The PRSB have collaborated with the Royal College of Physicians Health Informatics Unit on this project. Clinical leadership was provided by clinicians from the Royal College of Emergency Medicine and the College of Paramedics (CoP). The standard has been developed with the support of professionals and patients.
This resource includes:
Information model (as Excel spreadsheet)
Ambulance handover standard final report v1.0
Implementation guidance v1.0
Clinical Safety Case Report v0.3 - Currently being approved through the NHS Digital Clinical Safety Group
Hazard log v0.7
Analysis of a national linked dataset identifying permanent care home residents aged 65 and older and their hospital found that on average during 2016/17 care home residents went to A&E 0.98 times and were admitted as an emergency 0.70 times.
Emergency admissions were found to be particularly high in residential care homes compared with nursing care homes.
A large number of these emergency admissions may be avoidable: 41% were for conditions that are potentially manageable, treatable or preventable outside of a hospital setting, or that could have been caused by poor care or neglect.
Four evaluations of initiatives to improve health and care in care homes carried out by the Improvement Analytics Unit (IAU) in Rushcliffe, Sutton, Wakefield and Nottingham City show reductions in some measures of emergency hospital use for residents who received enhanced support.
There are key learnings from these IAU evaluations, including a greater potential to reduce the need for emergency admissions and A&E attendance in residential care homes and the benefit of coproduction between health care professionals and care homes.
Did you known that once a paramedic hands over the care of their patient to the hospital they don't tend to learn how beneficial their treatments were or how accurate their diagnosis was? As you can imagine this makes continually improving in order to provide the best possible healthcare to patients very challenging.
The Princess Alexandra Hospital (PAH), East of England Ambulance Service Trust (EEAST), and Essex and Herts Air Ambulance Trust (EHAAT) are working together to change that. With support from the Health Research Authority's Confidentiality Advisory Group (CAG) and under the supervision of the PAH Patient Panel, they have started a new project which allows the ambulance and air ambulance staff who look after a patient to find out relevant and proportional information. This will help with lifelong learning and reflection, seen as vital to learning by both the General Medical Council who oversee doctors and the Health and Care Professions Council who oversee ambulance staff.
In this report the CQC have seen much good and outstanding care, in particular around:
staff interactions with patients
leadership and engagement with staff and patients.
However, there were a number of areas where services needed to make substantial improvements: