Patients will continue to access Emergency
services via Accident and Emergency Departments, where appropriate.
The emergency services will be supported by a wide range of primary
care initiatives aimed at ensuring more appropriate use of emergency
services. The NHS Plan outlined a number of improvement targets
for emergency care, including:
By 2004 no-one to wait more than four hours in A&E
Department from arrival to admission to a bed in a hospital, transfer
elsewhere or discharge. The average length of waiting should fall
to 75 minutes.
The Reforming
Emergency Care report outlined the proposed ways in which these
changes and subsequent improvements could be achieved.
Increased use of Information Technology will enable improved access
and assessment, access to diagnostic and support services and a
reduction in the duplication of data gathering. Staff will be supported
in their assessments by a decision support system, developed from
the Clinical Assessment System used by NHS Direct and Walk-in centres.
By 2004, all GP Out Of Hours services and NHS Direct will be able
to pass information between them, thus eliminating the need for
patients to repeat information and making the results of previous
assessments available electronically to the next clinical professional.
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