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Urgent and Emergency Care

When there is an urgent need or in case of emergency, there are two numbers available to access services.

NHS 111 is the number to call when you have an urgent health need

You should only call 999 when someone is seriously ill or injured and you believe that their life is at risk.

Urgent and emergency care services include: General Practitioners (GPs) normal and out of hour’s services, pharmacies, NHS111, Accident & Emergency Departments and the Yorkshire Ambulance Service.

During 2017/18 we have achieved the following:

Over the next two years

Our urgent and emergency care strategy 2014/19 outlines plans to create a simple to navigate sustainable and people-focussed urgent and emergency care system.

This year the CCG have refreshed the strategy to bring it in-line with rapidly emerging national priorities.  Across West Yorkshire the urgent and emergency care vanguard and accelerator site has resulted in the formation of a region wide approach, with the vanguard programme expecting to see changes over the next two years.

To support this West Yorkshire wide programme in our CCG over the next two years we will aim to:

Star ratings

A&E within 4 hours

1 star

One star - worse than the English average.

8 out of 10 people attending accident and emergency department in March 2018 were seen within four hours.  This result fell below the four hour target and was amongst the worst results in England.

Over winter we experienced a very challenging time with attendances at our Accident and Emergency Departments increasing this winter and Bradford Teaching Hospitals NHS Foundation performance on the emergency target was very strong and was frequently one of the highest performing in the country over the winter. The Clinical Commissioning group and A&E delivery board are work hard to ensure there is a clear trajectory for improvement and that all services are in place to ensure this target can be reached.


Ambulance waiting times: for life-threatening calls

3 star

Three stars - better than the English average.

New Ambulance Response Standards were introduced in August 2017 which gave an average target response time for Category 1 patients (the most urgent) of seven minutes.

Year to Date performance across the Yorkshire Ambulance Service area is an average response time of eight minutes and nine seconds. This is longer than the seven minutes target but is better than the average for England of eight minutes and fifteen seconds. (Source: data from NHS England: Ambulance Quality Indicators Data 2018-19).

Yorkshire Ambulance Service is continuing to participate in NHS England’s Ambulance Response Programme (ARP) pilot and has now moved to the next stage.

This has been developed by listening to feedback from ambulance staff, GPs, healthcare professionals (HCPs). ARP has given a number of opportunities to improve patient care – which are outlined in the national papers and AACE documents.

The level of performance against target can be directly attributed to the 9.5% increase in demand and a high number of lost hours at hospital. The CCG additionally commissions urgent care practitioners who have an enhanced qualification and ability to perform more treatment at the scene and prevent avoidable conveyances.

Delayed transfers of care (DTOC)

3 star

Three stars - better than the English average.

People were delayed on average by less than the three and a half day national target and this result was amongst the best in England, and much lower than the national average delays of eleven and a half days.

We have broadened the scope of work for our local ambulatory care unit and have enhanced our multi-agency discharge team provision. This multi-agency discharge team is in place at Bradford Teaching Hospitals NHS Foundation Trust, conducting routine length of stay multidisciplinary meetings and undertaking regular winter calls to monitor system pressures. This has reduced our delays in transfers of care (DTOC) and Bradford is one of the best performing areas in England.


Patient Experience of Accident & Emergency – Survey

1 star

One star - worse than the English average.

On the last patient survey, finishing in March 201,7 people gave an overall rating of 7.2/10. This was worse than the previous survey and gave waiting times as causing the most concern.


Falls: injuries from falls in people aged 65 and over

3 star

Three stars - better than the English average.

During July to September 2018 there were 1,409 per 100,000 population emergency admissions following injuries from falls for people aged 65 years or older. This result has reduced over time and is amongst the lowest rate in England.


Ambulance waiting times: for emergency calls

2 star

Two stars - similar to the English average.

The New Ambulance Response Standards have an average target response time for Category 2 patients (emergency calls) of 18 minutes.

Year to date performance across the Yorkshire Ambulance Service area is an average response time of twenty four minutes and forty six seconds. This is longer than the eighteen minutes target and similar to the average for England of twenty four minutes and forty fiveseconds. (source: data from NHS England: Ambulance Quality Indicators Data 2018-19).


Friends and Family Test

1 star

One star - worse than the English average.

The percentage of people that would recommend BTHFT is 80%. This is lower than the English average which is 87%.