Clinical standards for Seven Day working

Illness can happen to anybody at any time. The patient admitted in the weekends get limited access to the primary care than other week days. There is often poor involvement of senior medical consultant in the assessment and consequent management of acutely ill patients in these days. Considering these facts, National Medical Director Bruce Keogh and responsible institution has established a seven day NHS service in 2013. During the establishment, NHS seven day service forum was focused on acute inpatient. The forum was established to provide consistent support services like diagnostic and scientific services with community, primary and social care. The NHS seven day services helps prevent unnecessary admission and support timely discharge of the patients. Poor emergency service in the weekends has led an increased variation in outcomes of mortality rates, patient’s experience, re-admission rates and length of hospital stay. To decrease the variation in outcomes, the seven day service forum developed 10 clinical standards for patients care based on the evidence and recommendations from Royal colleges and expert bodies. The 10 clinical standards are:      1.   Patient Experience Medical practitioners must actively involve patients, their families and carers with all the detail information of treatment, investigations and on-going care while making shared decisions. All information including severe condition must be clearly informed to the patients regularly. This should be done every day of the week.      2.  Time to first consultant review Patients admitted in emergency care must be seen with full clinical assessment by an appropriate medical consultant as soon as possible, at least within 14 hours of admission.      3.  Multi-disciplinary Team (MDT) review A Multi- disciplinary team must have a quick assessment to identify complex and on-going needs of all emergency inpatients. The decision for multi-disciplinary assessment should be overseen within 14 hours by a competent and estimation for discharge date should be placed along with complete medicines understanding within 24 hours.      4.  Shift handovers The decision of shift handover must be controlled by an experienced senior. Handover should be done at a selected time and place, with the multi- professional involvement. Communication and documentation should be included in handover process and must be revealed in hospital policy.      5.  Diagnostics Diagnostic services like x-ray, magnetic resonance imaging (MRI), echocardiography, endoscopy, bronchoscopy, ultrasound, computerized tomography (CT) and pathology must be accessible to hospital inpatients in all days of the week. The consultant directed diagnostic test results must be available seven days a week; for critical patients within 1 hour for urgent patients within 12 hours for non-urgent patients within 24 hours      6.  Intervention / key services Patients admitted in the hospitals must have all time access to the appropriate specialized consultant on-site or in a properly agreed networked provisions with clear procedure, such as: Critical care Interventional radiology Interventional endoscopy Emergency general surgery      7.  Mental health The patients who need mental health care must be assessed by psychiatric liaison within the appropriate period. patients who need emergency care should be seen within 1 hours patients who need urgent care should be seen within 14 hours      8.  On-going review Consultant must review all the patients on the AMU, SAU, ICU and other high dependency areas twice daily. All acutely ill patients who are directly transferred or those with worsen condition should be seen twice daily by a consultant.      9.  Transfer to community, primary and social care Support services must be available seven days a week in a hospital and in primary, community and mental health setting in order to ensure next steps in the patient’s care.      10.  Quality improvement Medical practitioners who are involved in providing acute care must participate in the review of patient’s outcomes.   Patient experience, patient safety and clinical effectiveness are the things which should be focused while evaluating patient outcomes. Trainees should be consistently checked for high quality healthcare service to the patient's. For latest update on National Health Service and UKs' Healthcare system, visit our blog page daily.  Feel free to contact us anytime for your Medical Recruitment Solution and migration solutions to work across the UK.   


