OnMedica – News – A&E target four times closer to being broken


Pilots will test a range of measures, including shorter periods for the worst situations

Ingrid Torjesen

Tuesday, 12 March 2019

NHS England has published pilots to confirm a range of measures to assess NHS performance including alternatives to the four-hour A&E wait as promised by the NHS Long Term Plan.

Testing levels include a speedy assessment for all patients who enter A&E, together with quicker saving treatment for those most in need, such as heart attack, sepsis, stroke t and great sacrifices were sacked.

In moving to improve mental health care, one level will assess whether patients coming to A&E who are suffering from mental health crisis receive emergency care within an hour.

A new amount of time will aim to give an overview of hospital performance by recording how much each patient spends in A&E, so an average can be measured, and there is a long wait. comments. t The use of average waiting times is based on the success of new ambulance standards, which experienced average waiting times for the most expensive 14% calls over the last year, despite a growing number of people t -machine.

It is proposed that rules about providing long-term statements to those who require access to a ward will be strengthened, including a statement of the worst cases for the Quality Care Commission as a whole. patient safety concerns.

Other new measures being confirmed under the proposals include ensuring that patients within 28 days of committing their GP or screening service are given their definitive judgment. suspected cancer.

Dr Nick Scriven, president of the Academic Medical Association (USA), said: “Back in 2016 the USA clearly stated that the NHS would stop meeting it four times only when it was clear of an overall approach. required. The review of the target opportunity is to target a range of patient outcomes and quality standards to measure weight and take effective action earlier. ”

Around a fifth of emergency applications from A&E take place in the last 10 minutes before the four hour deadline, which indicates that hospitals are encouraged to focus on their use to the language. target, rather than the best way for all patients.

Dr Chaand Nagpaul, chair of the British Medical Association (BMA) council, said: “The BMA has consistently considered that temporary effects can have an irreversible impact on patient care, particularly when they are located. related to funding. For example, when the health secretary redefined the A&E target four times in 2017 to include only urgent cases, rather than present, there were concerns that NHS managers simply re-interpreted it. the issues are urgent; so that the target can be achieved and resources. is preserved. ”

He added: “An exciting excuse for today's announcement is that access to vulnerable patients with mental health issues will enable easier access to higher levels of care. ”

Professor Ted Baker, chief hospital inspector for the Care Quality Commission, said: “The four-hour A&E level has been valuable in focusing efforts to improve emergency care. but if we are to keep improving patient safety and ensuring that all patients get priority. they need to be redeveloped and we need to find better steps to ensure patient safety.

“Emergency departments must set a set of criteria that give priority to patients with a life-threatening condition, ensuring that people receive care in a responsible manner and put the whole hospital at a risk to stop. T it delayed long corridors for people who need access. We are sure that testing these proposals is the safest and most effective way to improve care. ”

Professor Helen Stokes-Lampard, chair of the Royal College of General Practitioners, said: “We know many years of experience that, when fully implemented, you will find that targets will be useful. • the care provided to NHS patients. To ensure that all the objectives are balanced and that the best care of the patient at that time is reasonable, it is sensible to review them regularly, and where appropriate, to investigate alternatives, where appropriate. rigorous assessment and assessment to ensure that the care which it receives is constantly improving. '

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