This is a commissioning guidance document which draws upon discussions with Clinical Commissioning Groups, current commissioners and experts, to build a picture of the ‘whole system’ impacting on urgent and emergency care, including health, social care, self-care and the third sector.
The document describes what urgent and emergency care is, what good services look like based on the evidence and why it is important to commissioners. It also includes what we know about the activity in current services and what the system looks like now, using experiences of patients to illustrate the need for change.
It shows how to redesign services leading to more integrated pathways.
Author: Royal College of General Practitioners (RCGP)
This document aims to provide information and standards on emergency surgical service provision for both adult and paediatric patients. It is aimed at commissioners, planners, providers and others involved in the provision of emergency are and covers patient safety, quality of care, timely delivery of care, clinical outcomes, patient and carer support information, professional competency and development, effective data collection to support evidence-based care, facilities and resources required, value for money.
A toolkit developed by the Royal College of Physicians that highlights the key principles of high quality care applicable to all patients. It makes recommendations in relation to six recognised problem areas:
a. Limited acute consultant physician hours in Acute Medical Units
b. Standardisation of early warning scores to track deteriorating patients and trigger intervention
c. Standardisation of documentation and prescribing
d. Procedures for transfer of patients out of Acute Medical Units – clinical handover
e. Patients transferred out of Acute Medical Units – continuity of care and early consultant review
f. Discharge and maintaining flow through medical admission pathways