NHS 7 Day Service

Prime Minister David Cameron announced a plan for "truly 7 day NHS” service by 2020 in March 2015. According to him, millions of patients will be benefited from this plan. The government and the National Health Service (NHS) will be committed to work together for the 7 day NHS services which will be available in all hospitals by 2020. According to the plan, all hospitals will be properly staffed for the patients care with high level of standard care even on Saturdays and Sundays. All patients will be able to get proper care and will also be able to book GP appointments in the weekends also. Those patients who need urgent care will be able to contact NHS 111 and in response NHS will need to arrange GP or other appropriate health professional at all times i.e. 24 hours a day, 7 days a week. NHS services 7 days a week forum has already started its work which focus on emergency health care services in 2013. The forum has stated that patients should get urgent and emergency care service with the supporting diagnostic service based on the 10 clinical standards. Researches has shown negative variation in the outcomes of admitted patients in the hospitals at weekends. National medical director, Bruce Keogh, and his colleagues at NHS England has developed 10 clinical standards for every hospital trust in order to end variation in healthcare. The standards are a part of implementation in seven days service 2020. The forum believes that standards will support NHS to improve the clinical outcomes and patient experience. Some hospital trusts are following the top four priority clinical standards set by the forum. They are Patients should be reviewed by consultant within the 14 hours of the patient’s first admission. 7-day access to a range of diagnostics for inpatients. An access to a range of key interventions for inpatients. Serious patients must be seen and reviewed twice, daily by a consultant. All the hospitals are expected to meet these four priority standards by 2016-2017. NHS England is working on 7 day service which is based on these four priority standards. It targets to provide an accessibility to acute hospitals for 25% of the population and enhanced access to primary care for 20% of the population by March 2017. The 7 day access for patients to hospitals and GP services will improve the reliability of patients care at all times. It will also help to improve the flow of patients in hospitals and the huge pressure of patients on Monday. The NHS's goal is to roll out same level of care in 7 day services in hospitals to its 100% of population by 2020. For more updates on Healthcare System of the UK, Visit our blog page daily.  Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide  compliance and migration consultation to our candidates.


NHS plans to digitized healthcare by 2020

The National Health Service (NHS) has committed to make all the patients and care records digital, interoperable and real time by 2020. The Personalized Health and Care 2020: A Framework for Action has been introduced in order to make use of digitization in healthcare services. The framework provides information on how NHS will deliver changes over paper based system and make best use of data and technology to improve patient care service in hospitals, community and home, clinical and social area. Health secretary Jeremy Hunt has announced that the government is investing £4.2 billion to make full use of digitization into the health services. The investment includes £1.8 billion to digitize records to remove the dependency on paper and fax machines, and £400 million to build apps and provide free Wi-Fi in hospitals. According to Mr. Hunt, by 2016 all the patients should be able to have their own GP electronic record online which not only include patient’s allergies and medication but also appointment records, blood test results and medical histories as well. And by 2018, this record will include all of your health and care interactions. By 2020, a quarter of patients with long term conditions like diabetes, hypertension and cancer will be able to check their health condition from home and sent it to their doctors and nurse through the internet. Additionally, NHS has also introduced Summary Care Records which enables healthcare staff across the country to provide immediate care and treatment. By February 2016, around 55.06 millions of people have already created a Summary Care Record. The government has aside £1 billion from the £4.2 billion funding towards the cyber security and data consent. And NHS is currently working with major companies like Microsoft, Google and Apple to create the new health apps which are already in development process.   An organization called National Information Board NIB has been established to bring all the national health and care together such as the Department of Health (DoH), NHS, public health, clinical science, social care and local government with appointed lay representatives. NIB will keep data and technology safely for patients, service users, citizens and caring professional.  It also make sure that the health and care of the country is improving and maintainable. The government of the UK hopes to see 10 percent of the patients using apps and online services like click and collect prescriptions, to access GP services in coming year. Visit our blog page for latest update on healthcare system of the UK. Recruitment Synergy is a UK based Medical Recruitment Agency. Remember us for Locum, temporary and permanent jobs across UK. We also provide  compliance and migration consultation to our candidates.  


Who is entitled for free NHS hospital treatment?

The National Health Service (NHS) is a public healthcare system for the UK. Anyone who is considered to be an “ordinarily resident” in the UK is entitled to have free NHS hospital treatment in all over the UK. Ordinarily resident is a common law concept, which is the subject of a judgement in the House of Lords in 1982.  If you are in the UK for 6 month or more than that period of time, you can get free hospital treatment under NHS. If you are permanent residence and currently living in the UK on a settled basis then you should provide a documentary evidence in order to get free NHS treatment. People who do not normally live in the country but have a nationality of the UK or have past and present payment of UK taxes and National Insurance Contribution are not entitled for the free NHS treatment. To be entitled one most ordinarily lives there.    If you are involved in employment with a company whose business is in the UK or is registered in the UK then you must show evidence of actual working to be entitled for free NHS treatment. If you are self-employed, then you must show that your principle place of business is in the UK. Another way to be entitled to free hospital treatment is when you are pursuing a full time course of study for six months duration or more in the UK then you will be qualified for NHS treatment from the beginning of your stay like anyone who is ordinarily resident in the UK. If you have your family member with you as your dependent not as visitors in the country then they will also be entitled to NHS treatment. Refugees and asylum seekers who have made formal application to the Home office which have not been determined are also considered for entitlement of the free treatment.  Some of the hospital treatment services is free for everyone as needed, which includes Emergency treatment given inside an Accident and Emergency department Compulsory psychiatric treatment Treatment for certain infectious diseases such as meningitis, cholera, tuberculosis, pandemic influenza and malaria. Testing for the HIV virus Family planning (which does not include pregnancy termination) Contact us anytime for more information about Medical Recruitment and NHS hospital treatment in the UK. 


