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Jan 30, 2023 · The two-year delivery plan for recovery comes amid record demand for NHS services, with the latest data showing more A&E attendances than ever before, growing numbers of the most serious ambulance call outs, and millions of NHS 111 calls a month over winter.
- Delivery plan for recovering urgent and emergency care services
Ambulances getting to patients quicker: with improved...
- Monthly operational statistics – December 2023 - NHS England
Urgent and emergency care (UEC) services faced high levels...
- Delivery plan for recovering urgent and emergency care services
Dec 14, 2023 · Urgent and emergency care (UEC) services faced high levels of demand in November. Winter pressures and high bed occupancy inevitably impacted hospital flow. There were 2,162,122 attendances in A&Es across England, an average of 72,071 per day. 69.7% of patients attending A&E were admitted, transferred or discharged within 4 hours.
- Increasing urgent and emergency care capacity. We will need to increase the number of beds and ambulances if we want to reduce time spent in A&E and ensure hospitals are not as full.
- Increase workforce size and flexibility. Ambition. NHS staff have faced immense pressures in recent years during the pandemic, and recovery will impose new ones.
- Improving discharge. Although having more hospital beds and more staff will help, it is also important to make sure patients are not in hospital for longer than necessary.
- Expanding care outside hospital. The challenge of recovering urgent and emergency services also presents an opportunity. For decades we have known that many patients can receive better, safer, more convenient care outside hospital.
Dec 18, 2023 · A&E attendances in 2023/24 were 5% higher than pre-pandemic in 2019/20. However, resources to treat A&E patients have not kept pace with demand. For example, although admissions from major A&E departments have increased by 31% since 2011/12, the number of general and acute beds has fallen by 1%.
- Workforce
- Digital
- NHS Providers view
- Operational performance across core services and improving system flow
- Annex – national NHS objectives 2023/24
The guidance asks all systems to refresh system workforce plans to increase productivity, deploy staff more flexibly through digital solutions, improve staff experience and retention via a range of national strategies, ensure there is adequate clinical placement capacity, and implement the Kark recommendations. NHSE also plans to increase workforce...
To improve digital capabilities, more providers are expected to operationalise electronic health records and should work towards developing a population health and planning data platform. NHSE will provide targeted funding to enable ICSs to meet minimum digital capabilities and foundations. NHSE will also procure a federated data platform accessibl...
Trusts and their partners will welcome the acknowledgement upfront of how difficult the current context is. We also welcome NHSE’s engagement with the sector in co-developing and streamlining these priorities. Below we have outlined our analysis of the ambitions and priorities across operational performance, financial planning, mental health, syste...
The recovery target for A&E looks reasonable and proportionate given current pressures. It is welcome that NHSE is taking a long term view towards recovering the 95%, four hour A&E target over a number of years. Increasing physical capacity and reducing delayed discharges will be key to freeing up capacity and ensuring bed occupancy does not rise a...
NHSE asks ICBs and providers to review the UEC and general practice access recovery plans, and the single maternity delivery plan for further detail on the objectives above when published.
Jun 25, 2024 · Demand for A&E services has returned to pre-pandemic levels, with a total of 16.5 million attendances and 4.7 million admissions in 2023/24. Pre-pandemic, the number of referrals to elective outpatient services were increasing by an average of 3.2% a year (2008/09 to 2019/20).
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Jan 30, 2023 · This two-year plan will see stabilisation of services to meet the NHS’s two prominent recovery ambitions, helping achieve A&E four-hour performance of 76% by March 2024 and improve category two ambulance response times to an average of 30 minutes over the next year.