Quality and performance – Page 16
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Expert BriefingThe Integrator: Freedom, or nothing left to lose
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care and commissioning. This week by deputy editor Dave West.
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NewsAll new hospitals must have single rooms only, government rules
All new hospitals built in England must have only single patient rooms, health infrastructure chiefs have confirmed, requiring an overhaul of many trusts’ current proposals.
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NewsWaiting times got worse at trusts that dropped A&E target
Trusts trialling NHS England’s new A&E metrics reported worse average waiting times for admitted patients than those which stayed on the four-hour target, an HSJ analysis suggests.
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NewsRevealed: Members of government’s new ‘elective taskforce’
Ministers have set up a new taskforce to ‘focus on how the NHS can [better] utilise independent sector to cut the backlog’ and boost overall elective activity, the Department of Health and Social Care has announced.
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Expert BriefingThe Integrator: What’s the future of ICSs?
Insider tales and must-read analysis on how integration is reshaping health and care systems, NHS providers, primary care and commissioning. This week by deputy editor Dave West.
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NewsConsultant refused to carry out urgent surgery at trust facing criticism from CQC
A consultant surgeon refused to attend hospital to carry out urgent surgery at a trust which later had upper gastrointestinal surgery suspended after an unannounced Care Quality Commission visit.
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NewsFormer NHSE chief: ‘Most hospital discharge data is useless’
A former chief executive of the NHS has said most data collected about hospital discharges by NHS England is ‘useless’ and biased against social care.
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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