Wednesday, 3 June 2015

Co-location support should be provided to A&E Service, according to new report



by Sunil Patel

TheRoyal College of Emergency Medicine (RCEM) and the PatientsAssociation (PA) are calling on the NHS to do more to provide more co-location services paired with Accident and Emergency departments, according to a new report.

The key findings suggest, patients are aware of the other options to A&E but are forced towards these over-stretched departments because they unable to access the level of care required.

And significant numbers of patients attend A&E because they are advised to do so by some health care providers.

More needs to be done to better inform patients of out-of-hours GPs, walk-in centres and the NHS 111 service.

And these services should have the capacity required to provide the support to the additional numbers, according to the authors of the 'Time to Act' report.




The jointly authored report warns, if they the situation is not addressed it will place further strain on an A&E service which many argue is already at breaking point.

A&E patients were asked to give answers to their choices, decisions and experiences in accessing urgent healthcare, in a survey which was carried out between September 2014 and February 2015

Many patients experience an A&E service as a central point for emergency care. 

Both the RCEM and PA groups have acknowledged the power of the A&E brand.

They have recommended the co-location of out-of -hours services with A&E so patients are channelled towards the most appropriate care provider.

Currently, only 40 per cent of A&E  departments provide co-location of services, according to RCEM.

Dr Cliff Mann, President of the Royal College of Emergency Medicine, said: “Co-location of primary care services has previously been supported by many national organisations and the Keogh Review of Urgent and Emergency Care, Colocation now needs to be implemented.”

The Chief Executive of the Patients Association has backed the move towards the co-location of services describing the case as 'compelling'

Katherine Murphy, said: “Now is the time to act to decongest A&E departments and, in so doing, benefit all patients.”

Almost 7,000 patients attended Accident and Emergency in the East Midlands for week ending May 24, according to NHS England figures.

Out of the total admissions for the region, 96 percent of patients were assessed in four hours or less. 

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