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Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102969719
Category : Medical
Languages : en
Pages : 48
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Book Description
The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes for patients. The ambulance service achieves high levels of public satisfaction but there are wide variations in ambulance trusts' efficiency and the NAO concludes that the system has not delivered the best value for money to date. The 8-minute response target, intended for the most seriously ill patients, is one of the most demanding in the world. However, its application has skewed ambulance trusts' approach to performance measurement and management. The target is also applied to a much wider group of patients than intended. The report identifies various inefficiencies in the system, with cost per incident varying between £176 and £251. There is scope across the urgent and emergency care system to make more of different ways of responding to patients, such as clinical advice to callers over the phone and taking patients to minor injuries units rather than A&E departments. If all 11 trusts adopted the best practice currently being used in at least one trust, the NHS could save £165 million a year. The elements of the emergency care system are not yet fully integrated and this leads to delays in turnaround times at hospital A&Es. Over one-fifth of patient handovers take longer than the recommended 15 minutes. The new clinical quality indicators introduced from April offer the potential for a fuller measurement of performance based on outcomes.
Author: Great Britain: National Audit Office
Publisher: The Stationery Office
ISBN: 9780102969719
Category : Medical
Languages : en
Pages : 48
Get Book Here
Book Description
The Department of Health has until recently been focusing on speed of response as a measure of performance of the ambulance service, rather than on clinical outcomes for patients. The ambulance service achieves high levels of public satisfaction but there are wide variations in ambulance trusts' efficiency and the NAO concludes that the system has not delivered the best value for money to date. The 8-minute response target, intended for the most seriously ill patients, is one of the most demanding in the world. However, its application has skewed ambulance trusts' approach to performance measurement and management. The target is also applied to a much wider group of patients than intended. The report identifies various inefficiencies in the system, with cost per incident varying between £176 and £251. There is scope across the urgent and emergency care system to make more of different ways of responding to patients, such as clinical advice to callers over the phone and taking patients to minor injuries units rather than A&E departments. If all 11 trusts adopted the best practice currently being used in at least one trust, the NHS could save £165 million a year. The elements of the emergency care system are not yet fully integrated and this leads to delays in turnaround times at hospital A&Es. Over one-fifth of patient handovers take longer than the recommended 15 minutes. The new clinical quality indicators introduced from April offer the potential for a fuller measurement of performance based on outcomes.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Publisher: The Stationery Office
ISBN: 9780215561329
Category : Medical
Languages : en
Pages : 52
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Book Description
In 2009-10 the eleven regional ambulance services in England handled 7.9 million emergency calls and spent 1.5 billion pounds on urgent and emergency services. They are expected to make 4 percent efficiency savings year on year in a time when public demand for services continues to rise. Performance was measured against three response time targets until 1 April 2011, but the incentive to meet these targets has led to some inefficiency, such as when more than one team is sent to incidents. The Committee welcomes the decision to introduce a wider suite of health quality indicators to create a broader performance regime in which response times remain one indicator. There is wide variation in the cost of responding to an incident across the services, and there is a need for more consistent performance data in order to benchmark and share best practice. Under the NHS reforms there is vagueness around who will be responsible for what: who commissions ambulance services; who is responsible for improving efficiency in ambulance services or who will intervene if a service has financial trouble or seriously under performs? There is need for greater clarity on the roles and responsibilities of the Department, commissioners and ambulance trusts with appropriate structures for accountability. Other parts of the Health service affect ambulance services and a more integrated emergency care system is needed to ensure that ambulances are utilised in the most efficient manner. Levels of collaboration between ambulance, fire and police services could be strengthened.
Author: Elaine Harris
Publisher: Routledge
ISBN: 1317429923
Category : Business & Economics
Languages : en
Pages : 716
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Book Description
Performance management is key to the ongoing success of any organisation, allowing it to meet its strategic objectives by designing and implementing management control systems. This book goes beyond the usual discussion of performance management in accounting and finance, to consider strategic management, human behaviour and performance management in different countries and contexts. With a global mix of world-renowned researchers, this book systematically covers the what, the who, the where and the why of performance management and control (PMC) systems. A comprehensive, state-of-the-art collection edited by a leading expert in the field, this book is a vital resource for all scholars, students and researchers with an interest in business, management and accounting.
Author: Blaber, Amanda
Publisher: McGraw-Hill Education (UK)
ISBN: 0335263127
Category : Medical
Languages : en
Pages : 254
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Book Description
This important new book is the first specific text for paramedic students focusing on leadership as a key educational need for all NHS health care practitioners.
