![]() In Q4 2022/23 there were around 6 million A&E attendances. The number of A&E attendances has now returned to pre-pandemic levels but performance against the four-hour target has worsened. This may reflect guidance to call NHS 111 with concerns about Covid-19 symptoms, as well as messaging encouraging people to stay at home during the national lockdown. In Q1 2020/21, the total number of A&E attendances fell dramatically to 3.6 million, following the outbreak of the coronavirus (Covid-19) pandemic, and waiting time performance for type 1 attendances temporarily improved sharply to 90%. The total number of A&E attendances had been increasing over time, reaching almost 6.5 million in Q3 2019/20. By Q3 2019/20 (October to December 2019), performance had fallen to a pre-pandemic low of 71%. ![]() Performance for type 1 A&E departments between 2011//14 remained close to or above the new target but has declined substantially since then. The target for the percentage of patients arriving at A&E that are admitted, transferred or discharged within four hours was relaxed from 98% to 95% in 2010. In the past, minor A&Es (types 2 and 3, such as single specialty departments or minor injury units) nearly always admitted, transferred or discharged patients in less than four hours, whereas major A&Es (type 1) dealt with a higher number of attendees and more serious cases, and consistently performed worse at the four-hour target. The length of time patients spend in A&E before admission, transfer or discharge depends on the type of A&E unit they visit. NHS England, A&E Attendances and Emergency Admissions See also our NHS performance summaries, which present up-to-date information on key NHS performance measures as data are released by NHS England. For in-depth analysis of what's causing increasing A&E waits, see our report Focus on: A&E attendances. ![]() This indicator explores breaches of the four-hour A&E target since 2010. Read the Nuffield Trust blog for more information about the previously proposed A&E targets. However, in September 2022 the then Health Secretary, Th érèse Coffey, ruled out changes to the four-hour target soon after her appointment, which means that the existing four-hour target remains in force for the foreseeable future. NHS England consulted on the proposed new standards, and the response to the consultation stated that the new standards will be rolled out. NHS England selected 14 hospital trusts to field test the new standards, and an interim report was published in October 2019. In March 2019, the Review of NHS Access Standards was published, which proposed that the current four-hour A&E target should be replaced by a set of access standards, including the average waiting time in A&E, time to initial clinical assessment, and time to emergency treatment for critically ill and injured patients. In December 2022, an intermediary threshold target of 76% to be hit by March 2024 was introduced with further improvement expected in 2024/25. The operational standard set in 2010 stated that at least 95% of patients attending A&E should be admitted, transferred or discharged within four hours. Yep, the old grandmother undercover guilt trip, Very effective.The four-hour A&E waiting time target is a pledge set out in the Handbook to the NHS Constitution. So if you respond quickly, we can jump on a quick call now. However, if our meeting just slipped your mind, I've dedicated the next 30-minutes specifically for you. Things happen, and we can reschedule for tomorrow at the same time since the rest of my day is completely booked. Is everything okay? If something urgent came up last minute, I completely understand. Subject - Customer Name - Regarding our meeting today However, if they do no show you, try this email if you can't reach them. Realistically, I think some of these meetings no-shows because they have no idea how to use zoom, teams, GTM, etc. I don't use my computer audio, but I call 3-minutes before the meeting and say, "Hey prospect, sometimes Teams can be tricky - I figured I'd walk you through setup." I get more positive feedback on this than negative. I make them accept that and require them to provide me with the best number to reach them. When I set the meeting, I send over the Microsoft team's calendar invite while they are on the phone.
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