All Emergency care articles – Page 74
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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 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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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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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
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NewsAnalysis: A&E performance sinks to record low
Performance on main A&E measure lowest since targets introduced Fall in performance outstrips 3.7 per cent increase in admissions and attendances North west London and Cambridgeshire see worst performances and steepest declines Accident and emergency performance for December in England has sunk to its lowest level since the ...
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CommentThe one lesson that the US and UK can learn from each other
Ideological differences between America and the UK don’t mean total incompatibility when it comes to making their systems better
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NewsRevealed: A&E patients at struggling trust admitted to 'virtual ward'
Trust’s audit reveals discrepancies in A&E patients’ “virtual” and actual admission to emergency decisions unit Whistleblower claims staff at Worcestershire Acute Hospitals Trust admitted patients into “virtual ward” to avoid four hour target breaches Trust says investigations found no “deliberate” gaming of four hour target but revealed “poor processes ...
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Expert BriefingLondon Eye: The Green Line Cancer Differential
Essential insight into England’s biggest health economy, by Ben Clover
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CommentThe big change that can reduce medical errors
There is compelling evidence that flattening the NHS hierarchy and introducing staff self management would reduce mistakes in the NHS
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NewsRevealed: 24 A&Es could be closed or downgraded
Twenty four emergency departments - around 15 per cent of the national total - could be closed or downgraded in the next four years, analysis shows HSJ has identified and mapped those most likely to be affected in an unprecedented analysis Twenty four emergency departments - around 15 ...