CCG alert: ambulance service

Showing posts with label ambulance service. Show all posts

11 March 2021

This study aims to develop a better understanding of the role that social prescribing can play in pre-hospital emergency and urgent care services, in order to deliver care to relevant patient cohorts.

This session is delivered by Dr Jason Scott, Senior Lecturer in Public Health, Northumbria University. Dr Scott is also the national academic lead for the Frequent Caller National Network (FreCaNN), which works across all ambulance services nationally. He provides an overview of the potential for social prescribing within emergency ambulance services (999) and NHS111, specifically focusing on suitable patient cohorts and the macro, meso and micro determinants to social prescribing within this setting.

A new framework for England that aims to raise quality in public health services and functions.
This document sets out a high-level, shared, system-wide commitment to high-quality public health functions and services.
It:

Provides a framework for improving quality in the delivery of public health functions and services that can support sector led improvement
Describes what we mean by quality in public health systems, functions and services
Sets out the roles and responsibilities of key players in the public health system to deliver high-quality functions and services
Describes the process for improving quality
Identifies areas for priority focus and action.

NHS Ambulance Services
National Audit Office 26 January 2017

This report examines the reasons behind the rising demand for Ambulance services.
Contributing factors include increasing numbers of elderly patients with multiple conditions, an increasing number of alcohol- and mental health-driven issues, the availability of primary care services in the community and how patients seek help.
It was noted that each of the 10 ambulance trusts in England has developed its own operating framework, with differences in workforce mix, fleet mix and estate. These differences have contributed to variations and inefficiencies in performance.

This report sets out how ambulance services work within the current system, what the NACN believes the future could look like, and the challenges that need to be overcome for this to happen.
Key recommendations include:

There should be a refocus on commissioning and provider systems that support non-conveyance and provision of the right care closer to home as its principal aim for most patients, while continuing to provide immediate transport and treatment solutions for those emergency patients who need a fast response.
A shift away from time-based targets for the majority of responses, to ones focused around patient and clinician experience and patient outcomes
The ambulance service should develop into a mobile health provider working in multidisciplinary teams.
A focus on an improved triage that will be consistent, systematic and focused on the right response for the patient (based on patient outcomes and appropriate speed of response).
A workforce and training plan developed with commissioners that supports the shift to new models of care which are realistic in terms of timescales for implementation and address geographical differences.
We should increase communication and engagement with the public to provide more clarity around expectations, and how we can shift to providing the ‘right’ response for them as a mobile treatment service and not simply a speed of response service.

http://www.nhscc.org/wp-content/uploads/2015/11/Ambulance-comm-strategy-WEB.pdf