Improving Emergency Care in England Report by the Comptroller and Auditor General HC 1075 Session 2003-2004: 13 October 2004 PDF Download
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Languages : en
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Languages : en
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Author: Great Britain. National Audit Office
Publisher:
ISBN:
Category : Emergency medical services
Languages : en
Pages : 76
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There were about 12.7 million visits to accident and emergency (AandE) services in the last year, and in around a fifth of these, patients were admitted to hospital. AandE departments are only one in a variety of NHS emergency care providers, which include ambulance services, GPs, primary care trusts, out-of-hours services; NHS Direct; and open access minor injury centres. This NAO report examines the extent of progress made towards achieving the key target for maximum total time spent waiting for AandE services, as well as with the wider modernisation of emergency care. The report's conclusions include that, given the high level of demand, there has been a significant and sustained progress towards reducing waiting times in AandE departments and improving the patient's experience, largely due to improved working practices and increased local investment. However, there is further room for improvement in the case of patients with more complex needs, such as older people and those with mental health needs; and regional variations still exist with the performance of the worst performing trusts still some way behind. Further major improvements will depend on tackling the remaining bottlenecks and barriers to modernisation within wider emergency care services. The establishment of local emergency care networks is highlighted as a promising development, as a means to secure greater emergency care service integration and joint-working.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102930368
Category : Political Science
Languages : en
Pages : 88
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In recent years a great deal of effort has been put into improving risk management in departments and in 2002 this was given further impetus when a two year risk programme was launched by the Prime Minister. This report looks at the progress made since the previous NAO report in 2000 (HC 864 1999-2000, ISBN 0105569488). It is based on a survey of the 20 main Whitehall departments, focus groups of 27 departmental risk managers, comparisons with the private sector, academic research and five case studies. The general conclusion is that significant improvement has been made but more needs to be done to make effective risk management a central part of general management processes. The ability to take risks and innovate, keep projects on track and handle complex service delivery needs to be further developed.
Author: Ian Peate
Publisher: John Wiley & Sons
ISBN: 0470032081
Category : Medical
Languages : en
Pages : 316
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This text will help students understand fundamental aspects of clinical practice in order to provide safe and effective care to children and their families in various situations. When in clinical practice, students may find themselves being supervised from a distance, and as such, this text will help the student when they find themselves in a variety of settings to assist their integration of theory and practice. The reader will develop their paediatric caring skills with a sound knowledge base, which will underpin the safe and effective delivery of care. * User-friendly writing style * Contributions from expert paediatric academic staff and skilled clinicians * One of the few books that deal with clinical practice specifically related to, and addressing the needs of children in a user friendly manner.
Author:
Publisher: Stationery Office Books (TSO)
ISBN: 9780215023469
Category : Emergency medical services
Languages : en
Pages : 36
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Following on from an NAO report (HCP 1075, session 2003-04; ISBN 010293021X) published in October 2004, the Committee's report examines the level of demand for emergency care within the NHS, the progress made towards achieving waiting time targets for emergency care services and service integration. Findings reached include that the proportion of patients being discharged or admitted from A&E services in under four hours has risen from 77 per cent in September 2002 to 94.6 per cent in September 2004, although treatment times are still too long for many patients, particularly older or vulnerable patients. As demand for emergency care continues to rise, emergency care networks should be given responsibility for reviewing local patterns of demand compared to supply and commission services accordingly. The expanded levels of access to services through the establishment of new providers is to be welcomed, although more research needs to be done on assess the relative unit costs of these services.
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ISBN:
Category : American literature
Languages : en
Pages : 760
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Author: John Bourn
Publisher: Stationery Office Books (TSO)
ISBN: 9780102930214
Category :
Languages : en
Pages : 58
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Book Description
There were about 12.7 million visits to accident and emergency (A&E) services in the last year, and in around a fifth of these, patients were admitted to hospital. A&E departments are only one in a variety of NHS emergency care providers, which include ambulance services, GPs, primary care trusts, out-of-hours services; NHS Direct; and open access minor injury centres. This NAO report examines the extent of progress made towards achieving the key target for maximum total time spent waiting for A&E services, as well as with the wider modernisation of emergency care. The report's conclusions include that, given the high level of demand, there has been a significant and sustained progress towards reducing waiting times in A&E departments and improving the patient's experience, largely due to improved working practices and increased local investment. However, there is further room for improvement in the case of patients with more complex needs, such as older people and those with mental health needs; and regional variations still exist with the performance of the worst performing trusts still some way behind. Further major improvements will depend on tackling the remaining bottlenecks and barriers to modernisation within wider emergency care services. The establishment of local emergency care networks is highlighted as a promising development, as a means to secure greater emergency care service integration and joint-working.
Author: M. N. Kaul
Publisher:
ISBN: 9788120003040
Category :
Languages : en
Pages : 1041
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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102980585
Category : Technology & Engineering
Languages : en
Pages : 78
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Book Description
In respect of its largest defence projects there are early signs that the Ministry of Defence has begun to make realistic trade-offs between cost, time, technical requirements and the amount of equipment to be purchased. Nevertheless, the continuing variances to cost and time show the MOD needs to do consistently better. This report, which gives a progress review of the 16 largest defence projects, shows that in the last year there has been a total forecast slippage of 139 months and increase in costs of £468 million. This means that, since the projects were approved, costs have increased by £6.6 billion (around 12 per cent more than the planned cost) and the projects have been delayed by 468 months, taking almost a third longer than originally expected. It would be unrealistic to expect MOD and industry to identify every risk at the start of technically challenging projects. However, the continuing problems indicate that MOD has more to learn from historic. The MOD is accepting the capability risk and some wider costs resulting from these project delays and is having to make difficult decisions about long-term capabilities. The MOD has made a significant investment in new and upgraded helicopters to address the shortfall identified in the NAO's 2004 report. The MOD has also spent £787 million on air transport and air-to-air refuelling aircraft to support current operations and address capability gaps, such as those caused by the previously reported delays to the A400M transport aircraft. However, capability gaps remain
Author: William G. Dauster
Publisher: William G Dauster
ISBN: 9780160417269
Category : Health & Fitness
Languages : en
Pages : 902
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