Knowledge @lert for Tuesday 20th December
Urgent & emergency care: acting on patient and public perspectives – Eastern AHSN
This report set out to understand the problem of urgent and emergency care from the perspective of patients who had engaged with that care, including how they might be supported by digital solutions. The research focused on where people go for urgent care, gathering positive and negative patient experiences, and using engaging methods to explore patients’ knowledge of existing digital services.
A vision for pharmacy professional practice in England – Royal Pharmaceutical Society (RPS)
This document, produced in partnership with The King’s Fund, outlines key ambitions for the future of pharmacy in England over the next decade. It sets out how pharmacy teams can support better patient care and address key challenges facing the nation’s health. It calls for the complete integration of pharmacy professionals across health and care systems to enable a transformation in patient care, supported by a comprehensive pharmacy workforce strategy, improved use of data and research to drive better patient outcomes, and strong skilful leadership and collaboration to inform professional practice.
Recovering elective waits inclusively: where to start? – King’s Fund Blog
Can the NHS effectively combine the aims of clearing the elective backlog and tackling health inequalities? It’s a question that systems and providers have been faced with since NHS England requested that recovery in the wake of the pandemic is managed inclusively. Some may think these aims are at odds with one another, while others will champion their unification. In the first stage of a new research project about inclusive approaches to reducing the backlog, we have been looking at what we can learn from NHS boards about how this issue is playing out.
Health Education England fund skills software for all NHS trusts – NHS Employers
Health Education England (HEE) has commissioned skills software to organisations free of charge. All NHS trusts, community, primary and adult social care employers can now use Basic and Key Skills Builder (bksb) software for staff development and upskilling. Bksb can be used as a self-study platform to help prepare individuals for their functional skills qualification in English and Maths. The software can also be used by employers to perform skills analysis to aid workforce planning and for general upskilling of employees.
Recent statistics
- Estimating the number of people living in poverty at health risk in cold weather due to cardiovascular or respiratory conditions, England An experimental analysis combining data from the 2021 Census, primary care records and the Family Resource Survey to estimate the number of people at risk of cardiovascular and respiratory conditions living in poverty in pri…
- The impact of winter pressures on adults in Great Britain: 23 November to 4 December 2022 Insights into how important societal issues highlighted in the Public Opinions and Social Trends release, including the cost of living and difficulty accessing NHS services, are impacting peoples’ lives during the Autumn
- Case-mix adjusted percentage of cancers diagnosed at stages 1 and 2 by sub-ICB in England, 2020 One and 3- year unadjusted and case-mix adjusted ‘percentage of all cancers diagnosed at stages 1 and 2’ indicator nationally and at sub–Integrated Care Board (sub-ICB) level.
- Patients Registered at a GP Practice, December 2022 Data are reported by both quinary age and single year age band and gender at GP Practice level, Clinical Commissioning Group, STP, NHS England Region and NHS England Commissioning Region. We also publish this at Lower Super …
- Health Survey for England, 2021 Survey of adults and children in private households, reporting prevalence of health related behaviours and health status and conditions.
- Maternity Services Monthly Statistics, September 2022, experimental statistics Monthly publication of statistics from the Maternity Services Data Set. This month, we are analysing September 2022 data.
- Trends in staff-to-patient numbers at GP practices in England: 2022 This release will look at the ratio of different GP staff types (all GP’s, fully qualified GP’s, and practice nurses) to registered patients at GP practices in England. It will explore how the average ratio varies by region,…
- Summary Hospital-level Mortality Indicator (SHMI), Deaths associated with hospitalisation, England, August 2021-July 2022 Indicator reporting mortality at hospital trust level across the NHS. This indicator is produced on a monthly basis and gives an indication for each non-specialist acute hospital trust in England whether the observed number …
- Psychological Therapies: reports on the use of IAPT services, England, September 2022 Final including a report on the IAPT Employment Advisers pilot Improving Access to Psychological Therapies (IAPT) data for September 2022 Final, and including a report on the IAPT Employment Advisors Pilot.
- Provisional Monthly Hospital Episode Statistics for Admitted Patient Care, Outpatient and Accident and Emergency data, April 2022 – October 2022 Provisional monthly HES
- Provisional Accident and Emergency Quality Indicators for England, October 2022, by provider Monthly A&E quality indicators
- Ambulance Quality Indicators Systems Indicators for November 2022 Monthly call and incident counts, and response times, by Ambulance Service and Category.
