Department of Health - Improving Emergency Care in England

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Contents Summary 1 Part 1 Against a high level of demand, 9 A&E departments have achieved significant improvements Significant progress has been made against 10 a key NHS Plan target There are significant differences for different 14 groups of patients This report has been prepared under Section 6 of the National Audit Act 1983 for presentation to the House of Commons in accordance with Section 9 of the Act. John Bourn National Audit Office Comptroller and Auditor General 7 October 2004 The National Audit Office study team consisted of: Antonia Gracie, Alison Terry, Jeff Round, Shamail Ahmad and Neil Pike under the direction of Karen Taylor This report can be found on the National Audit Office web site at www.nao.org.uk Patients' experience in A&E departments is 14 improving and formal quality of care measures are developing Part 2 A collaborative approach has helped 17 modernise A&E departments, but there are still some obstacles The Department of Health provided support for 17 modernisation Several key innovations have helped reduce delays 18 The focus is now on bottlenecks in the wider system 21 around A&E There remain staffing constraints in A&E 24 Basic infrastructure can be an obstacle to 26 modernising care For further information about the National Audit Office please contact: National Audit Office Press Office 157-197 Buckingham Palace Road Victoria London SW1W 9SP Tel: 020 7798 7400 Email: enquiries@nao.gsi.gov.uk © National Audit Office
IMPROVING EMERGENCY CARE IN ENGLAND Part 3 Emergency care services are beginning 29 to be designed more around patients' needs but there is more to do New types of provider have been well-received 29 and services vary Patients may not be accessing the most 30 appropriate service There are good examples of redesigning 32 services around patients Changes in responsibilities for out-of-hours 35 GP services present both a challenge and an opportunity Part 4 Appendices 1 Methodology 42 2 Trends in demand for emergency care 45 in England 3 Main findings and conclusions from the 47 Comptroller and Auditor General's 1992 report NHS Accident and Emergency Departments in England, (HC 158, Session 1992-93) 4 Design guidance for an A&E department 49 5 Alternatives to A&E 50 Glossary of terms 52 References 54 Emergency Care Networks need 37 to develop further to promote joint working Some obstacles remain to further joint working 37 There is demand for more performance and 37 quality indicators for emergency care as a whole Emergency Care Networks have yet to 38 reach maturity The Department of Health is encouraging further 41 development of networks Photography on pages 2, 3, 6-7 (except top left) and Contents, courtesy of Justine Desmond Photography. Photography/Illustration on page 36 courtesy of Justine Desmond Photography/Philippe Jurado.
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Department of Health - Improving Emergency Care in England

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