James Ray
@OxfordEMEmergency Medicine Consultant & Regional UEC Lead London. Digital Academy Alumni. National Clinical Advisor 111 First
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Grateful to have had @HopkinsACG_UK spend time with us @ConnectedCare__ clinical leads! Their groundbreaking work in population health management is helping us deliver not just better access, but more focused, patient-centered care for all. Thank you for the insights!…
A new video demonstrates how we’ve been working with colleagues across the health and social care system to allow people to receive urgent care at home - with the aim of preventing unnecessary admissions to hospitals and A&E, and providing care in community settings 🧵⬇️
Improving the Safety & Effectiveness of Urgent & Emergency Care rcpjournals.org/content/future… @FutureHealthJ @OUHospitals @megh_pandit @SJM_NHS @svig2 @Vin_Diwakar @NHSEnglandNMD @acutemed2 @tonyjoy81 @j_redh @VaughanLewis1 @RCEMpresident @KamilaRCGP @RCollEM @rcgp
#OnlineFirst "Lifting the 4-hour access standard reporting was associated with a drop in short-stay admissions to the hospital. However, it was also associated with an increase in the average length of stay in the ED" emj.bmj.com/content/early/… @RCEMpresident @RCollEM
Emergency Department (inc UTC) Streaming and redirection.. come and share your thoughts on the emerging national work to support hospitals across England.
UK-REBOA results: REBOA increased mortality at 90 days and at all interim time points. REBOA increased deaths due to bleeding at 3 hours and 90 days. REBOA substantially delayed time to definitive haemorrhage control. 💢🎈💢 #ccr23
Calling all AHP’s who are part of the core SDEC team. We are doing some work to look at the wider MDT team who work within SDEC services. Please get in touch if you would be happy to chat with me about your role. Thanks in advance. @brunning_adam @MatakitogaSade @NhsVokes
AI heart attack diagnosis could help reduce pressure on hospital thetimes.co.uk/article/551057…. This will have more impact on the 🚑 service than A&E. the number one driver of category 2 🚑 is undifferentiated chest pain. However if bloods and ecg needed then model needs consideration
#March2023 #OnlineFirst "Total annual costs for acute chest pain presentations are increasing, and a significant proportion of the cost burden relates to low- risk patients and non- specific pain" emj.bmj.com/content/early/… @Ziad_Nehme1 @RCollEM @richardbody
Effect of Routine Invasive vs Conservative Strategy in Older Adults With Frailty and NSTEMI ja.ma/3LAarbZ via @JAMAInternalMed part of @JAMANetworka vital study @adamgordon1978 that will support future home care pathways with help from @richardbody
All webinar recordings and slide decks from our 6 Shining the Spotlight on Surgical SDEC have been uploaded to our SDEC Collaboration site on NHS Futures for people to view. future.nhs.uk/SDEC_Community… @brunning_adam @TaraSood5 @NhsVokes @WisniackiFiona
How NHS Somerset is revolutionising the way we care for our elderly thetimes.co.uk/article/f4e641… This is great. The GP call centre approach and the example of the 70 year old with abdo pain was fantastic. Keeping care at home is at the heart of the whole system @jamesgagg 👍
How @NHSSomerset is revolutionising the way we care for older people. Great to see @homecareassn member @BluebirdCare Taunton talking about their full-time permanent contracts with fixed rotas for staff, only poss with higher than LA fee rates. thetimes.co.uk/article/f4e641…
Explained beautifully. Thanks also to Cliff and Chris and team and all the peer reviewers of the paper for finally understanding the risk of delay regardless of reason for attendance.
Earlier this week, we discussed excess deaths and pressures in A&Es with Dr Adrian Boyle, @RCEMpresident, and NHS England. RCEM estimates that there are at least 300-500 excess deaths associated with A&E pressures. Watch below as Dr Boyle explains how they reached this estimate:
Huma CEO says UK risks falling behind on digital health digitalhealth.net/2023/01/huma-c…
We were delighted to welcome @JavedKhanCEO, Chair of @nhsbobicb, to the John Radcliffe Hospital. Joined by @megh_pandit, our CEO, Javed met staff at the Women’s Centre, Emergency Department, and Ambulatory Assessment Unit.
SDEC & Community interface at its best. AAU is Oxford’s SDEC model that acts like an acute medical unit but with 95% same day discharge due to the incredible link to community/Virtual Ward/H@H and direct access by SCAS/PC @NHSEnglandNMD
Our pioneering Hospital at Home and Ambulatory Assessment Unit (AAU) teams showcase how they reduce the number of patients admitted to hospital and support those who, if medically appropriate, can receive hospital-standard care in their home. 🔗 ouh.nhs.uk/news/article.a…
🗣 “The biggest thing is trying to explain to someone who is feeling unwell why it is important to be at home to recover, if possible" ~ Dr Jordan Bowen, Consultant in Acute Medicine and Geriatrics
Great to see my good friend @DanLasserson and his colleagues on @BBCPanorama Brilliant and innovative @acutemedicine work in action. bbc.co.uk/news/uk-641853…
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