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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 - providing a highly responsive service that delivers care as close to home as possible, minimising disrumption for patients, cares and their families.

When there is an urgent need or in case of emergency, there are two numbers available to access services. NHS 111 is the number to call when you have an urgent health need.

You should only call 999 when someone is seriously ill or injured and you believe that their life is at risk.

Urgent and emergency care services include: General Practitioners (GPs) normal and out of hour’s services, pharmacies, NHS111, Accident & Emergency Departments and the Yorkshire Ambulance Service.

During 2017/18 we have achieved the following:

Over the next two years

We are refreshing the Airedale Wharfedale and Craven 2014 – 2019, urgent and emergency care strategy in light of the joint management arrangement across the three Bradford district and Craven CCGs, national guidance and A&E improvement plans.

Across West Yorkshire the urgent and emergency care vanguard and accelerator site has resulted in the formation of a region wide approach, with the vanguard programme expecting to see changes over the next two years. To support this West Yorkshire wide programme in our CCG over the next two years we will aim to:

Star ratings

A&E within 4 hours

3 star

Three stars - better than the English average

Nine out of ten people attending accident and emergency department in March 2018 were seen within 4 hours. Although this result fell just short of the four hour target it was amongst the best result in England.

Over winter we experienced a very challenging time with attendances at our Accident and Emergency Departments increasing this winter and Airedale NHS Foundation Trust performance on the emergency target was very strong and was frequently one of the highest performing in the country over the winter.

The Clinical Commissioning group and A&E delivery board are work hard to ensure there is a clear trajectory for improvement and that all services are in place to ensure this target can be reached.

Ambulance waiting times: for life-threatening calls

2 star

Two stars -similar to the English average.

New Ambulance Response Standards were introduced in August 2017 which gave an average target response time for Category 1 patients (the most urgent) of 7 minutes. Year to Date performance across the YAS area is an average response time of 8'09".

This is longer than 7 minutes target but is better than the average for England of 8'15" (data from NHS England: Ambulance Quality Indicators Data 2018-19).

Yorkshire Ambulance Service is continuing to participate in NHS England’s Ambulance Response Programme (ARP) pilot and has now moved to the next stage. This has been developed by listening to feedback from ambulance staff, GPs, healthcare professionals (HCPs). ARP has given a number of opportunities to improve patient care – which are outlined in the national papers and AACE documents.

The level of performance against target can be directly attributed to the 9.5% increase in demand and a high number of lost hours at hospital. The CCG additionally commissions urgent care practitioners who have an enhanced qualification and ability to perform more treatment at the scene and prevent avoidable conveyances.

Friends and Family Test

3 star

Three stars - better than the english average

The percentage of people that would recommend ANHSFT is 97%. This is much higher than the English average which is 87%.

Delayed transfers of care (DTOC)

3 star

Three stars - better than the English average

People were delayed on average by six days and this result, although above the national target of three and a half days was much shorter than the national average delays of 11.5 days.

We have broadened the scope of work for our local ambulatory care unit and have enhanced our multi-agency discharge team provision. This multi-agency discharge team is in place at Bradford Teaching Hospitals NHS Foundation Trust, conducting routine length of stay multidisciplinary meetings and undertaking 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.

Falls: injuries from falls in people aged 65 and over

2 star

Two stars - similar to English average

During July to September 2018 there were 1,697 per 100,000 population emergency admissions following injuries from falls for people aged 65 years or older. This is a reducing rate over time and similar to other CCGs across England.

Ambulance waiting times: for emergency calls

2 star

Two stars - similar to 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 the YAS area is an average response time of 24'46". This is longer than the 18 minutes target and the same as the average for England of 24'45" (data from NHS England: Ambulance Quality Indicators Data 2018-19).

Patient Experience of Accident & Emergency – Survey

2 star

Two stars - similar to English average.

On the last patient survey finishing in March 2017 people gave an overall rating of 8.3 which is similar to the previous survey.  People who had test carried out rated the experience better than the previous survey.