All Emergency care articles – Page 80
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NewsCCG launches competition for major older people's services contract
South Warwickshire CCG angers provider by launching competitive tender Services worth more than £200m over seven years Older people’s services contract procurement is being supported by the Strategic Projects Team Incumbent FT signs exclusivity deal with local GPs Commissioners in the West Midlands have embarked on a competitive ...
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HSJ LocalA&E failure may trigger national intervention in Manchester devolution
NHS England could intervene in devolution if performance on the headline A&E target drops Several Greater Manchester trusts among worst in England for A&E performance CCGs will not have to maintain a 1 per cent surplus individually Initial arrangements described as “synthetic” devolution PERFORMANCE: A number of performance ...
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HSJ LocalAlarm raised over trust's 'risky' proposal to run A&E without specialist consultants
Scarborough Hospital has long struggled to recruit emergency medical consultants Senior clinicians believe a new model can be devised whereby patients could initially be seen by “advanced clinical practitioners” RCEM described proposal as a “highly risky strategy” Simon Stevens has spoken of the need to “reinvent a viable model ...
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HSJ Local
London trust's A&E performance plummets to worst in England
PERFORMANCE: A London hospital trust has become the worst performing in the country on accident and emergency performance.
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HSJ LocalChief of beleaguered ambulance trust takes 'leave of absence'
PERFORMANCE: The chief executive of an ambulance trust has taken “leave of absence” and the chair has been replaced on the day a critical report into a controversial pilot project was released.
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HSJ KnowledgeExploring a child’s-eye view of NHS healthcare
Parental feedback has long shaped NHS care, but until recently there has been little evidence gathered about patient experiences through the eyes of children. But as Bridget Hopwood and Sarah-Ann Burger write, change is under way
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CommentHow can we redevelop the NHS estate to achieve the best treatment?
A range of actors is needed to put surplus land to better use and help tackle NHS shortages of space and money
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CommentWhy the NHS could do with cruise control
By reducing variation, the NHS can keep up with demand with less capacity and consequently lower costs, writes Rob FIndlay
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NewsThirty worst A&E trusts called to London summit
NHS Improvement chief raised concerns over “organisations who consistently deliver very low levels of performance” January was “a very difficult month” for A&E departments, Jim Mackey said Trusts “left in no doubt whatsoever that there needs to be a sustained improvement” The 30 worst performers on the accident ...
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HSJ LocalReport criticises ambulance chief over controversial pilot scheme
The chief executive of South East Coast Ambulance Service Foundation Trust has come under pressure after leaked documents suggest he took the “ultimate decision” to delay ambulances in a controversial pilot project.
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CommentA staffing overhaul is required for 24/7 services
An increased number of specialists, concentration of acute and emergency services in fewer hospitals would allow us to achieve the goal of seven day working. John Bevan writes
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NewsRevealed: The costs of closing NHS Direct
Dissolution of NHS Direct cost £89m, documents reveal Regulators say “lessons learned” for transactions planning The dissolution of NHS Direct over two years cost £89m, documents reveal.
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HSJ LocalWorcestershire hospital reforms approved by trust and CCGs
STRUCTURE: A long running West Midlands reconfiguration has moved a step closer to being implemented after proposals were backed by the affected trust and its main commissioners.
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CommentIt is essential to halve delays in discharge
Crispin Simon on what can be learnt from the private sector to reduce the chronic problem of delay in the discharge of patients.
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HSJ LocalAmbulances may be diverted from failing trust
ACUTE CARE: Medway Foundation Trust could see some blue light ambulances sent to another hospital in response to public concern.
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CommentBuilding resilience: can we afford not to?
We need to ensure that the NHS spends every penny as well as it could
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HSJ LocalKent A&E faces downgrade
ACUTE CARE: Emergency services at the Kent and Canterbury Hospital could be downgraded because of concerns that trainee doctors being left to cope with potentially seriously ill surgical patients.
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CommentUnhealthy Lazarus and the A&E crisis
Richard Cookson on why hospital managers should pay more attention to local healthcare inequalities
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NewsNICE leak reaction: Trusts should use guidance says college president
Royal College of Emergency Medicine president says scale of A&E understaffing could be 50 per cent Dr Cliff Mann says trusts should use leaked NICE guideline to conduct gap analysis on nurse staffing levels CQC expects providers to use “any tool they deem appropriate” to ensure safe care ...
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NewsNICE leak: A&Es could be understaffed 'half of the time'
Leaked NICE document suggests current NHS practices for estimating demand are inadequate Guidance says trusts should overstaff departments against historical trends Overcrowding in UK emergency departments is “common” and linked to poor outcomes Read the guideline NHS accident and emergency departments in England may be understaffed as much ...