Author: Valerie Nixon
Publisher: John Wiley & Sons
ISBN: 1118488229
Category : Medical
Languages : en
Pages : 240
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Book Description
Professional Practice in Paramedic, Emergency and Urgent Care explores a range of contemporary relevant topics fundamental to professional practice. Written for both pre- and post-registration paramedic students, it is also ideal for existing practitioners looking to develop their CPD skills as well as nursing and other health professionals working in emergency and urgent care settings. Each chapter includes examples, practical exercises and clinical scenarios, helping the reader relate theory to practice and develop critical thinking skills Covers not only acute patient management but also a range of additional topics to provide a holistic approach to out-of-hospital care Completion of the material in the book can be used as evidence in professional portfolios as required by the Health and Care Professions Council Professional Practice in Paramedic, Emergency and Urgent Care is a comprehensive, theoretical underpinning to professional practice at all levels of paramedic and out-of-hospital care.
Author: Pauline Griffiths
Publisher: McGraw-Hill Education (UK)
ISBN: 0335241379
Category : Medical
Languages : en
Pages : 184
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Book Description
"This is an excellent text which covers all of the important research methods in the field, including randomised control trials. A strong component of the text is the inclusion of chapters on ethics and the future of paramedic research... The use of paramedic examples throughout the chapters will help students and other budding paramedic researchers connect with the subject matter and help them link theory, evidence and practice." Professor Peter O'Meara, La Trobe Rural Health School, La Trobe University, Australia This practical book provides a no nonsense guide for student and qualified paramedics looking to understand the key elements of research, and what it means for their profession. The authors explain key concepts and methodologies to help you get to grips with the nature of paramedic research and how it works in practice. By drawing on a wealth of cases and examples, research is placed firmly in the context of clinical practice. The book will enable you to critique research and to engage in small-scale research projects of your own. Emphasising what you need to know, the book includes information on: Knowledge that underpins practice Key elements of qualitative and quantitative research Research ethics and evidence based practice Undertaking a literature review Dissemination of research findings Considerations of the future for paramedic research Written by experienced lecturers, the authors offer practical advice and tips to more advanced researchers on getting work published and giving oral and poster presentations at conferences. Contributors: Jayne Cutter, Gary Rolfe, Megan Rosser, Julia Williams, Malcolm Woollard
Author: Sam Willis
Publisher: John Wiley & Sons
ISBN: 1118486277
Category : Medical
Languages : en
Pages : 488
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Book Description
An essential text for the aspiring student paramedic, Fundamentals of Paramedic Practice makes paramedic science and pre-hospital care accessible, straightforward and exciting. It assumes no prior knowledge of the subject, presenting the must-have information that students need about both the theory and practice of what it means to be a paramedic. With extensive full-colour illustrations throughout, as well as activities and scenarios, this user-friendly textbook will support paramedic students throughout their course.
Author: Great Britain: Department of Health
Publisher: The Stationery Office
ISBN: 0101709323
Category : Political Science
Languages : en
Pages : 243
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Book Description
Dated May 2007. On cover: Departmental report. The health and personal social services programmes
Author: Sanjiv Ahluwalia
Publisher: Routledge
ISBN: 0429952996
Category : Medical
Languages : en
Pages : 132
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Book Description
The effective delivery of primary care requires the good working of a multi-professional team who provide that care. This accessible and concise text explores the ways in which primary care teams can collaborate well to advance the quality of clinical care and enhance collaborative working across the healthcare system as a whole. Taking a workbook approach, and including examples, narratives, case histories and further reading, Collaborative Practice in Primary and Community Care brings together theory and good practice to offer the reader viable models for achieving excellence. Addressing specific challenges to practising collaboratively throughout, it contains chapters exploring the contemporary context of primary care, collaboration with patients, collaboration between different professional groups, collaboration amongst organisations, and the respective roles of education and technology in promoting collaboration. Written by a multi-professional selection of experienced authors, practitioners and educators, this textbook is designed for a wide audience of healthcare professionals with an interest in primary care.
Author: Aidan Ward
Publisher: Elsevier Health Sciences
ISBN: 0323873928
Category : Medical
Languages : en
Pages : 1113
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Book Description
Paramedic Principles and Practice in the UK is a key textbook designed to support paramedicine students in this country throughout their studies. The volume takes a practical approach, with case histories covering a broad range of clinical presentations and treatments, all incorporating a patient-centric perspective that acknowledges the longer patient journey. This must-have textbook will not only arm readers with technical knowledge and expertise, but also with the non-technical principles of the profession, developing future paramedics who are able to provide a safe and effective management plan in the out-of-hospital environment. - Aligned to UK paramedicine curricula - More than 40 detailed case studies covering essential pathologies most commonly seen by UK paramedics, as well as less typical scenarios - Evidence-based clinical decision-making models to support paramedics in practice - Essential physiological concepts to help readers bridge the gap from principles to practice - Focus on the wellbeing of both the patient and the paramedic - Useful appendices including medications commonly encountered in paramedic settings