- Waiting times for suspected and diagnosed cancer patients for October 2022 Information on the waiting times of patients with suspected cancer and those subsequently diagnosed with cancer.
- Diagnostic waiting times and activity for October 2022 Diagnostic waiting times and activity for 15 key diagnostic tests and procedures. The data is available through a monthly collection.
- Integrated Urgent Care Aggregate Data Collection (IUC ADC) for October 2022 (Official statistics) Monthly data supporting IUC KPIs for the NHS 111 contract areas in England, summarising clinical assessment, advice and treatment.
- Autism Statistics, October 2021 to September 2022 Waiting times for autism diagnostic pathways, using both a forward-modelling approach based on referrals for suspected autism and a reverse-modelling approach based on known diagnoses of autism. By STP, CCG, mental health se…
- Integrated Urgent Care Aggregate Data Collection (IUC ADC) – for November 2022 (Provisional statistics) Monthly data supporting IUC KPIs for the NHS 111 contract areas in England, summarising clinical assessment, advice and treatment.
- Ambulance Quality Indicators Clinical Outcomes for July 2022 Monthly clinical outcomes for patients transported by Ambulance Services in England following cardiac arrest, stroke, heart attack or sepsis.
- Alcohol-specific deaths in the UK: registered in 2021 Deaths caused by diseases known to be a direct consequence of alcohol misuse by sex, age, region and deprivation.
- A&E attendances and emergency admissions for November 2022 Monthly A&E performance and emergency admissions for all A&E types, including Minor Injury Units and Walk-in Centres.
- NHS 111 / Integrated Urgent Care Patient experience survey for April 2022 to September 2022 Follow-up surveys for users of the NHS 111 / Integrated Urgent Care service.
HSJ Roundup – Full text available << click here to e-mail your request to the Hanley Library >>
- Strikes blog: Six ambulance trusts declare ‘critical incident’ Welcome to HSJ’s live coverage of the NHS strikes. You can read without being a subscriber by registering for a HSJ account.
- HSJ strikes live blog Welcome to HSJ’s live coverage of the NHS strikes. You can read without being a subscriber by registering for a HSJ account.
- Doctors say ‘group model’ will make their services ‘even worse’ Consultants have objected to plans for a group model between two providers on either side of the Humber estuary, saying it will leave their trust a “minority partner”.
- Exclusive: Ambulance chiefs want final plea to Barclay over escalating strike risk to patients Ambulance chiefs have urged NHS England to spell out to ministers how thousands of patients could come to harm during Wednesday’s strike action amid escalating pressure, HSJ has learned.
- North by North West: Accountants take back control Essential insight into NHS matters in the North West of England. Contact me in confidence here.
- Exclusive: Emergency patients staying an extra day in ‘congested’ hospitals Patients are spending an extra day in hospital on average when admitted as an emergency compared to before covid, consuming millions of additional ‘bed days’, HSJ analysis has found.
- The trusts with most and least nurses striking The share of nurses striking at trusts which saw Royal College of Nursing action this week varied significantly, HSJ analysis suggests.
- NHSE: Cancelling electives is ‘last resort’ despite ambulance strikes Elective activity should only be reduced “as a last resort” during ambulance strike action next week, NHS England has told trust leaders.
- Only half of new virtual beds occupied, internal figures reveal Just over half of the 7,000 virtual ward beds opened under the new national programme are occupied by patients, according to recent internal figures seen by HSJ.
- Pandemic collaboration ‘no longer exists’ between NHS and private hospitals The collaboration seen between the independent sector and the NHS during the peaks of the pandemic “doesn’t exist any more”, the boss of one of the UK’s largest private hospital companies has said.
- Watchdog stops monitoring trust over sexual harassment An ambulance trust will no longer be monitored by the UK’s equality watchdog over sexual harassment.
- ICSs risk becoming ‘rebadged CCGs’ warns Hewitt Integrated care systems could become ‘rebadged clinical commissioning groups’ or ‘another layer of performance management’, former health secretary Patricia Hewitt has warned.
- Trust CEO to leave within weeks after merger abandoned The chief executive of England’s smallest provider will leave after its merger with a neighbouring provider was abandoned.
- Trusts appoint joint CEO Two coastal trusts embarking on a new leadership model have appointed a joint chief executive.
