Public Services Committee
Emergency healthcare: a national emergency

2nd Report of Session 2022-23 - published 19 January 2023 - HL Paper 130

Summary

Chapter 1: Introduction

Box 1: How should it be?

Our inquiry

Box 2: An action plan for emergency health services

Chapter 2: A national emergency

The extent of the problem

Figure 1: Patients waiting 12 hours or more from decision to admit to admission

Figure 2: Ambulance response times to category two calls

Box 3: Experiences of the emergency healthcare system

Impact on the workforce

Chapter 3: What has gone wrong?

Demand

Increasing demand for emergency health services

Figure 3: A&E attendances graph

Figure 4: Ambulance incidents

Figure 5: 999 and 111 calls

Type of demand

Unmet need in primary care

Figure 6: Percentage of patients who felt they had seen NHS
mental health services often enough for their needs in the last 12 months

Figure 7: Elective treatment waiting list

Figure 8: GP waiting times

Bed capacity

Patient flow

Availability of social care

Chapter 4: Leadership

Leadership and vision

COBR

Service model

Demographic change in the UK

Model for delivery

Targets

Integrated Care Boards and Systems

Box 4: Integrated care

Systemic challenges

How ICSs will affect change

Chapter 5: Clarity of published data

Waiting times

Figure 9: Number of patients waiting 12 hours or more from
decision to admit (DTA) and time of arrival (TOA) in the last 12 months

Demand for emergency health services

Level of demand

Type of demand

Delayed discharge

Chapter 6: Right place, right time

NHS 111

More effective triage

Chapter 7: Collaboration

Potential for collaboration

Measures to encourage collaboration

Joint Emergency Service Interoperability Principles

Policing and Crime Act 2017

Role of regulators

Chapter 8: Best practice

Learning from each other

Machinery for sharing best practice

“What gets measured gets done”

Summary of conclusions and recommendations

Appendix 1: List of members and declarations of interest

Appendix 2: List of witnesses

Appendix 3: Call for evidence

Appendix 4: Summary of engagement event, 3 November 2022

Evidence is published online at https://committees.parliament.uk/work/6918/access-to-emergency-services/ and available for inspection at the Parliamentary Archives (020 7219 3074).

Q in footnotes refers to a question in oral evidence.





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