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London’s acute emergency and maternity services

The case for changing London’s acute emergency and maternity services, and quality standards to deliver consistent seven day services have been published.  Quality and safety audit reports for each hospital are also available at: http://www.londonhp.nhs.uk/services/quality-and-safety-programme/.

Improving the quality and safety of hospital-based acute emergency – adult and paediatric – and maternity services was identified as one of the NHS in London’s key priorities for 2012/13.  Most notably, the priority was to address the variation that existed in service arrangements and patient outcomes – including mortality – in these services between hospitals and within hospitals, between weekdays and weekends.

Following endorsement from the London Clinical Senate and the London Clinical Commissioning Council, the cases for change and London quality standards for critical care, emergency departments, fractured neck of femur pathway, paediatric emergency services (medicine and surgery) and maternity services have been published. London quality standards for urgent care and inter-hospital transfer and acceptance standards for adults and paediatrics have also been developed.. All of the Quality and Safety Programme publications can be found at http://www.londonhp.nhs.uk/services/quality-and-safety-programme/

In addition to the development of the London quality standards, an audit was undertaken between May 2012 and January 2013 to ascertain the current status of London’s acute hospitals against their achievement of the acute medicine and emergency general surgery commissioning standards – commissioned from April 2012.

The individual hospital audit reports have been published on the London Health Programmes website at http://www.londonhp.nhs.uk/services/quality-and-safety-programme/audit/. PCT cluster reports and pan London findings from the quality and safety audit of London’s acute hospitals will be available on 28 February 2013, along with the full comparable results published on myhealthLondon website at http://www.myhealthlondon/.

Further information
Please contact the programme team if you have any queries at emergency.services@londonhp.nhs.uk.