All Emergency care articles – Page 71
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NewsSystem leaders set out new A&E 'minimum requirements'
New standards issued on how to divert minor injuries away from A&E to co-located services NHS England requirements must be met either by Easter or September Measures are intended to alleviate A&E pressure NHS organisations have been given months to meet new “minimum requirements” for diverting accident and ...
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HSJ LocalTrust to remain in special measures despite rating upgrade
West Hertfordshire trust now rated requires improvement, 15 months after it was rated inadequate CQC recommends it remains in special measures as it “was clear” that the trust had benefited from the support regime Concerns raised about emergency care across all three of the trust’s hospital sites but praise ...
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HSJ LocalRevealed: Under pressure trust raises bar to admit patients
Worcestershire Acute Hospital Trust invokes “full capacity protocol” due to surge in ambulance arrivals Trust tells staff it must raise “acuity threshold” for emergency admissions A struggling trust has said it must to raise the “acuity threshold” for emergency admissions and discharge due to a surge in the ...
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NewsExclusive: Sir Bruce Keogh warns trusts over surgery delay deaths
Letter from Sir Bruce Keogh follows coroner warnings NHS England chief executive was warned over future deaths Medical director says neurosurgery patients should be admitted regardless of bed capacity NHS England medical director Sir Bruce Keogh has warned hospitals they must not refuse patients in need of emergency ...
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NewsNHS England urged to review bed capacity after surgery delay deaths
Royal College of Surgeons recommends a review of critical care bed capacity It follows two patient deaths as a result of delays receiving surgery NHS England chief Simon Stevens was warned by coroners of future deaths risk The Royal College of Surgeons has called on NHS England to ...
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NewsNHS bed occupancy hits record high
Latest NHS bed occupancy rates are highest ever recorded for a third quarter since data collections began in 2010 HSJ analysis reveals hospital trusts with highest occupancy Six acute trusts had general and acute bed occupancy rates over 99 per cent The latest NHS bed occupancy figures are ...
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HSJ LocalCCG rows back on service closures following local backlash
Cambridgeshire minor injuries units reprieved following public outcry New model to be piloted in spring involves expanding units to take pressure off A&Es Move comes despite leaked CCG paper last year saying closures represented “only realistic option” Three Cambridgeshire minor injuries units threatened with closure could be reprieved ...
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NewsSimon Stevens warned again after second bed shortage death
Second warning from coroner to NHS England chief following neurosurgery delays as a result of ICU bed shortage Teresa Dennett was denied an immediate transfer to Nottingham University Hospitals Trust Doctors told the coroner policies to admit patients regardless of bed capacity were “aspirational” NHS England chief executive ...
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NewsRevealed: Significant variation in A&E cancer diagnoses across England
Cancer diagnosis in accident and emergency departments are three times more likely in some parts of England than others, HSJ analysis reveals.
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CommentAnalysis: Emergency care reforms delayed pending answers on social care
Details of an overhaul of emergency care targets have been delayed, as senior figures in the health and care system await a potential government intervention to support social care services, HSJ understands.
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HSJ Local'Lives at risk' unless ambulance trust cuts waiting times
East of England Ambulance Service “does not have capacity” to meet response time targets, chief executive admits Coroner warns of patients waiting up to four hours for a vehicle response Inquest heard Brian Mills waited more than two hours for emergency responder The chief executive of East of ...
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HSJ LocalUrgent plea issued for GPs to work in A&E
An NHS trust has asked for local GPs to work in its accident and emergency department because of the “significant pressure” it is facing.
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HSJ KnowledgeA powerful case for specialist nurses
Specialist nurses are far from just the ‘icing on the cake’ – in inflammatory bowel disease alone they are consistently preventing emergency attendances and ensuring the most appropriate use of services
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HSJ KnowledgeHow specialist nurses can bring services closer to home
Shrewd service redesign by specialist nurses can lead to greater efficiency for providers and better care for patients
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NewsStudy: Seven day standards have not improved outcomes
Nuffield Trust evaluation of London Quality Standards, which formed basis for national seven day standards, raises fresh questions over government policy Report author says there is “very little hard evidence that the LQS improved outcomes” Think tank urges STP leads not to use seven day standards as “big stick ...
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Expert BriefingThe Commissioner: Familiar cost dilemmas get chronic
What NHS England isn’t telling you, and more indispensable weekly insight for commissioners, by Dave West.
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CommentNow it’s 20 weeks - elective waiting times at pre-target levels
English waiting times rose sharply in December, driven by the growing waiting list and winter pressures. And there was a sharp drop in the proportion of local hospital services achieving the 18 week target. By Rob Findlay
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HSJ LocalTeaching trust cancels planned operations for first time 'in four years'
University Hospitals Leicester puts 12 day restriction on elective work It cites high demand, bed occupancy and delays on discharging patients Restrictions will cover school half-term week One of the NHS’s largest trusts has been forced to restrict elective activity for the first time in “at least four ...
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NewsStevens: STPs will get 'decision rights' to reorganise trusts and CCGs
Sustainability and transformation plan leaders will be given the right to “recommend” member trusts and commissioners reorganise, where the “veto power or inertia” of individual organisations is holding up change, Simon Stevens has said.
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CommentIntegration of health and social care – working and not working?
Integration is looking less and less like a panacea and more of a long term vision