Quality Improvement in Urgent and Emergency Care (NHS Improvement / NHS England / Department of Health)

Summary

An earlier BBC News description of the problem:

Full Text Link

Reference

Cawley, L. (2017). Four-hour accident and emergency waits rise 300% at some hospitals. London: BBC Health News, March 16th 2017.

Further context and introductory analysis:

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Reference

Pym, H. (2017). Can the NHS cope better next year? London: BBC Health News, March 10th 2017.

Talking the Problem Up?

The NHS has prepared for winter this year on many fronts (as discussed below), more so than ever before; yet there is little respite from the ongoing demands for more funding / bailouts. Estimates vary as to the true scale of the problem.

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Reference

Triggle, N. (2017). The worst is yet to come for the NHS – hospital chiefs. London: BBC Health News, September 3rd 2017.

Preparations for Winter: National Priorities for Acute Hospitals

A growing collection of practical resources is available from NHS Improvement, on improving urgent and emergency care services.

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Reference

Improving patient flow through urgent and emergency care. [Online]: NHS Improvement, July 2017.

This relates to:

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Reference

Good practice guide: focus on improving patient flow. London: NHS Improvement, July 14th 2017.

The main contents headings – covering the main areas for improvement (regarding safety, efficiency and effectiveness) in local urgent and emergency care programmes – include:

  • Why focus on patient flow?
  • Making it happen – good principles of patient flow.
  • The 10 areas for focus.
    • Ambulance handovers.
    • Primary care streaming.
    • Emergency departments.
    • Mental health.
    • Clinical decision units.
    • Ambulatory emergency care.
    • Acute assessment.
    • Frailty.
    • Specialties.
    • Admission, transfer, delays in discharge.
  • Appendix 1: The SAFER patient flow bundle and Red2Green days.
  • Appendix 2: Trusted assessment.

A collection of case studies:

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Reference

Case studies: focus on improving patient flow. London: NHS Improvement, July 14th 2017.

On trusted assessment schemes, which are said to be an important aspect of best practice for reducing delays in transfers of care between hospital and home:

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Reference

Developing trusted assessment schemes: essential elements. London: NHS Improvement, July 31st 2017.

Further documents in this series are expected soon…

Planning For Winter Pressures in A&E (NHS Improvement / NHS England)

The recommendations discussed above were developed in the context of growing pressures within the system. The following document examines how NHS England’s Emergency Medicine and Urgent Care system coped with Winter pressures last year in detail, and considers improvements for the coming Winter season.

Full Text Link

Reference

A review of winter 2016/17. London: NHS Improvement and NHS England, Summer 2017.

Planning For Winter Pressures in A&E (Department of Health)

The following report tackles the conclusions and recommendations in the Health Select Committee’s November 2016 report on “Winter pressures in A&E Departments”.

Full Text Link

Reference

Government Response to Health Select Committee Report on Winter Pressure in Accident and Emergency Departments. Presented to Parliament by the Secretary of State for Health by Command of Her Majesty. London: Department of Health, July 2017. Cm. 9485.

Tele-tracking Technology

Possibly of background interest, on the use of tele-tracking technology in American healthcare organisations:

Full Text Link

Reference

Castle-Clarke, S. (2017). Managing patient flow and improving efficiencies: the role of technology. [Online]: Nuffield Trust, August 18th 2017.

Integration of Primary and Secondary Care

A showcase case study on the Royal Wolverhampton NHS Trust model for integrating primary and secondary care:

Full Text Link

Reference

The Royal Wolverhampton NHS Trust: Integrating primary and acute care. London: NHS Confederation [and] The Royal Wolverhampton NHS Trust, June 14th 2016.

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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, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Local Interest, Management of Condition, National, NHS, NHS Confederation, NHS England, NHS Evidence, Non-Pharmacological Treatments, Nuffield Trust, Person-Centred Care, Quick Insights, Royal Wolverhampton NHS Trust, Standards, UK, Universal Interest, Wolverhampton and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

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