The impact of redesigning urgent and emergency care in Northumberland | The Health Foundation
This report considers findings from analysis into the early impact of changes to urgent and emergency care services in Northumberland following the opening of the country’s first bespoke emergency hospital in 2015. It highlights that reconfiguring NHS services takes time to generate the intended results and that robust, repeat evaluation can help to inform decisions and improvement.
An investigation into why patients chose to attend two, nurse-led, minor injury units (MIUs) to access primary healthcare services rather than attend their GP practice | International Emergency Nursing
Patients with non-urgent conditions are increasingly attending urgent care providers in the UK.
Consumerist notions of choice and expediency influence healthcare decision making.
Patients seem to be acting rationally in response to healthcare policy promises.
Providing treatment establishes precedent and expectation for future care.
Co-located primary care, working alongside ENP services, offer benefits for local communities.
This briefing sets out facts about current A&E performance without underplaying the real pressures facing providers.
The briefing hihghlights the following:
Very few trusts are performing well, as measured by meeting the seeing 95% of A&E patients within the four-hour standard. We expect overall NHS performance for last week against the standard to be between 70 and 80%.
The vast majority of trusts are coping with the demand, in terms of avoiding persistently long trolley and 12-hour waits but some are struggling to do so.
There is a small number of trusts who are failing to cope with the demand and who have seen persistently large trolley and 12-hour waits. These tend to have lasted for short periods as corrective management action kicks in. Clearly, any incident of unavoidable harm is unacceptable and trusts are doing all they can to avoid them.
Parts of the NHS “will implode” this winter, an expert has warned, as new figures show falling A&E performance over the past few months. | The Guardian
Dr Mark Holland, the president of the Society for Acute Medicine, said the days when summer used to provide a respite for busy emergency departments had gone, and instead the NHS faced an “eternal winter”.
The NHS was “on its knees” and a major increase in hospital admissions due to flu or the sickness bug norovirus could lead to collapse, he added.
Holland spoke out as new figures show that waiting times in A&E units in England this summer have been worse than for most winters stretching back more than a decade.
One in 10 patients waited more than four hours in A&E during June, July and August – worse than any winter in the past 12 years bar one, analysis by the BBC showed. Only last winter marked a worse performance since the target was launched in 2004.