Co-Location of Alternative Out-Of-Hours Services With A&E Departments: Building on Popular Persistence of A&E Brand? (BBC News / BMJ / RCEM / RCP)


The Royal College of Emergency Medicine (RCEM) has proposed that the A&E brand has such a dominant and ingrained persistence in the minds of the public that it might be futile to try persuading people not to make unnecessary trips to A&E. The reverse approach is being suggested instead. Around 40% of A&E departments have explored co-locating GP care already. The RCEM recommends pursing this trend further, by co-locating mental health crisis care, emergency dental care and pharmacy services with A&E departments.

Stretching the A&E brand in this way could remove barriers to accessing appropriate urgent care quickly, instead of setting-up fragmented services which tend to increase patient confusion and / or receive disappointing public-uptake.

Full Text Link


Triggle, N. (2015). Could the NHS learn from Virgin, Apple and co? London: BBC Health News, October 2nd 2015.

This relates to:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).


Hawkes, N. (2015). Emergency departments should provide a range of out-of-hours services, conference hears. BMJ. September 23rd 2015; 351: h5080.

See also:

June 3rd Video Link


The Facts about A&E. [Online]: Royal College of Emergency Medicine (RCEM), June 3rd 2015.

September 3rd 2015 Video Link


Exit Block – what it is and what needs to be done about it. [Online]: Royal College of Emergency Medicine (RCEM), September 3rd 2015.

September 9th 2015 Video Link


Exit Block in Emergency Departments: what it is and why it is dangerous. [Online]: Royal College of Emergency Medicine (RCEM), September 9th 2015.

September 22nd 2015 Video Link


The A&E ‘Brand’. [Online]: Royal College of Emergency Medicine (RCEM), September 22nd 2015.

Putting the Pieces Together (RCP)

Coming from a slightly different direction, a recent Royal College of Physicians (RCP) report discusses the fragmentation experienced by patients when deciding how to approach NHS services. Examples of how commissioners, service planners and clinicians can collaborative on improving patient care are suggested.

Full Text Link


Putting the pieces together: removing the barriers to excellent patient care. London: Royal College of Physicians (RCP), September 8th 2015.

There is also an executive summary:

Full Text Link


How physicians can influence the commissioning system: a guide to getting involved. London: Royal College of Physicians (RCP), September 8th 2015.

Demographic Aside: Socioeconomic Deprivation and Accident and Emergency Attendances

A study of demand for A&E during 2011-2012 found higher demand to be concentrated in areas of high deprivation. Demographic characteristics appear to be the most significant predictors of A&E attendance rates, so other factors less amenable to change could presumably be of lower importance in determining / modifying A&E attendance rates.

Full Text Link


Scantlebury, R. Rowlands, G. [and] Durbaba, S. [et al] (2015). Socioeconomic deprivation and accident and emergency attendances: cross-sectional analysis of general practices in England. The British Journal of General Practice: the Journal of the Royal College of General Practitioners. October 2015; 65(639): e649-54.

About Dementia and Elderly Care News

Dementia and Elderly Care News. Wolverhampton Medical Institute: WMI. (jh)
This entry was posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Patient Care Pathway, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.