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Urgent and emergency care - key areas highlighted by the consultation and related work

  • Launch date:
    4 October 2006
  • Closing date:
    5 January 2007
  • Creator/s:
    Department of Health
  • Copyright holder:
    Crown
  • Gateway number:
    8558, 8172
  • Outcome published:
    15 November 2007

In the White Paper Our health, our care, our say (January 2006) we made a commitment to produce a framework for urgent care "within which PCTs and local authorities can work… This will take full account of the implications for other providers, including social care and ambulance services".

Over the course of the last year we consulted on a Direction of Travel for Urgent Care. We received 250 responses, which we have looked at alongside evidence from two user and carer workshops, in depth work with four local health and social care communities and research evidence from the Medical Care Research Unit at Sheffield University and from Southampton University.

We are grateful for the input we have received from NHS and social care staff and organisations and many partner organisations to help shape our thinking.

In light of the announcement of the NHS Next Stage Review by Lord Darzi, We have decided that the work we have already done should be taken forward as a part of the wider review. This will ensure that the future development of urgent and emergency care is considered, in an integrated way, alongside other aspects of health care.

In the meantime, a short review of the evidence base we have built up, and plans for further work to support good practice is available, as are a summary of the consultation responses along with the outcome of the workshops, in-depth work and research evidence.

Supporting documents

Report on responses to Direction of Travel for Urgent Care: a discussion document
Brian Johnston.

This report presents analyses of the responses to the consultation on the Direction of Travel for Urgent Care. The consultation received a total of 250 responses.

Direction of Travel for Urgent Care: a discussion document: consultation workshops' key findings
Gill Kelly

This report presents the key findings from four consultative workshops with local health and social care communities, looking in detail at the Direction of Travel for Urgent Care, conducted during November 2006. The communities consulted were: Kent, North Warwickshire, Leeds and Wandsworth. Highly detailed reports for each community form annexes to this report.

The Direction of Travel for Urgent Care: a discussion with users and carers

Report of workshops held with users and carers to discuss the Direction of Travel for Urgent Care.

A review of the urgent care literature published 2001-2006
Val Lattimer, Abigail Burgess, Kathy Jamieson, Sue Dalton, Frances Knapp, Bronagh Walsh

As part of the scrutiny of available evidence around urgent and emergency care, we commissioned a rapid review of relevant literature in the field.

A review of the urgent care literature (2001-2006): considerations for the Direction of Travel for Urgent Care.
Val Lattimer

Key messages coming out of the literature review.

A preliminary study of Emergency and Urgent Care Networks
Janette Turner, Jon Nicholl, Alicia O’Cathain, Medical Care Research Unit, University of Sheffield

This report presents findings from the first stage of work on Emergency and Urgent Care Networks (EUCNs).  Based on preliminary case studies with 6 networks including interviews and assessment of network documents.

Patient views of the emergency and urgent care system: a preliminary report to the Department of Health
Alicia O’Cathain, Patricia Coleman, Jon Nicholl

The aim of this research was to explore patient views of the emergency and urgent care system (EUCS). Qualitative research, consisting of focus groups and individual face-to-face interviews, was undertaken with people who had recently had an unexpected health problem and used the EUCS. 47 people participated in eight focus groups and 13 face to face interviews were conducted with patients.

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