Emergency department bulletin: 24 August 2017 week 33
Monitors the number of people going to emergency departments each day, with results published every week.

Hospital Impact: How to lead teams with a purpose
Healthcare providers are constantly trying to keep up with changes coming from all sides; policymakers, health system executives, and payers mandate new ways of working all the time. Often, executives and C-suite leaders ask teams to change direction without presenting a clear vision for what lies ahead. This never-ending struggle results in increasingly high levels of burnout among healthcare teams and team leaders.

Developing accountable care systems: lessons from Canterbury, New Zealand – The King’s Fund
This report examines how the Canterbury health system in New Zealand has moderated demand for hospital care, particularly among older people, by investing in alternative models of provision and community-based services. The transformation has taken more than a decade and required significant investment; this report considers the lessons that the NHS can learn.

Estates professional services framework – Crown Commercial Service
This framework enables organisations to buy advice, guidance and associated services to help them to manage their estates and assets, reduce property costs, release unwanted property assets, and identify savings and opportunities to generate income from land and buildings. It could save public sector bodies like local councils, NHS trusts, schools, the emergency services and housing associations £35 million over the next four years.

Bed occupancy rate drops in Q1, but DToC rate ‘does not bode well’ for winter  – NHE
Pressure has eased on bed occupancy in Q1, but Delayed Transfers of Care (DToC) for patients who are fit to move to community care has remained “stubbornly high”. Figures released by NHS England for the quarter ending 30 June found that the average occupancy rate for all beds overnight was 87.1%, compared to 89% for the same..

Post-operative mortality, missed care and nurse staffing – NHE
Care left undone by nurses due to a lack of time is the “missing link” in understanding variation in mortality rates in hospitals, a new study has found. Conducted by Dr Jane Ball at the University of Southampton, the research shows that hospitals with lower registered nursing (RN) staff had a higher risk of patient death as…

GPs voice concern at HEE proposals to get doctors in ‘through back door’ – NHE
More proposals have been raised to boost the general practice workforce this week, with Health Education England (HEE) announcing plans that could enable doctors who did not successfully complete their GP training to re-enter the programme. If successful, the new rules would allow people who were unable to pass one part out of three of…

HSJ Roundup (contact the Library for further details)

• Hundreds more neurology patients left waiting for appointments 
  Another trust in the West Midlands has raised concerns over under pressure neurology services with hundreds of people waiting for an appointment.
• The NHS trusts with highest DTOC rates 
  The NHS is unlikely to meet a government target to cut delayed transfers of care to 3.5 per cent of its overall 131,000 bed base by next month, analysis of official data published today suggests.
• NHS set to miss ‘heroic’ target as winter worries grow 
  The NHS is unlikely to meet a government target to cut delayed transfers of care to 3.5 per cent of its overall 131,000 bed base by next month, analysis of official data published today suggests.
• New chief of struggling trust ‘not shying away’ from challenges 
  Portsmouth Hospitals Trust will start using a new acute medical model next month in a bid to improve emergency waiting times at the beleaguered provider.
• Flagship primary care hubs lack funds 
  Areas developing a “scale” primary care model, previously praised by Simon Stevens, lack the resources to fully evaluate their models and have yet to work out how they will meet desired outcomes, new research has found.

Our Fabulous NHS – Academy of Fabulous Stuff
***Get involved*** –  share your fab stuff!

• FabChangeWeek Uncovered : Hints and Top Tips FabChangeWeek Uncovered : Hints and Top Tips Are you a health or social care practitioner wanting to get involved in FabChangeWeek but not sure how to? Are you a department, unit or ward manager wanting to empower your staff to participate in FabChangeWeek ? Are you a comms professional working within an acute […]
• Cancer health and Wellbeing marketplace event NHS Warrington Clinical Commissioning Group, working with Macmillan and in association with local support organisations, recently hosted Health and Wellbeing Event for people who are living with and beyond cancer. Broadcast live on air by Radio Warrington, the drop in event aimed to bring patients and their families who have been affected by cancer together […]