London Borough of Hammersmith & Fulham

HEALTH, ADULT SOCIAL CARE & SOCIAL INCLUSION POLICY & ACCOUNTABILITY

26 APRIL 2017

IMPERIAL COLLEGE HEALTHCARE NHS TRUST: ACCIDENT & EMERGENCY SERVICE PERFORMANCE NOVEMBER 2016 - MARCH 2017

Report of the Executive Director for Adult Social Care and Health

Open Report

Classification - For Policy & Accountability Review & Comment Key Decision: No

Wards Affected: All

Accountable Executive Director: Executive Director for Adult Social Care and Health

Report Author: Mick Fisher, head of public affairs, Contact Details: Imperial College Healthcare NHS Trust E-mail: [email protected]

1. EXECUTIVE SUMMARY

1.1. The attached report to the Health, Adult Social Care and Social Inclusion Policy and Accountability Committee from Imperial College Healthcare NHS Trust covers the performance and activity of the Accident & Emergency service during the winter period November 2016 to March 2017.

1.2. The report provides information on monthly performance against the national waiting time standard both Trust wide and for each hospital site over the winter period November 2016 to March 2017.

1.3. Further information is provided on the levels of activity (numbers of patient attendances and breaches of the national waiting time standard) both Trust-wide and for each hospital site, comparing November 2016 to March 2017 with the same period in 2015/16.

1.4. In order to help address the challenges created by extra winter demand for A&E services, the Trust has an on-going programme of developments to improve its whole urgent and emergency care pathway as well as major refurbishment works. The report also outlines the refurbishment and expansion of capacity in the A&E departments and other improvements to its urgent and emergency care services.

2. RECOMMENDATION

2.1. The Committee is asked to review and comment upon the report.

3. BACKGROUND

3.1. Imperial College Healthcare NHS Trust provides acute and specialist healthcare for a population of nearly two million people in North West London, and more beyond. It comprises of five hospitals – Charing Cross, Hammersmith, Queen Charlotte’s & Chelsea (all located in the London Borough of Hammersmith & Fulham), St Mary’s and Western Eye – as well as a growing number of community services.

3.2. The Trust’s A&E services include emergency departments (EDs), urgent care centres (UCCs) and specialist emergency centres.

3.3. EDs are located at St Mary’s and Charing Cross hospitals. The Trust also operates UCC services at Charing Cross and Hammersmith hospitals. Additionally, there is a UCC at St Mary's Hospital, which is run by Vocare Ltd (since April 2016).

3.4. The Trust’s hospitals are also the home to some of London’s specialist emergency centres:  Major trauma centre at St Mary’s Hospital  Hyper acute stroke unit at Charing Cross Hospital  Heart attack centre at Hammersmith Hospital  24-hour ophthalmic emergency service at the Western Eye Hospital.

4. LIST OF APPENDICES

Appendix 1: Report from Imperial College Healthcare NHS Trust to the London Borough of Hammersmith & Fulham Health, Adult Social Care and Social Inclusion Policy and Accountability Committee Appendices 2 & 3: Accident & Emergency Service Performance November 2016 – March 2017