Patient Perspectives on Urgent and Emergency Care (Royal College of Emergency Medicine / Patients’ Association)


The Royal College of Emergency Medicine (RCEM) and the Patients Association have published a joint report, entitled “Time to Act. Urgent Care and A&E: the Patient Perspective”, which incorporates results of a survey of patients conducted between September 2014 and February 2015.

This report addresses the choices, decisions and experiences of patients who accessed A&E services for urgent healthcare needs. It indicates that patients need better information and signposting about alternative services such as out-of-hours GPs, walk-in centres and the NHS 111. These alternative (non-A&E) services require sufficient capacity and should provide 24/7 availability of access to avoid growing pressures on the over-stretched A&E system.

The co-location of other out-of-hours services with A&E departments appears to be the preferred solution:

“The Patients Association and The Royal College of Emergency Medicine recommend co-location of other out-of-hours services with A&E departments to simplify patient decision-making while ensuring that all patients are streamed to the most appropriate care provider in a safe and timely manner”.

Full Text Link


Time to act. urgent care and A&E: the patient perspective. London: Royal College of Emergency Medicine and Patients’ Association, [May 2015] June 1st 2015.

Possibly also of interest, is a Nuffield Trust analysis of the main causes behind the pressures on accident and emergency departments:

Full Text Link


Blunt, I. Edwards, N. [and] Merry, L. (2015). What’s Behind the A&E Crisis? London: Nuffield Trust, March 2015. Policy Briefing No.3.

Further Selected References Relating to Co-Location of Alternative Out-Of-Hours Services With A&E Departments

On the potential roles GPs in the planning and provision of services out-of-hours:

Full Text Link


Could GPs be more involved in out-of-hours planning and provision? The Future of GP Out of Hours Care: Royal College of General Practitioners (RCGP), 24th February 2015. London: NHS Confederation, March 10th 2015.

A Scottish review of out-of-hours primary care services and new approaches to unscheduled care, building on the Scottish Government’s 2020 Vision for the NHS:

Full Text Link


Review of out-of-hours primary care. The Scottish Government: January 30th 2015.

An earlier follow-up survey concerning recommendations from the Royal College of Emergency Medicine:

Full Text Link


Ignoring the prescription. London: Royal College of Emergency Medicine, March 2015.

Mental Health Crisis Care: Care Quality Commission Report

The CQC has produced an extensive report which touches upon the experiences of patients attending A&E departments for help in mental health crises. More information on the CQC’s “Right here, right now” national review is available.

Ruling-Out Suspected Heart Attacks

Aside; a promising new troponin test has potential to reduce hospital admissions for chest pain in future:

Full Text Link


Gallagher, J. (2015). New heart attack test ‘cuts A&E visits’. London: BBC Health News, October 7th 2015.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, Charitable Bodies, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, Nuffield Trust, Patient Care Pathway, Person-Centred Care, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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