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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%

2starSMALL

Two stars – similar to the English average. 87.2% (17 out of 20 people) are seen within 4 hours of attending Accident and Emergency. This result is below the national standard of 95% however is similar to the average results seen across England.

Delayed transfers of care

3starSMALL

Three stars - better than the English average. People were delayed on average by 5 ½ days this result is above the national ambition of 3 ½ days however is much lower than the national average delays of 11 days.

Emergency admissions for urgent care sensitive conditions

1StarSmall

One star – worse than the English average. We have an increasing rate of emergency admissions for urgent care sensitive conditions 2,503 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 hospital beds following emergency admission

2starSMALL

Two stars – similar to the English average. We have low population use of hospital bed days following emergency admission with 452 bed days. This is similar to the 500 average bed days seen across England. 

Other indicators

Patient experience of Accident and Emergency - survey 

2starSMALL

Two stars – similar to the English average. In the last patient survey (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 in the previous survey.

Ambulance waiting times for life-threatening calls

2starSMALL

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

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

Ambulance waiting times for emergency calls

2starSMALL

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

3starSMALL

Three stars - better than the English average. 9 out of 10 people would recommend Yorkshire Ambulance Service to friends and Family. Airedale Hospital NHS Foundation Trust Accident and Emergency department is 97%. This is much higher than the English average which is 87%.