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

alarm-1673577_1280

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

Advertisements

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

waiting.png

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

 

A & E performance: The view of NHS Providers

Following recent media coverage of NHS accident and emergency department performance, NHS Providers has published NHS Providers view on NHS A&E performance and linked media coverage

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.

Read the full briefing here

Sharp rise in ‘trolley waits’ for hospital beds in England

More than one in 10 patients in England face long delays for a hospital bed after emergency admission. | Story via BBCThe Guardian

stretcher-1685611_1280

There has been a sharp rise in “trolley waits” – the length of time people wait for a hospital bed in England after being admitted in an emergency, figures show. Figures show 473,453 patients waited more than four hours for a hospital bed – a fivefold increase since 2010-11.

Data analysed by the BBC shows 473,453 patients waited more than four hours between October 2015 and September 2016 – almost a fivefold increase since 2010-11.

Read more via The Guardian

Additional link: BBC News: Hospital ‘trolley waits’ show sharp rise

Details of new waiting targets for trusts

New guidance, seen by HSJ, sets out what is expected of mental health and acute trusts to meet the new emergency access and waiting time targets.

queue-154925_960_720.png

  • All emergency and urgent mental health patients in A&E and hospital wards should be seen within one hour by liaison psychiatry staff
  • Emergency patients should be treated within four hours and urgent patients within 24 hours
  • Trusts to submit how quickly they respond to emergency mental health crises at hospitals from April
  • New guidance tells trusts to report if they are hitting emergency and urgent mental health liaison target

Read the full news story here

Areas of NHS will implode this winter, expert warns

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

10998-2

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.

Related: The King’s Fund responds to latest NHS performance statistics