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NHS chiefs order hospitals to begin urgent overhaul of A&E care NHS chiefs order hospitals to begin urgent overhaul of A&E care
(35 minutes later)
NHS chiefs have ordered hospitals to push through an urgent overhaul of A&E care, with GPs assessing every patient when they turn up to help the health service avoid another winter crisis.NHS chiefs have ordered hospitals to push through an urgent overhaul of A&E care, with GPs assessing every patient when they turn up to help the health service avoid another winter crisis.
The move comes as the NHS in England disclosed that it recorded its worst performance to date in January, missing vital treatment targets covering A&E, cancer and planned hospital care.The move comes as the NHS in England disclosed that it recorded its worst performance to date in January, missing vital treatment targets covering A&E, cancer and planned hospital care.
The NHS England chief executive, Simon Stevens, and his counterpart at NHS Improvement, Jim Mackey, have written to all parts of the health service outlining “concrete changes” they must make to prevent next winter from overwhelming hospitals.The NHS England chief executive, Simon Stevens, and his counterpart at NHS Improvement, Jim Mackey, have written to all parts of the health service outlining “concrete changes” they must make to prevent next winter from overwhelming hospitals.
Over the previous winter, pictures of patients lying on trolleys in hospital corridors and countless stories about waiting many hours for ambulances caused major embarrassment to ministers and NHS bosses. Over the previous winter, pictures of patients lying on trolleys in hospital corridors and countless stories about waiting many hours for ambulances caused major embarrassment to ministers and NHS chiefs.
Under the changes set out on Thursday:Under the changes set out on Thursday:
Ambulance crews will treat many more sick people where they find them, rather than bringing patients to hospital. In future, paramedics should be “conveying patients to hospital only when this is clinically necessary”, the letter says.Ambulance crews will treat many more sick people where they find them, rather than bringing patients to hospital. In future, paramedics should be “conveying patients to hospital only when this is clinically necessary”, the letter says.
Every hospital will have put in place “comprehensive front door streaming” by October, under which family doctors and nurses will assess how sick patients are to reduce the risk of A&E units becoming overloaded by the 1.5 million to 3 million people who turn up unnecessarily every year. Every hospital will have put in place “comprehensive front door streaming” by October, under which family doctors and nurses will assess how unwell patients are to reduce the risk of A&E units becoming overloaded by the 1.5 million to 3 million people who turn up unnecessarily every year.
GP surgeries will have to offer many more appointments at weekends and in evenings, ultimately providing these to everyone in England by 2020.GP surgeries will have to offer many more appointments at weekends and in evenings, ultimately providing these to everyone in England by 2020.
Doctors and nurses will have to provide better medical care to the 400,000 older people living in care homes, to stop them becoming so unwell that they need to be admitted to hospital.Doctors and nurses will have to provide better medical care to the 400,000 older people living in care homes, to stop them becoming so unwell that they need to be admitted to hospital.
NHS bodies will work much more closely with local councils to reduce so-called bedblocking in hospitals. Councils will use the £1bn extra for social care in 2017-18 announced in Wednesday’s budget to provide more at-home care services and places in care homes.NHS bodies will work much more closely with local councils to reduce so-called bedblocking in hospitals. Councils will use the £1bn extra for social care in 2017-18 announced in Wednesday’s budget to provide more at-home care services and places in care homes.
The NHS 111 telephone advice service will be overhauled to enable many more callers to speak to a doctor, nurse, mental health specialist or other type of health professional, as disclosed by the Guardian on Wednesday. The NHS 111 telephone advice service will be overhauled to enable many more callers to speak to a doctor, nurse, mental health specialist or other type of health professional, as the Guardian reported on Wednesday.
Stevens and Mackey made it clear in their letter, published on Thursday, that NHS hospital trusts that do not implement every element of the plan will in effect be fined, by being denied money from the service’s £1.8bn a year sustainability and transformation hospital bailout fund. Stevens and Mackey made it clear in their letter, published on Thursday, that NHS hospital trusts that do not implement every element of the plan will in effect be fined, by being denied money from the service’s £1.8bn-a-year sustainability and transformation hospital bailout fund.