CQC alerts independent ambulance providers to ’emerging patient safety concerns’

The CQC is calling on independent ambulance services in England to ensure they care for their patients safely after its inspections to date have found significant concerns.

CQC has carried out 70 comprehensive inspections of independent ambulance services since April 2015. From many of these inspections, CQC has identified common concerns around poor medicines management, cleanliness and infection control practices and a lack of appropriate recruitment checks.

Read more here


Patient experience of different regional models of urgent and emergency care

Foley, C. et al. (2017) BMJ Open. 7:e013339

Objectives: To compare user experiences of 8 regional urgent and emergency care systems in the Republic of Ireland, and explore potential avenues for improvement.

Conclusions: No consistent relationship was found between the type of urgent and emergency care model in different regions and patient experience. Scale-level data may not offer a useful metric for exploring the impact of system-level service change.

Read the full article here

A&E under pressure

The number of patients waiting four or more hours at A&E has risen more than 300% at some hospitals |  BBC News


In total, 2.2 million patients were not seen within the target time in 2015-16 – more than double the one million figure in 2013-2014.

The Royal College for Emergency Medicine (RCEM) says there is a “large and systemic problem” caused by a lack of hospital beds.

NHS England said hospitals were under pressure but continuing to cope. Across England in 2015-2016, 85% of patients were seen within four hours.

Full story via BBC News

The perception of the patient safety climate by professionals of the Emergency Department

Rigobello, M.C.G. et al. International Journal of Emergency Nursing | Published online 13 March 2017



  • Critical and emergency care units are challenging and stressful environments.
  • Measuring safety climate assists in assessing safety culture.
  • Study participants’ perceptions were considered to be negative.
  • The majority of study participants demonstrated job satisfaction.
  • Low scores for participants’ perceptions of management may indicate fear of reprisals.

Read the full abstract here

What do emergency physicians in charge do? A qualitative observational study

Hosking, I. et al. Emerg Med J Published Online First: 10 March 2017


Introduction: The emergency physician in charge role has developed in many large EDs to assist with patient flow. We aimed to describe and classify the problem-solving actions that this role requires.


Conclusions: Emergency physicians in charge have a number of problem-solving approaches that can be readily defined. We have described and categorised these. These results are potentially useful for developing decision support software.

Read the full article here

Health Secretary calls for hospitals to hit A&E waiting target within a year

Speaking at the Reform health conference, Health secretary calls for NHS hospitals to get back to meeting 95% four hour waiting target next year | NHS Providers


Speaking at the Reform health conference today (9 March 2017) health secretary Jeremy Hunt called for NHS hospitals to get back to meeting the four hour A&E target.

The four hour waiting target for A&E has not been met since July 2015. The health secretary has told NHS trusts that target should be hit next year after new funding was announced in the spring Budget.

Responding to the health secretary’s comments on the four hour A & E target, the chief executive of NHS Providers, Chris Hopson said:

“Despite the best efforts of NHS trusts, performance against the 95% A&E target has declined rapidly over the last few years and that decline has been speeding up, due to the record levels of extra demand.  NHS trusts will do all they can to meet the 95% standard but will need very significant extra investment in 2017/18 if they are to do so. We can’t, at this point, see where that money will come from.”

Read more at NHS Providers


Only a third of MPs believe that A&E departments are adequately resourced 

Parliamentary perceptions of A&E departments |  A poll of UK MPs by Dods Research on behalf of the Royal College of Emergency Medicine


A poll on behalf of  the Royal College of Emergency Medicine reveals just 33% of MPs believe emergency departments have the resources they need to keep patients safe.

The poll of 92 MPs of all parties and regions of the UK also found strong support for a transformation fund for emergency departments with four times as many saying they would support such an initiative as oppose it.

Over 60% of MPs said they would support Emergency Departments (EDs) receiving more money to help with the retention and recruitment of staff.

Despite government claims that the NHS was getting more than the minimum £8bn by 2020 it had asked for, the poll found that only half of Conservative MPs believe that Emergency Departments are currently being adequately resourced.

View the full report here