NHS Combined Performance Summary – Department of Health and Social Care

This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official statistics are designed to give informative and impartial information about the performance of the NHS.  It identifies a 1.8 per cent growth in the

Integrated Urgent Care / NHS 111 Workforce Blueprint: Workforce Survey: Recommendations for Managers – NHS England

This document provides recommendations developed following a survey of NHS 111 workforce in 2016 to help managers ensure that staff satisfaction is addressed and that staff are properly supported and able to provide the best care for patients.

Care Quality Commission: regulating health and social care: Twenty-Fourth Report of Session 2017–19: Report, together with formal minutes relating to the report – House of Commons Committee of Public Accounts

Report that finds significant improvement in the Care Quality Commission but notes it still does not make inspection reports available to the public quickly enough following an inspection and it needs to improve how it interacts with and regulates GP practices.

Quality patient referrals: Right service, right time – Royal College of General Practitioners

Looks at the issue of referral management systems by looking at a referral support approach.  The report identifies there is good evidence to suggest that successful approaches to referral support include combinations of local expertise, specialist advice, peer review and reflection, and

In and Out Of Hospital – British Red Cross

Report form the British Red Cross recommending the following to reduce admissions and readmissions to hospital by vulnerable people: Automatic home assessments should be triggered for people who have come in and out of hospital several times within a few months. The Government

Provision of mental health care to adults in the emergency department – Healthcare Safety Investigation Branch

This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed

Admissions of inequality: emergency hospital use for children and young people – Nuffield Trust

Does a child’s socioeconomic background affect rates of admissions to hospital for common conditions such as asthma, diabetes or epilepsy? Finds that while there has been progress in reducing the rate of emergency admissions for the most deprived children, a stubborn

The impact of redesigning urgent and emergency care in Northumberland Health Foundation consideration of findings from the Improvement Analytics Unit

The report highlights that reconfiguring NHS services takes time to generate the intended results and that robust, repeat evaluation can help to inform decisions and improvement.  To do this it considers the case of the early impact of changes to urgent

A brief guide to Section 136 for Emergency Departments – Royal College of Emergency Medicine

This guide outlines the process to be followed when police bring a person to the Emergency Department under a section136 of the Mental Health Act and the responsibilities of the different agencies caring for the person.  It notes the main change detailed

Addressing ambulance handover delays: actions for local accident and emergency delivery boards – NHS England and NHS Improvement

Advice for ambulance trusts and A&E delivery boards on what action to take during busy periods and should ambulances begin to queue. This aims to help reduce delays in handover of patients from ambulance services to emergency departments. It draws

Out in the cold: Lung disease, the hidden driver of NHS winter pressure – British Lung Foundation

British Lung Foundation report that identifies a failure to address a predictable and obvious seasonal variation in respiratory admissions is at the heart of our A&E winter crisis. It demonstrates this annual fluctuation has consistently repeated over the last 7 years. Yet

Challenging Health Inequalities: Support for CCGs – NHS England

This guide has been created to help identify areas of variation in emergency admissions in more and less deprived CCGs and to promote a discussion where variation occurs.

Meeting the quality challenge: Sharing examples of best practice from clinical leaders in Emergency Departments – Care Quality Commission

Document, that lists the Key Lines of Enquiry (KLOEs) that are relevant to the issues that clinicians highlighted, and provide summary examples of good practice shared by Trusts.  

2016 Emergency Department Survey Statistical release – Care Quality Commission

Report from the Care Quality Commission that finds Emergency department services are working under increasing pressure, and facing increasing challenges, with the number of attendances rising every year.

New Models Of Care In Practice: Integrated Primary And Acute Care Systems Vanguard: Mid Nottinghamshire Better Together – NHS Confederation

Mid Nottinghamshire Better Together vanguard is working towards the local health and care system being more joined up, and together partners have been reducing unnecessary hospital admissions for the area’s highest risk patients.

New models of care in practice: Urgent and Emergency Care Vanguard: Cambridgeshire and Peterborough Clinical Commissioning Group – NHS Confederation

Case study of  a vanguard focused on helping people who are experiencing mental health crisis and demonstrating how, with the right support, they can get the help they need at home or in the community and avoid a trip to A&E.

A healthier Stockport: An Issues Document – Stockport Together

Engagement document that outlines the case for change to support the move towards integrated care in Stockport.

Monthly performance statistics, April 2017 – NHS England

Overview of performance in the following areas: the NHS 111 service; ambulance quality indicators; A&E attendances and emergency admissions; waiting times for diagnostic tests, referral to treatment for consultant-led elective care, cancer services; delayed transfers of care; and Early Intervention in

Consultant sign off clinical audit 2016/17: National report – Royal College of Emergency Medicine

Caring for patients in the Emergency Department (ED) is of course all about managing risk. In an ideal world, all our patients would be either seen or ‘signed off’ by a trained or an ST4+ trainee (or equivalent) emergency physician.

Severe sepsis and septic shock clinical audit 2016/17: National Report – Royal College of Emergency Medicine

A total of 13,129 patients presenting to 196 Emergency Departments (ED) were included in this audit. The purpose of the audit is to monitor documented care against the standards published in June 2016. The audit is designed to drive clinical practice