Europe South Asia Asia Pacific Americas Middle East Africa BBC Homepage World Service Education

Front Page



UK Politics







Talking Point
On Air
Low Graphics

Tuesday, September 29, 1998 Published at 15:08 GMT 16:08 UK


£30m pumped into casualty

Accident and Emergency Departments are to be revamped

The government has announced an extra £30m to modernise 50 accident and emergency (A&E) departments next year.

The cash will help upgrade a quarter of all NHS casualty departments to make them better for patients and safer for staff.

In a separate announcement, ministers are to invest £25m in a pilot project to launch 24 instant booking systems for hospital appointments across the country.

Speaking at the Labour Party annual conference in Blackpool, Prime Minister Tony Blair also pledged the government to the "biggest ever hospital building programme" and to a £1bn investment in NHS information technology.

The new cash for A&E departments will be spent on:

  • Greater use of dedicated assessment units to allow patients to be assessed and nursed in a bed rather than having to wait in accident and emergency following hospital admission.

  • Separate waiting areas decorated for children, and equipped with toys.

  • Improved privacy for patients and their relatives, including direct access to treatment areas so that patients do not have to cross the open waiting area once treatment has begun.

  • Better general standards of comfort and decoration in A&E.

  • Staff security and safety measures including closed circuit video systems.

  • Re-designing an A&E to reduce hidden corners, thereby improving safety and making patient observation easier.

[ image: Frank Dobson:
Frank Dobson: "A modern and dependable NHS"
Health Secretary Frank Dobson said: "Fourteen million patients use hospital casualty departments every year. Many of them have to put up with run-down buildings and failing equipment - and so do the staff.

"Too often, patients have to wait in overcrowded and squalid conditions. This money will make it possible to provide patients with faster, top-quality care.

"This investment will also help 'design-out' violence against staff in casualty departments."

The British Medical Association said any measures to cut violence against NHS staff were welcome.

The NHS Confederation, which represents hospital managers, also welcomed the move.

However, a spokeswoman said: "Equally as important is the need for sufficient trained staff to cope with the peaks of activity experienced in casualty departments."

On the spot appointments

The hospitals taking part in the National Booked Admissions Programme will allow doctors to book operation dates while their patients are being seen in an outpatients' clinic.

GPs will also get access to the new instant booking system, so they can book hospital outpatient appointments while their patient is at the surgery.

Mr Dobson said: "This is what a modern and dependable NHS is all about.

"Designing quick and accurate services around the needs and convenience of patients. These pilots will harness new technology to cut waiting and cut anxiety of patients.

"Patients will be able to agree dates which suit them, and take into account their family and work responsibilities. It will do away with those long, stressful days waiting for the letter about the hospital appointment.

"The new system will also cut bureaucracy. It should mean both fewer cancelled operations and fewer instances of patients not turning up for their appointment."

Advanced options | Search tips

Back to top | BBC News Home | BBC Homepage | ©

Health Contents

Background Briefings
Medical notes

Relevant Stories

16 Jul 98†|†Health
Dobson puts emphasis on new staff

16 Jul 98†|†Health
Dobson's measures at a glance

16 Jul 98†|†Health
'No pay, no NHS reform'

Internet Links

Department of Health

NHS Confederation

British Medical Association

The BBC is not responsible for the content of external internet sites.

In this section

Disability in depth

Spotlight: Bristol inquiry

Antibiotics: A fading wonder

Mental health: An overview

Alternative medicine: A growth industry

The meningitis files

Long-term care: A special report

Aids up close

From cradle to grave

NHS reforms: A guide

NHS Performance 1999

From Special Report
NHS in crisis: Special report

British Medical Association conference '99

Royal College of Nursing conference '99