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We are part of the West Yorkshire and Harrogate Health and Care Partnership and have a shared vision for urgent and emergency care.

We provide a highly responsive service that delivers care as close to home as possible, minimising disruption and inconvenience for patients, carers and their families. Urgent and emergency care services include: General Practitioners (GPs) normal and out of hours services, pharmacies, NHS 111, Accident and Emergency departments and Yorkshire Ambulance Service. When there is an urgent need or in case of emergency, there are two numbers available to access services:

Achievements during 2018/19

Over the next two years:

This year the CCG have refreshed the Urgent and Emergency Care Strategy to bring it in-line with rapidly emerging national priorities including implementing the urgent care priorities of the NHS Long Term Plan. The programme is West Yorkshire and Harrogate wide and over the next two years our CCG will support this by aiming to:

  • drive the adoption of NHS 111 direct booking into GP practices
  • enable services such as First Response (mental health crisis response service) to be accessible via NHS 111
  • ensure providers maintain the accuracy of their Directory of Services so patients can be seen by the right person at the right place, first time
  • improve management of urgent and emergency care demand
  • improve experiences and health outcomes for patients
  • improve access to primary care
  • continue to safely reduce the number of patients conveyed by establishing pathways to alternative services or establishing alternative services.

CCG improvement and assessment framework

Star ratings

A&E within 4 hours - the national standard is 95%


One star – worse than the English average. 78.1% (8 out of 10 people) are seen within 4 hours of attending Accident and Emergency. This result is below the national standard of 95% and lower than the average results seen across England.

From November 2018 we introduced a children’s step up service - Ambulatory Care Experience (ACE) - to enable unwell children at risk of a short term hospital admission to be treated at home. The service operates on specific pathways: wheeze, gastroenteritis, croup, bronchiolitis and jaundice. From January 2019 a Green Zone was introduced at Bradford Royal Infirmary to provide a minor ailments service for lower acuity patients. In addition refurbishment of parts of the Accident and Emergency department has also been carried out.

Delayed transfers of care


Three stars - better than the English average. People were delayed on average just over 3 ½ days, just above the national ambition of 3 ½ days and much lower than the national average delays of 11 days.

We have refocused the scope of work for our local Ambulatory Care Unit and have enhanced our Multi-Agency Discharge Team provision based at Bradford Teaching Hospitals NHS Foundation Trust. The Multi-Agency Discharge Team conducts routine length of stay multidisciplinary meetings and undertakes regular winter calls to monitor system pressures. This has reduced our delays in transfers of care (DTOC) and Bradford is one of the best performing areas in England with the lowest rate of delays.

Emergency admissions for urgent care sensitive conditions


One star – worse than the English average. We have the highest rate of emergency admissions for urgent care sensitive conditions in England. With 4,603 per 100,000 population, we recognise that we need to reduce this.

We have strengthened ‘step-up’ access to intermediate care services for older people in order to reduce hospital admissions for conditions that should not routinely require hospital admission.

Population use of beds following emergency admission


Two stars – similar to the English average. We have low population use of hospital bed days following emergency admission with 475 bed days. This is similar to the 500 average bed days seen across England.

Other indicators

Patient experience of Accident and Emergency - survey


One star - worse than the English average. In the last patient survey (March 2017) people gave an overall rating of 7.2/10. This was worse than the previous survey and gave waiting times as causing the most concern.

Ambulance waiting times for life threatening calls


Two stars – similar to the English average. The average target response time for Category 1 patients (the most urgent) is 7 minutes. From April 2018 - January 2019 the year-to-date performance across Yorkshire is an average response time of 7 mins 26 seconds.

[data from NHS England: Ambulance Quality Indicators Data 2018-19]

Ambulance waiting times for emergency calls


Two stars - similar to the English average. The new ambulance response standards have an average target response time for category 2 patients (emergency calls) of 18 minutes. Year to date performance across Yorkshire is an average response time of 24 minutes 46 seconds. This is longer than the 18 minutes target and the same as the average for England of 24 mins 45 seconds.

[data from NHS England: Ambulance Quality Indicators Data 2018-19]

Friends and family test


One star - worse than the English average. 9/10 people would recommend Yorkshire Ambulance Service to friends and Family. The percentage of people that would recommend Bradford Teaching Hospitals Foundation Trust is 80%. This is lower than the English average of 87%.