NHS England has published a report marking the end of phase one of the urgent and emergency care services review. The report proposes a fundamental shift in provision of urgent care, with more extensive services outside hospital and patients with more serious or life threatening conditions receiving treatment in centres with the best clinical teams, expertise and equipment.
The report proposes that:
- people with urgent care needs we should provide a highly responsive service that delivers care as close to home as possible, minimising disruption and inconvenience for patients and their families.
- people with serious, life threatening conditions we should ensure they are treated in centres with the very best expertise and facilities in order to maximise the chances of survival and a good recovery.
Significant progress over the next six months is expected on the following areas:
- Working closely with local commissioners as they develop their five-year strategic and two-year operational plans;
- Identifying and initiating transformational demonstrator sites to trial new models of delivery for urgent and emergency care and seven-day services;
- Developing new payment mechanisms for urgent and emergency care services, in partnership with Monitor;
- Completing new NHS 111 service specification so that the new service – which will go live during 2015/16 – can meet the aspirations of this review;