What people have told us about Urgent and Emergency Care Services

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Summary of report content

Healthwatch England looks at people's experiences of urgent and emergency care services, in the light of growing pressure on these services.  This briefing is based on the experiences of 9,804 people.

Despite growing pressures on UEC services, there were positive stories about good care from staff, especially paramedics and ambulance staff. However, negative feedback about A&E has increased over time, with people concerned about long waiting times, understaffing, and perceived poor staff attitude. 

Feedback about ambulance services is a growing theme, with concerns about waiting times accelerating since April 2022. 

People were also concerned about long waiting times to speak to NHS 111 call-handlers and there continues to be confusion over NHS 111 First services. 

A nationally representative poll of 2,036 adults (18+) across England, to assess whether public confidence in urgent and emergency care services had changed as a result of the pandemic and what had led to this change, found that:

 People are confident that urgent and emergency care services will provide good quality care but are less confident in the timeliness of care. 

Confidence in urgent care services changed over the pandemic, and where it changed, it was likely to decrease. Nearly 60% of  said their confidence had changed, and over 70% of these said it had decreased either a little or a lot. 

Older people were more likely to say their confidence decreased than younger people and more likely to base this change after reading stories in traditional media such as newspapers and TV news.

People don’t think that NHS targets for emergency departments are being met often. 

People or their loved ones who were admitted to hospital after using an urgent care service were more likely to say their confidence had increased.

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General details

Local Healthwatch
Healthwatch England
Publication date
Date evidence capture began
Date evidence capture finished
Type of report
Enter and View
Key themes
Building, Decor and Facilities, including health and safety
Caring, kindness, respect and dignity
Cleanliness, Hygiene and Infection Control
Consent, choice, user involvement and being listened to
Prevention of diseases, including vaccination, screening and public hygiene
Service organisation, delivery, change and closure
Staffing - levels and training
Waiting times- punctuality and queuing on arrival

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
Survey
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Ambulances and paramedics
Emergency department (inc A&E)
NHS 111
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres

Details of people who shared their views

Number of people who shared their views
9804
Age group
65 to 79 years
80+ years
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