Quality and Performance – Page 15
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NewsTrusts told: seek local deals on urgent services during strikes
NHS England has urged trusts to reach agreements with local union reps for maintaining a range of critical services – including cancer treatment, discharges, and mental health crisis response – during strikes.
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NewsNHSE tells trusts: ‘be robust’ with GP referrals
An NHS England director says trusts should use ‘as robust triage as you can possibly do’ when deciding whether to accept referrals from GPs.
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NewsRevealed: ICSs with biggest discharge problems
The five integrated care systems with the most beds occupied by patients who are waiting to be discharged are all in the South West region, new figures have revealed.
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NewsRevealed: Ambulance waits quadruple in handover hotspots
Ambulance waiting times for stroke and suspected heart attacks have quadrupled in four parts of England since before covid-19 – whereas others have only grown by half – underlining the severe impact of long accident and emergency handovers.
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NewsReview launched into ‘inaccurate’ ambulance data
An independent review has been launched into London’s ambulance response times after the introduction of a new computer system revealed it may have been underreporting them for several years.
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CommentAs ICSs develop, trusts will provide vital system leadership
While new challenges may surface on the horizon as winter approaches, trusts are doing excellent work every day, all over the country, to maximise the power of system working, writes Miriam Deakin
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NewsBiggest ever monthly rise in 12-hour trolley waits, stats show
Long waits in emergency departments rose by their highest monthly margin in October as performance continued to deteriorate across emergency services and planned care.
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NewsICSs to delegate to provider collaboratives under NHSE scheme
The delegation of commissioning from integrated care systems to “provider collaboratives” will be taken forward as part of a new NHS England “innovator” programme.
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News1.5m fewer people on waiting list than thought
NHS England has revealed it estimates there are 5.5 million people on elective referral to treatment waiting lists, rather than the 7 million which is often reported.
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NewsCQC inspection approach helping fuel emergency care crisis, says trust chief
A trust chief executive says the Care Quality Commission’s inspection regime is still overly focussed on individual organisations, rather than systems, and this is driving the ‘risk aversion’ which is partly responsible for the emergency care crisis.
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NewsStruggling trusts’ CEOs must ‘self certify’ to NHS England
Bosses at struggling trusts must sign new commitments to national leaders about how they are approaching the task of clearing their elective and cancer backlogs, under a new protocol drawn up by NHS England.
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CommentFailing to invest in rehabilitation will bring grave consequences for all
Based on her recent experience of visiting an enormous hospital, Karen Middleton stresses on how staff felt demoralised and patients in long waiting suffered from poor care
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HSJ PartnersDr Gary Kaplan on the recent Virginia Mason Institute NHS partnership evaluation
A new way of working within the healthcare system is possible
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NewsCQC taking ‘regulatory action’ against every fourth service it inspects
A quarter of high-risk services the Care Quality Commission has recently inspected required enforcement action from the regulator, its chief executive has revealed.
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CommentEnding religious discrimination in the NHS
Dr. Hina Shahid discusses the religious discrimination experienced by NHS staff from ethnic minority backgrounds, as well as the steps required to achieve wellbeing equity.
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NewsNHSE’s ‘institutionalised’ firing of CEOs contributed to ‘major service failure’
An “institutionalised” and “counterproductive” system of hiring and firing trust leaders was a contributory factor to care failings which caused the death of at least 45 babies, an inquiry has concluded.
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News‘Urgent’ patients waiting up to 14 weeks to be seen
Epilepsy patients needing to be seen urgently are waiting up to 14 weeks – against guidance to see such patients within a fortnight – at a trust with a backlog of neurology referrals.
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NewsSlow cancer diagnosis twice as likely for ethnic minority patients, survey shows
New patient data shows significant regional differences in the effectiveness of primary care in getting cancer sufferers diagnosed – with an even more alarming picture when the data is broken down by ethnicity.
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NewsDeaths inquiry will exclude dozens of concerning cases, says whistleblower
An inquiry into alleged efforts to cover up care failings at an ambulance trust has been criticised by a key whistleblower for being too limited in scope.
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NewsCoffey accused of leaving NHS ‘in limbo’ on A&E target
The four-hour emergency care target is ‘not the right answer’ long term, but services have been left ‘in limbo’ by Therese Coffey’s promise that it will no longer be scrapped, the president of the Royal College of Emergency Medicine has said.