Health inequality and the A&E crisis

"Reducing healthcare inequality is a matter of social justice. It is also a matter of common sense, when the NHS is under such severe pressure from preventable emergencies arising from social inequality."

Health inequality and the A&E crisis
Centre for Health Economics, University of York
January 2016

Read more here.

Accident and emergency attendances in England - 2014-15

"This is a report on Accident and Emergency (A&E) activity in English NHS hospitals and English NHS-commissioned activity in the independent sector."

Accident and emergency attendances in England - 2014-15
Health & Social Care Information Centre
January 28, 2016

Read more here.

A case study to improve the management of mild traumatic brain injury in the emergency department

"Despite the availability of evidence-based guidelines for the management of mild traumatic brain injury in the emergency department (ED), variations in practice exist."

Developing a targeted, theory-informed implementation intervention using two theoretical frameworks to address health professional and organisational factors: a case study to improve the management of mild traumatic brain injury in the emergency department
EJ Tavender, et al.
Implementation Science, 2015, 10:74

Read more here.

What's behind the A&E 'crisis'?

"This briefing, part of a series from the Nuffield Trust ahead of the General Election, examines up-to-date data and long-term trends with regard to urgent care in England; analyses common theories and explanations of recent problems; and summarises current thinking about the potential solutions."

Policy Briefing: What's behind the A&E 'crisis'?
I Blunt, N Edwards, L Merry
Nuffield Trust
March 2015

Read more here.

Focus on: A&E attendances

"We explored a range of factors thought to be contributing to increased pressure on A&E in the English NHS and tested whether recent changes in these factors could explain the current pressures observed in the system."

QualityWatch: Focus on: A&E attendances: Why are patients waiting longer?
I Blunt
Nuffield Trust, The Health Foundation
July 2014

Read more here.

Understanding the impact of improved access to primary care

"Inadequate capacity in general practice not only leads to unmet health needs, but to an increase in demand for A&E and walk-in centres."

Meeting need or fuelling unncessary demand? Improved access to primary care and supply-induced demand
R Rosen
Nuffield Trust
June 2014

Read more here.

Evaluating adverse drug event reporting in administrative data from emergency departments

"Adverse drug events to outpatient medications were underreported in emergency department administrative data compared to the number of adverse drug events diagnosed and recorded at the point-of-care."

Evaluating adverse drug event reporting in administrative data from emergency departments: a validation study
CM Hohl, L Kuramoto, E Yu, B Rogula, J Stausberg, B Sobolev
BMC Health Services Research, 2013, 13:473

Read more here.

NHS England: Improving A&E Performance Gateway ref: 00062

"Working closely with other key stakeholders, and building on the views already shared from CCGs and providers, NHS England will put in place an approach that will support the emergency and urgent care system, reduce pressure and ensure that patients do not have to wait longer than the agreed standards as identified in the NHS constitution and thus meet the national operating target of 95%."

Read more here.

Emergency department visits for nonurgent conditions

"If health plans, policy makers, and providers want to reduce use of the ED for nonurgent problems, they must ensure that their interventions are evidence- based and tailored to address the needs and concerns of the populations they are designed to serve."

Emergency department visits for nonurgent conditions
L Uscher-Pines, J Pines, A Kellermann, E Gillen, A Mehrotra
The American Journal of Managed Care, 2013, 19(1):47-59

Read more here.

Making ambulance handover delays a thing of the past

"In this report, we have looked at ambulance turnaround delays on a national and whole system basis for the first time. "

Zero tolerance: making ambulance handover delays a thing of the past
NHS Confederation, Association of Ambulance Chief Executives
December 2012

Read more here.

Driving improvement in A & E services

"Trusts have reduced reattendance rates by providing comprehensive information and followup advice when patients leave A & E."

Driving improvement in A & E services
Foundation Trust Network
October 2012

Read more here.

Consumer quality index (CQ-index) in an accident and emergency department

"The Consumer Quality index for the accident and emergency department measures patients' experiences of A&E healthcare performance."

The consumer quality index (CQ-index) in an accident and emergency department: development and first evaluation
N Bos, LM Sturms, AJP Schrijvers, HF van Stel
BMC Health Services Research, 2012, 12:284

Read more here.