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The report sets out executive summary findings, then details demand, capacity, flow, and outcomes, linking each to specific priorities and recommendations. It analyses ED demand drivers across geography, ambulance conveyance, NHS 111, deprivation, age, casemix, and temporal variation, and examines capacity constraints across staffing, facilities, and hospital admission pressures. 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Flow topics address patient flow through the ED, metrics to analyse and manage ED flow, flow in the SEDIT, and related summaries.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},290437,1789641684,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":140,"language":141,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":142,"faqs":143,"seo_title":144,"seo_description":67,"update_tm":130,"read_time":145,"preview_page_count":4},5909887254083,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Emergency Medicine  \nGIRFT Programme National Specialty Report  \nBy Chris Moulton and Cliff Mann September 2021  \nGIRFT National Clinical Leads for Emergency Medicine  \nGIRFTis partof an aligned set of programmes within NHS England and NHS Improvement  \nContents  \nForeword from Professor Tim Briggs.............................................................................................................4  \nIntroduction from Dr Chris Moulton and Dr Cliff Mann ......................................................................5  \nStatement of support from the Royal College of Emergency Medicine ......................................6  \nExecutive summary .................................................................................................................................................7  \nFindings and recommendations........................................................................................................................9  \nPriority: Match emergency care capacity to local demand.....................................................9  \nPriority: Improve ED patient flow using solutions based on GIRFT-EM metrics......10  \nPriority: Reduce unwarranted variation in the resources available to EDs.................11  \nEmergency medicine today ..............................................................................................................................12  \nAbout our analysis.................................................................................................................................................15  \nDemand ......................................................................................................................................................................18  \nDemand for emergency medicine in England .............................................................................18  \nGeographical factors and demand....................................................................................................23  \nAmbulance conveyance, NHS 111 and demand........................................................................25  \nDeprivation and demand.......................................................................................................................27  \nAge and demand ........................................................................................................................................29  \nCasemix and demand ..............................................................................................................................30  \nVariation in demand according to season, month, day and time........................................35  \nVariation in admissions from EDs......................................................................................................37  \nImpact of acute admissions on trusts ..............................................................................................39  \nManaging the demand for urgent and emergency care.........................................................40  \nReducing the demand for ED...............................................................................................................42  \nInternal demand.........................................................................................................................................43  \nDemand in the SEDIT ..............................................................................................................................45  \nSummary of demand section ...............................................................................................................45  \nCapacity......................................................................................................................................................................46  \nMajor and resuscitation cubicles.......................................................................................................46  \nED staffin","cbCailKb4LrG33qu","https://ap.wps.com/l/cbCailKb4LrG33qu","pdf",4825068,111,"English","# Foreword from Professor Tim Briggs\n# Introduction from Dr Chris Moulton and Dr Cliff Mann\n# Statement of support from the Royal College of Emergency Medicine\n# Executive summary\n# Findings and recommendations\n## Priority: Match emergency care capacity to local demand\n## Priority: Improve ED patient flow using solutions based on GIRFT-EM metrics\n## Priority: Reduce unwarranted variation in the resources available to EDs\n# Emergency medicine today\n# About our analysis\n## Demand\n## Capacity\n## Flow\n## Outcomes","[{\"question\":\"What are the report’s main priorities for emergency medicine services?\",\"answer\":\"The report sets priorities including matching emergency care capacity to local demand, improving ED patient flow using GIRFT-EM metrics-based solutions, and reducing unwarranted variation in resources available to emergency departments.\"},{\"question\":\"How does the report analyse demand for emergency medicine in England?\",\"answer\":\"Demand is examined using factors such as geographical differences, ambulance conveyance, NHS 111 activity, deprivation, age, casemix, and variation by season, month, day, and time, along with admissions from EDs and impacts of acute admissions on trusts.\"},{\"question\":\"What capacity and flow topics does the report cover?\",\"answer\":\"Capacity topics include ED staffing levels, major and resuscitation cubicles, hospital capacity for emergency admissions, estate and infrastructure constraints, and capacity in the SEDIT. Flow topics address patient flow through the ED, metrics to analyse and manage ED flow, flow in the SEDIT, and related summaries.\"}]","Emergency Medicine - GIRFT Programme National Specialty Report - September 2021 | PDF",280]