This NHS England report covers work since the Urgent and Emergency Care Review. It discusses the involvement of local commissioners, the development of five-year strategic and two-year operational plans, updates on demonstrator sites to trial new models, and a new NHS 111 service specification.
“This work will make it easier for patients to get the right care, in the right place, first time. The vision is simple: firstly, for those people with urgent but non-life threatening needs we must provide highly responsive, effective and personalised services outside of hospital – as close to people’s homes as possible, minimising disruption and inconvenience for patients and their families. Secondly, for those people with life threatening needs we should ensure they are treated in centres with the very best expertise and facilities”.
Update on Urgent and Emergency Care Review. London: NHS England, August 19th 2014.
This relates to:
NHS England Urgent and Emergency Care Review Team (2014). Transforming urgent and emergency care services in England: update on the Urgent and Emergency Care Review. Leeds: NHS England, August 19th 2014.
For background information on the “Transforming urgent and emergency care services in England. Urgent and Emergency Care Review End of Phase 1” (2013) report, see Two-Tier Accident and Emergency System Plans: Keogh Review (BBC News / NHS Choices / NHS England).
Reimbursement of Urgent and Emergency Care: Consultation on Reform of the Payment System
NHS England and Monitor have published a discussion document on suggested options for reforming the urgent and emergency care payment system.
Reimbursement of urgent and emergency care: discussion document on options for reform. London: Monitor and NHS England, August 19th 2014.
Winter Pressures: Preparatory Recruitment
Roughly 260 extra doctors are to be recruited in an attempt to ease pressure on NHS accident and emergency units in England. The NHS is struggling to cope with rising demand from an aging population. Around 3,500 more people go to A&E per day compared with A&E attendance figures for 2010. A&E units also face demand pressures from people unable to get GP appointments; research indicates that 5.7 million people (one quarter of attendees) went to A&E after being unable to get a timely GP appointment in 2012-13.
Health Education England (HEE) and the College of Emergency Medicine (CEM) have run the recruitment drive for emergency doctors, but shortages of consultants remain a concern.
NHS drafts in extra A&E doctors to ‘bolster units’. London: BBC Health News, October 21st 2014.
This relates to:
Extra accident and emergency doctors recruited. London: Department of Health, October 21st 2014.
Possibly of interest, on the general practice front:
Cowling, TE. Harris, MJ. [and] Watt, HC. [et al] (2014). Access to general practice and visits to accident and emergency departments in England: cross-sectional analysis of a national patient survey. The British Journal of General Practice: the Journal of the Royal College of General Practitioners. July 2014, Vol.64(624), pp.e434-9. (Click here to view the PubMed abstract).
NHS 111 Pressures? (September 2015)
NHS 111 helpline ‘dangerously understaffed’ whistleblower says. London: BBC Health News / BBC News Derby, September 29th 2015.