- ‘Constructive’ first ambulance strike agreement revealed Elderly people who fall may only be sent an ambulance after they have spent four hours on the floor, and some category 2 calls may not be responded to under one of the first agreements with ambulance unions about next week’s strikes.
- Ambulance strike threatens ‘different magnitude of risk’ The ambulance staff strike next week represents a far higher risk to patient safety and services than the nurses’ strike, but a blanket elective ban will only be used as “an absolute last resort”, a senior NHS England director said today.
- Vulnerable patients facing long delays for beds amid funding rows Vulnerable patients, including some children, have faced long delays for a suitable bed as organisations argue over whose responsibility it is to fund and deliver their care, HSJ understands.
- Ex-hospital chief takes over new trust A former acute boss is returning to NHS management to lead a mental health and community services trust.
- ICS has ‘strained and challenging’ relationships, review finds Relationships between commissioners, providers and the local authority in a troubled integrated care system are ‘strained and challenging’, according to an external review it commissioned.
- Trusts press for more ‘life and limb’ cover during ambulance strike Ambulance trusts are pressing unions to confirm that crews will cover at least some ‘category two’ calls — which include suspected heart attacks and strokes — during next week’s strike, amid growing fears for patients’ safety.
- Trusts press unions for more ‘life and limb’ cover during ambulance strike Ambulance trusts are pressing unions to confirm that crews will cover at least some “category two” calls — which include suspected heart attacks and strokes — during next week’s strike, amid growing fears for patients’ safety.
- Barclay orders ICSs to publish ‘organograms’ by 6 January The health secretary has told integrated care systems to publish a breakdown of staffing numbers and costs so the “public and those on the frontline understand how money is spent”.
- Exclusive: RCN agrees more strike exemptions after CNO pressure The Royal College of Nursing has agreed to staff some of the most high-risk mental health and community services during its upcoming strikes, following pressure from the UK’s four chief nursing officers, a letter leaked to HSJ reveals.
- Urgent call for help as ambulance trust faces relying on ‘first aiders’ during strikes Medics and nurses have been urgently called upon to support London Ambulance Service during next week’s strike action, as it will otherwise have to rely on staff only able to provide ‘first aid’.
- BREAKING: More ‘high risk’ services set to be staffed during strikes after CNO pressure The Royal College of Nursing is believed to have agreed to staff high risk mental health and community services during its upcoming strikes, following pressure from the UK’s four chief nursing officers, and concern among local leaders.
- All new hospitals must have single rooms only, government rules All new hospitals built in England must have only single patient rooms, health infrastructure chiefs have confirmed, requiring an overhaul of many trusts’ current proposals.
- Every ambulance trust on highest alert level All ambulance services have declared the highest level of alert due to ‘extreme pressures’ facing the urgent and emergency care system.
- Midwives will not strike, after ballot falls short The Royal College of Midwives has not met thresholds required to strike in its vote in England, it announced today, but physiotherapy staff are set to strike at more than 100 trusts in their first ever action ballot over pay.
- Building firm agrees £100m settlement for hospital ‘defects’ A construction firm has agreed to pay around £100m to an NHS trust after structural defects were found at one of its hospitals, HSJ understands.
- Physios at 100 trusts vote to strike The Royal College of Midwives has not met thresholds required to strike in its vote, it announced today, but physiotherapy staff are set to strike at more than 100 trusts in their first ever action ballot over pay.
- Building firm agrees £100m settlement for PFI hospital ‘defects’ A construction firm has agreed to pay around £100m to an NHS trust after structural defects were found at a private finance initiative hospital, HSJ understands.
- NHSE estimates mortality rate for autistic people is 51pc higher Autistic people in England who do not also have a learning disability are approximately 51 per cent more likely to die in a single year compared to the general population, according to a leaked document which estimates the mortality rate for the first time.
- New theatres seven years late after trust ends novel device supplier deal A hospital trust faces a long delay to a major capital project after pulling out of an unusual partnership with a medical device supplier.
- Waiting times got worse at trusts that dropped A&E target Trusts trialling NHS England’s new A&E metrics reported worse average waiting times for admitted patients than those which stayed on the four-hour target, an HSJ analysis suggests.
- Neighbouring trusts placed in ‘special measures’ NHS England has moved two Devon trusts into its successor for the special measures regime, meaning all of the county’s acute trusts are now in the bottom tier of the oversight framework.
- Mapped: RTT waiting times An interactive map of local NHS waits around England in October 2022, showing the pressures, with links to all the details by organisation and specialty.