Contents
Introduction 5
A&E PRESSURES 6
Growing demand 6
Root cause analysis 6
THE GOVERNMENT RESPONSE 7
Fragmentation 7
Simplifying commissioning 8
Funding 8
RESTRUCTURING 9
Specialist centres of care 9
A&E PERFORMANCE 10
The four hour standard 10
Assessment of patients 11
Staffing 11
Delayed discharge 12
Tariffs 13
ALTERNATIVES TO A&E 14
Primary care 14
Urgent Care Centres 15
NHS 111 15
Assessment 16
AMBULANCE SERVICES 17
Ambulance services 17
Developing the functions of ambulance services 17
Incentives 18