The Emergency Care Improvement Programme (ECIP) has created possibly the ultimate collection of online resources to help hospitals understand and manage the challenges in improving the quality and performance of urgent and emergency care systems (and to address the problems experienced by their patients). ECIP was set-up in response to the pressures experienced by NHS emergency care during Winter 2014/15 and upcoming for 2015/16.
ECIP incorporates the principles of Safer, Faster, Better: Good Practice In Delivering Urgent And Emergency Care and the interventions developed by the Urgent and Emergency Care Review. The main links currently comprise:
- About the ECIP Programme.
- Tools and Resources.
“ECIP is focused on helping to improve patient flow through the system… this starts with patients contacting NHS111, their GP, or the ambulance service, moving through A&E and, where appropriate, into the hospital as an in-patient or returning home quickly and safely with the support they need”.
A Safer Start to 2016 – Dr Vincent Connolly. London: NHS England, December 21st 2015.
This relates to:
Emergency Care Improvement Programme (ECIP) [Official Website]. [Online]: NHS England / ECIP, December 2015.
NHS 111 Becomes the Integrated Urgent Care Service
The reformed Integrated Urgent Care service will involve Clinical Hubs allowing for more collaborative working and multi-disciplinary teamworking between the old NHS 111, Out Of Hours services and Out Of Hospital provision. There should be fewer “inappropriate dispositions” from NHS 111 to primary care and hospital emergency departments.
NHS 111’s National Advisor calls for more collaboration. [Online]: NHS England, July 18th 2016.
On the Urgent Care Centre (UCC) at New Cross Hospital in Wolverhampton
New Cross Hospital’s £38 million Accident and Emergency (A&E) unit is said to follow national recommendations on combined urgent and emergency care. West Midlands Doctors Urgent Care (WDUC) operates this service. WDUC also runs the West Midlands 111 service and a GP out-of-hours service.
“Our aim is to reduce the burden on A&E services by delivering urgent care to patients when they need it, freeing up emergency departments for life threatening cases.” John Harrison (WDUC).
New Urgent Care Centre opens at New Cross Hospital. Wolverhampton: Royal Wolverhampton NHS Trust, April 1st 2016.
Primary Care Vertical Integration Pilot (Wolverhampton)
Not related to the above directly, but possibly of interest; the Royal Wolverhampton NHS Trust (RWT) is working with three Wolverhampton GP practices on a project to integrate these practices into the Trust. This project should “increase access to services, provide better care and reduce bureaucracy between the surgeries and the hospital”. The relevant practices are:
- Alfred Squire Road Health Centre.
- Lea Road Medical Practice.
- MGS Medical Practice (Bradley Health Centre, Low Hill Health Centre, Ruskin Road Surgery).
Primary Care Vertical Integration Pilot. Wolverhampton: Royal Wolverhampton NHS Trust (RWT), February 2016.
Mahmud, S. (2016). Primary Care Vertical Integration Pilot. Wolverhampton: Royal Wolverhampton NHS Trust, February 29th 2016.
Accountable Care Organisations (ACOs)
The following King’s Fund document explains that an Accountable Care Organisation (ACO) brings together various providers, taking “responsibility for the cost and quality of care for a defined population within an agreed budget”. Other notable examples of ACO / place-based solutions / new models of care / PACS approaches to integrated care under development in England (and internationally) are discussed:
Addicott, R. Walsh, N. Ham, C. [and] Shortell, S. (2016). Accountable care organisations in the United States and England: testing, evaluating and learning what works. London: King’s Fund, March 26th 2016.
Further local developments:
Wolverhampton moves towards Integrated Healthcare Provision. Wolverhampton: Royal Wolverhampton NHS Trust, September 21st 2016.
More on the broadly-related theoretical background and related international research:
Contandriopoulos, D. Duhoux, A. [and] Roy, B. [et al] (2015). Integrated Primary Care Teams (IPCT) pilot project in Quebec: a protocol paper. BMJ Open, December 23rd 2015, Vol.5(12), pp.e010559. (Click here to view the PubMed abstract).