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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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„Guidance for commissioning integrated urgent and emergency care. A „whole<br />

system‟ approach‟ – Dr Agnelo Fernandes; RCGP Centre for Commissioning; August<br />

2010<br />

„Building the evidence base in pre-hospital urgent and emergency care. A review of<br />

the research evidence and priorities for <strong>future</strong> research‟ – Janette Turner; University<br />

of Sheffield, 2011<br />

„Standards for children and young people in Emergency Care settings‟ – Royal<br />

College of Paediatrics and Child Health; 2012<br />

„Emergency Medicine consultants – workforce recommendations‟ - College of<br />

Emergency Medicine; April 2011<br />

Seven Day Consultant Present Care The Academy of Royal Colleges (Sam you will<br />

have to look up the proper reference)<br />

„Commissioning a new delivery model for unscheduled care in London‟ – Healthcare<br />

for London; 2008<br />

London Health Programmes Emergency Department commissioning standards<br />

(awaiting publication)<br />

London Health Programmes urgent care centre commissioning standards (awaiting<br />

publication)<br />

The E&UC has also been able to draw on a considerable body of evidence from UCCs and<br />

EDs already operational in NWL. Taken together, NWL clinicians, commissioners and<br />

providers possess extensive experience of designing, commissioning and delivering<br />

emergency and urgent care services. The E&UC CIG has sought to harness this by building<br />

a detailed understanding of what works well in practice and what could be improved.<br />

7.11 Consultation<br />

In addition to the independent evidence gathering activities set out above, the E&UC CIG<br />

drew on feedback from the formal <strong>Shaping</strong> a Healthier Future consultation to develop E&UC<br />

recommendations.<br />

The <strong>Shaping</strong> a Healthier Future consultation was held between July and October 2012. A<br />

total of 17,022 responses were received. During the consultation period, the “<strong>Shaping</strong> a<br />

<strong>healthier</strong> <strong>future</strong>” team attended or arranged over 200 events which included two road-shows<br />

in each of the eight North West London boroughs as well as an additional roadshow in the<br />

neighbouring boroughs of Camden, Richmond and Wandsworth; public meetings and<br />

debates; GP events and other events for staff.<br />

This section summarises those consultation responses pertaining to emergency and urgent<br />

care. For a full discussion of the <strong>Shaping</strong> a <strong>healthier</strong> <strong>future</strong> consultation, please refer to<br />

“‟<strong>Shaping</strong> a <strong>healthier</strong> <strong>future</strong>‟ consultation for NHS North West London – Final Report”<br />

published by Ipsos Mori on 28 th November 2012.<br />

7.11.1 Key messages from consultation<br />

National Clinical Advisory Team feedback<br />

In May 2012, the National Clinical Advisory Team (NCAT) was invited to review the <strong>Shaping</strong><br />

a Healthier Future pre-consultation business case. Their observations and recommendations<br />

in relation to emergency and urgent care proposals can be summarised as follows:<br />

The NCAT team supports moving from 9 emergency departments to 5<br />

7b. Work of the Emergency and Urgent Care CIG 146

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