Arch Corporate Holdings came under fire following reports of excessive spending on entertainment. There was also concern over what was described as "a culture of entitlement to expensive trips and acceptance of hospitality being the norm". All its assets, liabilities and trading operations are being transferred to a new council-owned company called Advance Northumberland. BBC Posted at
Helen McKenna In recent years, NHS spending has been protected while other budgets such as welfare, local government and the police have been subject to significant cuts.
Despite this, health services are facing unprecedented financial and operational pressures. So why is the NHS struggling to maintain standards of care despite funding having increased?
A key reason for this is that demand for services is rising. Here we explore demand for hospital services by looking at the data for different aspects of activity over the past 13 years. What is emergency care?
This represents an average annual increase of 1. This is equivalent to an average increase of 4. While not analysed here, emergency admissions from these other sources have also been growing over time, although at a slower rate.
What is elective care? Elective care is planned care. Most interactions with elective hospital services arise as a result of a patient being referred to outpatient services for tests and advice. After an initial appointment, the patient may be re-called for further outpatient appointments or may require admission to hospital as an inpatient for further treatment.
Providing the patient does not need immediate admission, this is classed as an elective admission. This is the standard route for many common operations including cataract removal, hip and knee replacements.
The figure outlines some of the key points in the elective pathway — though by no means all of them. There are many other routes in and out of the pathway eg, failure to attend appointments that, for simplicity, are not shown here.
This represents an overall increase of 62 per cent — an average increase of 3 per cent per year. Referrals from GPs specifically have increased from 2.
Referrals from other sources rose steadily over the whole period from 1. This growth in referrals from other sources represents an overall increase of 85 per cent, and an average rate of increase of 4. Following the initial referral, a patient is seen as an outpatient and may then have subsequent outpatient attendances.
Total outpatient attendances over this period increased from 11 million to This is an overall increase of While total outpatient attendances grew at around 0. First outpatient attendances increased from 3. Subsequent attendances ie, follow-up attendances rose from 7.
Following an outpatient appointment, some patients may be admitted to hospital for elective care. This represents an average annual increase of 4.Health News Blog. 9th November Hancock's words not matched with funding In his recent speech health secretary Matt Hancock said "We need to focus more on prevention " but the policy of this government is quite the opposite.
The autumn budget will lead to £m cuts to public health funding on top of £m cuts since / Measuring and modelling occupancy time in NHS continuing healthcare. 31 May ) relating to patients still in care on the 31 st of May from the original dataset (see subsection "NHS Continuing healthcare data"), and we projected the patient numbers for the next year.
The ever increasing pressures to ensure the most efficient and effective use of limited health service resources will, over time, encourage policy makers to turn to system modelling solutions.
Such techniques have been available for decades, but despite ample research which demonstrates potential, their application in health services to date is limited. Is cycling a great way to get fit and save money on transport costs, or an increasingly dangerous pastime?
Cycling safety hit the headlines in November after a spate of cyclist deaths occurred in London over a two-week period and led to a range of claims and counter claims on safety. This. Summary. The NHS Data Model and Dictionary Service provides the development, maintenance and support of NHS Information Standards.
The NHS Data Model and Dictionary gives a reference point for assured information standards, to support health care activities in the NHS in England. Cath Chilcott Data Modelling and Dictionary 07/04/ Consultant led mono specialty accident and emergency service (e.g.
ophthalmology, dental) with designated accommodation for the reception of patients Type 3: DM&D NHS Data Model and Dictionary. The NHS Data Model and Dictionary provides a.