All Emergency care articles – Page 81
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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 ...
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NewsExclusive: NICE experts called for minimum staff ratios in leaked guidance
Guidelines for A&E safe staffing, leaked to HSJ, recommended minimum nurse/patient ratios Documents suggest lower nursing numbers linked to poor patient outcomes Ratio recommendations were made despite government resistance Read the guidance Suppressed NICE safe staffing guidance for hospital emergency departments called for the NHS to implement minimum ...
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NewsSafe staffing leak: How we got here
HSJ has today published the final safe nurse staffing guidance for accident and emergency departments produced by NICE. We have covered this important story since the beginning. Here we recap the main events to get you up to speed.
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News‘Good Christmas’ for NHS hospitals but some trusts still struggle
141 reports of “serious operational problems” over Christmas, compared to 336 in previous year A&E diverts also down compared to 2014-15 period Yeovil District Hospital, County Durham and Darlington, and Dartford and Gravesham Trust among strugglers Reports of “serious operational problems” at acute hospitals more than halved over ...
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NewsNo new money as Cameron sets out mental health priorities
David Cameron reveals initial spending commitments ahead of mental health taskforce report Priorities include young people, mothers, A&E and community mental health patients Announcement does not include any new money for mental health services David Cameron has spelled out £1bn of spending priorities on mental health services in ...
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HSJ KnowledgeJunior doctors' strike: resources for employers
Ahead of planned strike action this week, HSJ has compiled a resource pack for NHS organisations, taken from guidance published by national bodies.
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CommentTransparency can bring about the desired changes in the NHS
If the NHS leadership really wants to follow through on its message for the future, they need to embrace transparency. Ric Whalley writes
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NewsTrusts told to shift elective capacity to A&E
Hospitals trusts told to increase beds for A&E surge by 20 per cent Commissioners told to delay fines for cancelled electives until next financial year Senior management told “safety profile of the organisation” must be given ”’top of the office’ attention” Commissioners have been asked not to financially ...