It says 70 per cent of the ambulance generated A&E growth was in the out-of-hours period
and was the highest at Princess Royal Hospital in Telford.
It is now proposing that the new urgent care centre should open from 8am to 10pm, with a home visiting service operating during the out-of-hours period
. These changes would come into effect from October 1, 2018.
The report found the system 'particularly disjointed' during the out-of-hours period
Amanda Simpson, a senior nurse clinician at Fazakerley hospital, has been teaching medical staff in Hong Kong how best to provide medical cover in the out-of-hours period
One of the biggest increases involved parents bringing in children with respiratory conditions -the most common problem seen by GPs in the out-of-hours period
, the authors said.
A spokesman for the Department of Health said: "The Department of Health remains fully committed to ensuring that patients in both urban and rural areas continue to have access to high quality care throughout the out-of-hours period
The deciding factor in whether to measure an analyte in the emergency out-of-hours period
is whether the result will affect the immediate clinical management.
"Only a very small quantity of controlled drugs is stocked at any IJC24 location at any one time and it is vitally important that this medicine is available to us in the out-of-hours period
But Jill Galvani,its Hospital at Night project leader, said:``The hospital is a much safer place for patients during the out-of-hours period
. Staff are generally happier and better motivated.''
During out-of-hours periods
, you can also dial 111, the NHS's non-emergency number, which is available 24 hours a day, seven days a week, and can provide medical advice and advise you on the best local service for your needs.
That's particularly true at night and at weekends - the out-of-hours periods
, which make up the majority of time people need help.