New two-tier plan to solve A&E crisis
- 13 Nov
There are new plans to establish a two-tier A&E service beginning today.
NHS England's medical director, Sir Bruce Keogh, has said that it is an illusion to think that all hospitals are as good as each other. He says that it was absolutely necessary to rethink under-pressure A&E services because too many people turn up there who do not need emergency care.
Almost 40% of people leave A&E without any treatment, frail and elderly people end up waiting hours and sometimes could have been better cared for at home, reports the Guardian.
In the remodelling of A&E none of the current 140 A&E departments in England would close. However the proposals are set to be controversial as it will see some A&Es become downgraded. Around 40-70 will become "major emergency centres" with the 70-1000 remaining A&Es becoming ordinary emergency centres. Major emergency centres will be where the seriously sick and damaged will be taken for hi-tech treatment and other centres will deal with problems requires less specialised care.
"We now find ourselves in a place where, unwittingly, patients have gained false assurance that all A&Es are equally effective. This is simply not the case," said Keogh. He wants the public to cut their attachment to their local A&E.
The plan not only looks at changes to A&E units but also envisages a much greater use of the NHS 111 phone service which sees doctors and dentists available at the end of the phone.
Dr Tim Ballard, a Wiltshire GP said that "GPs are working to capacity," at the report launch, but added that: "I do think GPs have a responsibility to look after their patients." Given "headroom", he said, which would involve contractual negotiation, "we think we can bring a large part of the solution to this."
Dr Mark Porter, chair of the Council of the British Medical Association which negotiates doctors' contracts, said: "There is no doubt that, where appropriate, we should seek to treat patients as close to home as possible, but to deliver this we need to carefully assess what is needed in terms of targeted funding, resources and staff."
What do you think of this? Tweet us your comments @suppsolutions
Image source: http://www.morguefile.com/archive/display/89795
- 25 May
CARE HAS IMPROVED CONSIDERABLY IN ENGLAND
Almost three fourth of 372 care homes rated inadequate in 2014 and still operating have improved.205 care homes have improved from a low rating to requiring improvement, 68 are now rated good and 99...
- 24 May
NHS ADJUSTMENTS TO BUDGET CUTS
NHS trusts which have been previously rated good or outstanding will not be inspected as frequently as before, but those rated as inadequate will be regularly visited by the CQC.The Guardian reports...
- 19 Mar
Government to inspect if housing can reduce NHS costs
In the Budget document the government have said it's looking at the ‘cost-effectiveness of options to integrate spending around some of the most vulnerable groups of people.' This includes...
- 15 Oct
End of life patients are lacking support
The charity has found that almost 92% of NHS clinical commissioning groups do not provide round the clock telephone helplines, reports the BBC.Guidelines say there should be 24-hour telephone...
- 15 Sep
Social care is being limited due to council cuts
ADASS are warning that cuts are making the care system "unsustainable" with charities saying hundreds of thousands of people are struggling without help, even though the government says councils have...
- 17 Jul
Young people should not be placed in B&Bs says MPs
The Commons Education Select Committee has said that B&B accommodation is "threatening and frightening" and should only be used in emergency situations reports the BBC.MPs say that young people...
- 16 Jul
Special measures system designed to improve failing care homes
A scheme similar to special measures of hospitals will be introduced for care homes and home care agencies next year, ministers will say, reports the BBC.This will cover 25,000 services and could...
- 14 Jul
Research says that one in three Alzheimer's cases can be prevented
The research says that the main risk factors of Alzheimer's is lack of exercise, smoking, depression and poor education, reports the BBC. Alzheimer's Research UK said age was still the biggest risk...
- 10 Jul
NHS boss says those with vulnerabilities need joint health and care budget
Simon Stevens wants to see older people, those with disabilities and people with serious mental health problems given joint pots from the NHS and council-run social care services, reports the...
- 17 Jun
Council falters in reviewing autistic man’s care plan
According to Community Care:"The ruling was made by the Local Government Ombudsman after the man's mother complained that his physical and mental health deteriorated in the two-year period after...
Responding to the DWP Consultation: Housing Benefit Reform - Supported Housing "I thought this briefing was very good and very useful. The presentation was clear, well argued and I always find Michael gives me food for thought even if I don't agree with everything he says. I really like the way he facilitates a discussion in the room and I learn as much from other participants as I do from the presenter which is always good. Right length, right tone." R.P. - Richmond Fellowship