NHS England’s review of urgent and emergency care proposes a fundamental shift in the way urgent and emergency care services are provided, delivering more care closer to home where clinically appropriate. Implementing this vision is not a ‘quick fix’ but will instead be a transformational change that will take several years to effect.
Urgent and emergency care vanguards are developing new approaches to improve the coordination of urgent and emergency care services and reduce pressure on A&E departments.
What evidence is this redesign based on?
'Safer, faster, better' has been developed as a practical summary of the design principles that local health and social care communities need to adopt to deliver safer, faster and better urgent and emergency care. These principles are drawn from good practice, which have been tried, tested and delivered successfully by the NHS in local areas across England. However, the guide is not a list of instructions or new mandatory requirements. Implementation should be prioritised taking into account financial implications and local context. BUT I think many FabNHSStuff collaborators will be able to use the Safer, faster, better care principles in their own areas and implement local change now.
So what this mean for patients?
This work will join up the often confusing array of A&E, GP out of hours, minor injuries clinics, ambulance services and 111 so that patients know where they can get urgent help easily and effectively, seven days a week. We know this is a significant issue nationwide and the number of shares On FabNHSStuff on this very subject are testament to that.
These are the urgent and emergency care vanguard sites:
- South Nottingham System Resilience Group
- Cambridgeshire and Peterborough Clinical Commissioning Group
- North East Urgent Care Network
- Barking and Dagenham, Havering and Redbridge System Resilience Group
- West Yorkshire Urgent Emergency Care Network
- Leicester, Leicestershire & Rutland System Resilience Group
- Solihull Together for Better Lives
- South Devon and Torbay System Resilience Group