Report highlights variation in maternity care across England – RCOG<\/strong> Stark contrast in maternity inspections due to ‘different hypothesis’ – Health Service Journal<\/strong> ECIP Quick Guide \u2013 Red and Green days (Dr Ian Sturgess) \u2013 The Academy of Fabulous NHS Stuff<\/strong> Acute floor \u2013 Royal Sussex County Hospital: The New Single Clerking Process \u2013 The Academy of Fabulous NHS Stuff<\/strong> Our performance data from the second half of 2015\u00a0 indicated huge room for improvement: the average time for patients to get a decision to admit (DTA) was 5 hours, with approximately 30% of patients getting a DTA within 3hour and 45 minutes \u2013 a time that is crucial for moving patients out of A&E within 4 hours.<\/p>\n Taking Board Meetings outside the room \u2013 The Academy of Fabulous NHS Stuff New elective care unit improves acute patient flow at Derby – Health Service Journal<\/strong> The 6 As of managing emergency admissions \u2013 Dr Vincent Connolly \u2013 The Academy of Fabulous NHS Stuff<\/strong> Trusts told to improve bottom line by tens of millions – Health Service Journal<\/strong> NHS Improvement promises new way of authorising FTs – Health Service Journal<\/strong> Community trust’s failures compared to Mid Staffordshire – Health Service Journal<\/strong>
\nDifferences in the care received by women giving birth in hospitals across England are highlighted in a state of the nation report <\/a>published by the Royal College of Obstetricians and Gynaecologists (RCOG) today.
\nThe report, carried out in collaboration with the London School of Hygiene & Tropical Medicine, gives a national perspective on patterns of care during labour and delivery, enabling NHS trusts to examine their own practice in context and ensure their services meet the needs of women and their families.
\nFor the first time, the information can be accessed in an interactive format on a new website launched today (https:\/\/indicators.rcog.org.uk<\/a>).<\/p>\n
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\nThe Care Quality Commission has said it reached radically different conclusions about an east London maternity service in the space of a year partly due to using different inspection formats.<\/p>\n
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\nThe Red:Green Bed day is a visual management system to assist in the identification of wasted time in a patients journey.<\/a>\u00a0 It is most applicable to in-patient wards in both acute and community settings.\u00a0 It is not appropriate for high turnover areas such as ED, Assessment Units, Clinical Decision Units\/Observation Units, and Short Stay Units where Red:Green hours\/minutes may be more appropriate.<\/p>\n
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\nOur processes for unscheduled care <\/a>are unequal and inefficient. Patients expected from GP referrals can wait unnecessarily long for a specialty team to clerk, while patients coming by ambulance are seen promptly by\u00a0ED (emergency department)\u00a0doctors. Junior doctors re-clerk patients, which adds in a delay to the senior-decision making process\u00a0and often no added value \u2013 someone who was\u00a0the ED\u00a0F2 1 month ago is now the clerking medical F2.<\/p>\n
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\n<\/strong>Trust Board meetings sometimes aren\u2019t the most engaging or interactive of experiences, and any meeting that takes place in one place in one town will be limited in the number of people it can reach. \u00a0At The Shrewsbury and Telford Hospital NHS Trust (SATH) we\u2019re on a journey, using social media to take our meetings outside the room<\/a> and bring communities (real and virtual) into the room.<\/p>\n
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\nA&E attendances have increased by 4,000 each week compared to last year. To protect elective services against these rising pressures Derby Foundation Trust has developed a 24-bed elective care unit.<\/p>\n
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\nEmergency admission to hospital is a major event in people\u2019s lives. It should never happen because it is easy to admit or to access services that could be available as an out-patient or to administer treatment that may be available closer to home or to get a specialist opinion. All of these are spurious reasons for an emergency admission<\/a>. To transform emergency healthcare we need to understand why we put patients through this process when alternatives exist and operate effectively across the country but haven\u2019t been widely implemented.<\/p>\n
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\nRegulators are banking on a major turnaround in financial performance at many acute trusts next year to improve the sector\u2019s bottom line \u2013 even after they have received relief funding.<\/p>\n
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\nNHS Improvement will take a \u201crevised approach\u201d to authorising foundation trusts when it takes over from Monitor and the NHS Trust Development Authority, a director has confirmed.<\/p>\n
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\nA catalogue of governance and care failings at Liverpool Community Health Trust has been likened to those found at Mid Staffordshire Foundation Trust in a damning report. Contact the Library for a copy of the Capstick Report. <\/a><\/p>\n
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