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Improving accident and emergency care: a system wide issue

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Over recent years, acute hospital emergency care pathways have come under increasing pressure due to a variety of factors. The symptoms of this are often overcrowded A&E departments, overfull …

Over recent years, acute hospital emergency care pathways have come under increasing pressure due to a variety of factors. The symptoms of this are often overcrowded A&E departments, overfull hospitals and sometimes a poor experience for patients and staff.

Supporting the NHS to tackle this is a priority for NHS IQ. We recognise that to do this requires a collaborative approach, to connect and work with partners from across the emergency care landscape to deliver targeted and tailored local support, along with large scale system-wide change in primary, community and secondary care.

Published in: Health & Medicine

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  • 1. Improving accident and emergency care: a system wide issue Improving Quality NHS
  • 2. NHS IQ brings together a wealth of improvement knowledge, expertise and experience from across the NHS in England. Our purpose is to improve health outcomes across England by providing improvement and change expertise. Over recent years, acute hospital emergency care pathways have come under increasing pressure due to a variety of factors. The symptoms of this are often overcrowded A&E departments, overfull hospitals and sometimes a poor experience for patients and staff. Supporting the NHS to tackle this is a priority for NHS IQ. We recognise that to do this requires a collaborative approach, to connect and work with partners from across the emergency care landscape to deliver targeted and tailored local support, along with large scale system-wide change in primary, community and secondary care. Emergency and urgent care improvement programme in the setting of seven day services The emerging principles from the urgent and emergency care review underpin the NHS IQ improvement offer to support the delivery of models of care across England that: • Provide consistently high quality and safe care across seven days of the week • Are simple and guide good choices by patients and clinicians • Provide the right care in the right place, by those with the right skills the first time. What is NHS IQ already doing to help? 2 NHS Improving Quality (NHS IQ): how can we help? Improving accident and emergency care: a system wide issue
  • 3. NHS IQ will lead a three year improvement programme for seven day services across England for both emergency and elective care. This programme consists of three key improvement priorities; spreading existing and emerging practice, developing new models of delivery and whole system change across England. The proposal takes a collaborative approach bringing together a strong representation of key stakeholders. NHS IQ will support the patient and public engagement strategy for seven day services. The outcomes of the urgent and emergency care review will be aligned and integrated into the seven day services improvement programme. 3 A programme for CCGs to build capability to innovate, improve and transform systems and services Available now and funded for all CCGs, NHS Improving Quality's CCG transformational change capability building programme will accelerate progress on identified local priorities e.g. urgent care, long-term conditions, integration etc. Typically the programme will be delivered locally over a six to nine month period, with focused learning interventions for CCGs and their commissioning partners through a series of seven one- day workshops: • A multi-level approach with action focused inputs, facilitated networking and web resources in between workshops to help application of learning • Delivery of evidence-based learning and proven tools, techniques and thinking by an experienced faculty of GPs, commissioning leaders and improvement experts. At the end of the programme, each participating CCG will have: • More rapid and assured progress on their key priorities • Built sustainable new team and system capabilities • Accelerated successful patient-focused change at scale and pace • Deepened local strategic partnerships through the creation of effective shared purpose • Developed its evidence to demonstrate competence against a number of elements of the assurance process. More information is available at: www.nhsiq.nhs.uk/capacity-capability/ccg-capability
  • 4. 4 @NHSIQwww.nhsiq.nhs.uk To find out more about NHS IQ and our work in emergency care or to work with us to help deliver sustainable change: Published by: NHS Improving Quality - Publication date: July 2013 - Review date: July 2014 © NHS Improving Quality (2013). All rights reserved. Please note that this product or material must not be used for the purposes of financial or commercial gain, including, without limitation, sale of the products or materials to any person. Improving health outcomes across England by providing improvement and change expertise Email: enquiries@nhsiq.nhs.uk Tools and resources NHS IQ is creating a repository of effective tools, resources, guidance and research to help drive improvements in emergency care. This will include signposts to the latest national and international research, guidance and tools from partners such as the College of Emergency Medicine, the medical Royal Colleges, the Royal College of Nursing, academic institutions, the Kings Fund, the Emergency Care Intensive Support Team (ECIST), the Primary Care Foundation and the NHS Alliance. Where local commissioners and providers see it as a priority, we will support organisations to effectively use improvement tools and resources to address local issues, which may include: • Directories, such as the ‘Directory of Ambulatory Emergency Care for Adults’ highlighting conditions that can be managed without an overnight hospital stay • Reports and guidance documents, such as the 'Whole system approach to improving emergency and urgent care for children and young people guide' and ‘Emergency and urgent cancer care’ • Collections of best practice case studies such as ‘Equality for all: Delivering safe care – seven days a week’ giving examples of service delivery models on admission avoidance and improving patient flow from A&E • Service improvement tools that can help prevent unnecessary hospital admissions. NHS IQ continues to support a range of online tools developed by our predecessor organisations. For further details, email: enquiries@nhsiq.nhs.uk Practical help and support NHS IQ hosts NHS Interim Management and Support (NHS IMAS). The Emergency Care Intensive Support Team (ECIST) sits within NHS IMAS and offers expert consultancy and improvement support in urgent and emergency care to commissioners and providers. For more information, go to: www.nhsimas.nhs.uk/what-we-can- offer/intensive-support-team What else can NHS IQ do to help?