Subscribe to our email newsletter and follow @TheKingsFund on Twitter to see new content as it's published, along with our other news. The clinical standards review has also proposed two other new targets: how long patients wait before being clinically assessed after they arrive in A&E, and how long the most critically ill patients – such as patients experiencing a stroke – wait before a package of their treatment is completed. They are major emergency departments that provide a consultant-led 24-hour service with full facilities for resuscitating patients, for example patients in cardiac arrest. In Q1 2020/21, the total number of A&E attendances fell dramatically to 3.6 million – 44% lower than in Q1 2019/20. We examine the big issues and recent NHS performance on waiting times. However, it will not provide enough resources for performance to recover against these standards while also developing new and better services. Last updated on 04 November 2020. A&E performance is therefore dependent on processes and capacity in other hospital departments, as well as other parts of the health and care system. There has been an interesting mix of reactions to the NHS England proposals to change A&E standards. How strongly do seasons influence breaches of the four-hour A&E target? The first is that we have been here (or at least somewhere near here) before. To find local emergency departments, go to: There are other healthcare services that give expert care to treat your medical condition. NHS homepage; Second, some caution is needed. Please explain. This is because the average waiting time in the department will, by definition, be affected by how long each patient waits in A&E – not simply whether their wait was over or under four hours. The intentions to 'unhide' the hidden long waiters in A&E departments and remove the tyranny of the four-hour cliff edge are sound. The four-hour A&E waiting time standard is one of the most high-profile indicators of how the NHS is performing. How is A&E performance measured and what influences how long people wait? Daisy Hill Hospital – Emergency Department This compares to 59,805 patients waiting over four hours and 284 waiting over 12 hours in December 2018. Over the past decade, performance has fallen away in major A&E departments even as other types of A&E – such as dental and eye hospital A&Es or minor injury units and walk-in centres – have sustained their high performance (Figure 4). For example, hospital bed occupancy reached red-hot levels in NHS hospitals some time ago and has stayed firmly in the red zone ever since (Figure 8). It was both unexpected but unsurprising then that when the Prime Minister announced a new five-year funding deal for the NHS in June 2018, she also announced a review of the main NHS performance targets, stating 'we would like clinicians to confirm the NHS is focused on the right targets…which incentivise the best care and outcomes for patients'. The recommendations within this document describe the features of a high quality emergency anaesthetic service.

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