A&E Attendances and Emergency Admissions

NHS England has released the latest A & E figures. The Weekly and Monthly A&E Attendances and Emergency Admissions collection collects the total number of attendances in the specified period for all A&E types, including Minor Injury Units and Walk-in Centres, and of these, the number discharged, admitted or transferred within four hours of arrival.


Also included are the number of Emergency Admissions, and any waits of over four hours for admission following decision to admit.

The total number of attendances in January 2018 was 2,000,000, an increase of 5.5% on the same month last year. Of these, attendances at type 1 A&E departments were 1.6% higher. Attendances over the latest twelve months are 1.1 % higher than levels in the preceding twelve month period.
NHS England |A&E Attendances and Emergency Admissions |January 2018Monthly figures  data set from NHS England A statistical commentary is available  from NHS England

Related content:

The Guardian NHS hospitals in England record worst ever A&E performance

The Independent NHS A&E waiting times hit worst levels on record, show latest figures


Tinnitus Week

Tinnitus Week takes place from 5-11 February 2018 and is an international awareness initiative led by a group of organisations, including the British Tinnitus Association, American Tinnitus Association, Tinnitus Hub and the Tinnitus Research Initiative.


The aim of the week is to raise awareness of the condition, which affects approximately 1 in 10 of the population. The British Tinnitus Association campaign for the week will focus on children and young people.

The ‘Kids Talk Tinnitus’ campaign will engage with children, parents and schools to raise awareness of tinnitus amongst young people and drive the use of relevant support and resources. These can be found at www.tinnitus.org.uk/Pages/Category/tinnitus-in-children.

A new website has been set up, as a central resource collecting all the initiatives which will be taking place in 2018. This website can be found at www.tinnitusweek.com.

Find out more about Tinnitus Week  here.

The adult social care workforce in England

The findings of a report by the National Audit Office shows that the Department of Heath and Social Care is not doing enough to support a sustainable social care workforce. elder-1471399_1920
The number of people working in care is not meeting the country’s growing care demands and unmet care needs are increasing, according to today’s report by the National Audit Office (NAO).

There are around 1.34 million jobs in the adult social care sector in England, across more than 20,300 organisations. The turnover rate of care staff has been increasing since 2012-13 and in 2016-17 reached 27.8%. The vacancy rate in 2016-17 for jobs across social care was 6.6%, which was well above the national average of 2.5%-2.7%.

However, demographic trends suggest that demand for care will continue to increase and people’s cares needs will continue to become more complex. To meet these challenges, the Department estimates that the workforce will need to grow by 2.6% every year until 2035.

More information can be found  NAO

The press release can be read here

The National Audit Office have also published a full summary 

Volunteering in general practice

Volunteering in general practice: Opportunities and insights | The Kings Fund 


The King’s Fund has published ‘Volunteering in general practice: opportunities and insights‘.  This paper explores how volunteers can provide support for the role of general practice, and the opportunities for organisations that currently support volunteering to work more closely with general practice.

Publication overview:

  • Interest is growing in the contribution that volunteering can make in health and social care. This paper builds on our previous work, which examined volunteering in hospitals, to explore ways in which volunteers are involved with, and are contributing to, general practice.
  • The authors identify four approaches to supporting volunteering in general practice: use of volunteers to enable general practice to carry out its activities; organisations using volunteer support that were located within general practice premises; social prescribing; and community-centred general practices.
  • 10 case studies are explored, which demonstrate that approaches to supporting volunteering in general practice provide an opportunity for practices to engage beyond their traditional boundaries, creating an interface with voluntary and community sector organisations and with the wider community.
  • The practice examples highlight the importance of partnership work to support and sustain volunteering, the different design and resource considerations in choosing an appropriate approach, the support and management requirements for volunteers and strategic factors that influence success and sustainability.

Full document:   Volunteering in general practice: opportunities and insights.

Facing the Facts, Shaping the Future

Health Education England has worked with NHS England, NHS Improvement, Public Health England and the Department of Health to develop the NHS Workforce Report “Facing the Facts, Shaping the Future” – a draft health and care workforce strategy for England to 2027.

facing the facts
Image Source: http://www.hee.nhs.uk


The report describes the nature and scale of these challenges and sets out proposals for the management of workforce issues at both local and national level.
The document is open for consultation until 23 March 2018.

To  read the report and have your say visit here

Every nurse an eNurse

The Royal College of Nursing  (RCN), in partnership with NHS Digital,  and the Building a Digital Ready Workforce Programme,  is launching a UK-wide consultation to hear about the digital challenges faced by nursing staff.   The consultation seeks to learn more about  adapting to digital technologies, and the opportunities available to improve patient care.

rcn digital ready consultation
Image source: RCN. http://www.rcn.org.uk








The RCN will ask nurses across the country, working in different sectors:

  • What will the digital future of nursing look like?
  • What will help us to get the best out of the data and technology available?
  • What are the things that might stand in our way?
  • What are the great examples where things are working that we should share?

The results will support the RCN’s call for improved education, training and development on digital literacy.  The aim is that by 2020 “evey nurse will be an eNurse” – that is every nurse will be able to use technology and data to maximum effect for patients, carers and service users.

Further information on the Digital Ready consultation is available from the RCN’s website

Register now to join the conversation; the online workshop will run until 15 February 2018 link here. 



Extra funding for pregnant and new mothers’ mental health announced

NHS England has announced extra funding will be made available to improve the mental health of at least 3,000 pregnant women and those who have recently given birth.

baby-821625_640A total of £23 million is available during wave 2 of the Perinatal Mental Health community services development fund.

The funding is part of a major programme of improvement and investment supporting the ambition in the Mental Health Five Year Forward View that, by 2020/21, there will be increased access to specialist perinatal mental health support, enabling an additional 30,000 women to receive evidence-based treatment, closer to home, when they need it.

From 2019/20 funding for specialist perinatal mental health community services will be allocated through clinical commissioning group baseline (CCG) budgets. This funding will see 30, 000 additional women getting specialist mental health care, in person and through online consultations including over Skype, during the early stages of motherhood, by 2021.

Further information and details about proposals can be found on the NHS England website 
The press release is here 

Refreshing NHS Plans for 2018/ 19

NHS England & NHS Improvement | Refreshing NHS Plans for 2018/ 19


This publication  responds to the November 2017 Budget announcement of additional NHS funding of  £1.6bn for 2018/19, which will increase funding for emergency & urgent care and elective surgery.


It outlines how additional funding will impact on frontline services such as primary care and A&E services. The Department of Health and Social Care (DHSC) is making a further £540 million available through the Mandate over the coming financial year.

It also sets out plans for the development of accountable care systems into integrated care systems. The guidance is accompanied by revised clinical commissioning group allocations for 2018/19.

The publication Refreshing NHS Plans for 2018/19 is here

A link to the revised CCG allocations is also available

Infographic to show CCG allocations are here


NICE surveillance reports

NICE has published the Surveillance Reports below.  These provide a summary of new evidence published related to a NICE guideline and include the decision that NICE has taken about the need to update the relevant clinical guideline in light of this new evidence.

Advanced breast cancer: diagnosis and treatment (CG81 – 2009) – surveillance decision: NICE will not update the guideline at this time.  They will amend relevant sections of the guideline to cross-refer to the published NICE technology appraisals and other NICE guidance related to the diagnosis and treatment of advanced breast cancer.