The NHS England Medical Director, Professor Sir Bruce Keogh, has announced a review into the way the NHS responds to and receives emergency patients, called the Urgent and Emergency Care Review.

As reported on the BBC this morning the new report shows that:

The fragmentation…of urgent care services across England causes confusion amongst patients and healthcare professionals in terms of services offered. This can lead to patients presenting at services that may not best suit their needs.

This will sound painfully familiar to my constituents in Wycombe. We need services that are under local control and understood by patients. To this end, I recently participated in another meeting for Sir Bruce’s latest report on mortality rates. The feedback that I received from the public was mixed. We need more direct accountability and further public engagement in order to secure the highest level of services for Bucks.

As for the Urgent and Emergency Care Review itself, four emerging principles have been drafted that outline the case for change, for a system that:

  • Provides consistently high quality and safe care, across all seven days of the week;
  • Is simple and guides good choices by patients and clinicians;
  • Provides the right care in the right place, by those with the right skills, the first time;
  • Is efficient in the delivery of care and services.

These are not agreed solutions at this stage, but have been presented to stimulate debate and help explain what a future system might look like.

Sir Bruce is seeking your comments to ensure that the evidence base and principles are scrutinised and clinically sound. Your comments will be used to develop a national framework for commissioning of urgent and emergency care. Clinical commissioning groups will then be able to use this framework to commission local urgent and emergency care services.

You can participate by completing a short online questionnaire. It will close on 11 August. For more information, please contact Tracey Beck, Senior Stakeholder Relations Manager, NHS England.


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