund more hospital activity

NHS England expects clinical commissioning groups to fund more hospital activity than initially planned this year, prompting concerns that this could undermine non-acute services intended to reduce emergency admissions.

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Occupational therapists join paramedics on some 999 calls

WORKFORCE: An ambulance service and acute trust in the North West have launched a pilot project in which occupational therapists respond to ‘low level’ 999 calls alongside paramedics.

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Bennett moots rethink on performance targets

David Bennett has called for the NHS to investigate the possibility of redefining key access targets to reduce the financial burden they place on providers – where it can be done without compromising safety.

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Clock doctor

Seven day services: Gathering the data to make it happen

Ten acute trusts in the East Midlands joined forces to tackle the challenge

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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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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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