Automation in Healthcare

Automation is a use of information technology and control system, to lessen human efforts in managing healthcare system. At this age of information technology, automation has aided human race to reach new next level. The automation with new technologies has already supported banking, retails and other industries in the UK, now healthcare system is moving toward its next level of mechanization. The automation in health care system improves patient care experience and also provide greater patient safety. Electronic Health Record (EHR) has been in use for many years, nevertheless the UK government has now planned for the Personalized Health and Care 2020 framework. The framework focuses on digitized health care system which is a fully automated plan for better patient care. Automation can bring the real changes in the healthcare. Here are some benefits of applying automation to healthcare. Save Time, Labor and Cost The use of automation in manual repetitive task reduce the cost, save times and need of manual labor which will definitely speed up the production. Addition of automated system will require less employees to get the job done, which means financial saving of the organizations. Enhanced Quality and Consistency There is a very less chance of errors in the performance and high quality services with an automation in healthcare system. Automation takes care of activities and helps to provide service in consistent basis. Automation helps in the area of medical records, order entry and decision support which leads to reduction in death, compilations and cost. Increased predictability of outcomes In healthcare when both the physician and care provider follow the standardized care path driven by automation, predictable outcomes are expected. When a patient is deviated from recommended care plan to another, automation can help to detect it, so care team can get involved easily. On-Demand Information Use of automated system to store information such as patient charts, billing, list of medications etc. make access to the information easier. It will saves time in gathering information that was taken previously and improves the patient facility by minimizing time in patients care. Access to Data-Driven Insights The automation provide continuous feedback which leads to performance upgrading and help prevent disease outbreaks.  With automation we can collect and analyze large number of data easily. Visit our blog page daily for more updates on healthcare system of the UK. Recruitment Synergy is a UK based Medical Recruitment Agency. We offer Medical Recruitment and migrational services to our clients and candidates all over the UK. 


Tips for choosing recruitment agency

Recruitment agency are an intermediate between an organizations looking for hiring someone and the individuals searching for the job. The main task of recruitment agency is to provide appropriate person to fulfill the job vacancy announced by those organizations for a job vacancy. At some point of your career, you may need to use a recruitment agency. It is important to ensure that your recruitment agency has well represented you to the employers. Choosing a right recruitment agency will add great significance to your recruitment process so, here are few tips you should consider while choosing a recruitment agency. Understands your business needs Choose a recruitment company that works in the industry you need. They can understand your job and will deliver faster with more efficient results. By choosing only those recruitment company which matches your area of specialization can give you a better chance of succeed in your job. For example, if you are looking for a job in medical career, then find a recruitment agency that works on medical recruitment because only they can have right expertize on it. Do homework Make a list of recruitment agencies, which work in the industry that you are looking for a job. Do some homework and find out information about their activity, expertise, sector they have covered, types of job they offers etc. You can take information from their websites also. Ask for guarantees Most of the recruitment agency offers a guarantee, to make sure that you feel confident with your decision to use the service. You must do research whether the recruitment company have replacement guarantees or not, in case if the hire doesn’t work out, you’re protected for next time. Ask for references It will be good, if you find out some references from the previous client and know about the service provided by the recruitment agency. Experience Check out how long the agency is in the business, have they worked in your particular industry and  what are their pre-recruitment background, etc. should be considered to check whether they have a proven track record of success or not. Check license You must check whether the recruitment company is licensed by the department of trade and industry or not. Every recruitment company must be licensed in the UK to provide the recruitment service. So, make sure the recruitment company you choose is licensed. Visit our blog page daily for more updates on National Health Service and UKs' Healthcare system.