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Accident and Emergency Departments

Volume 464: debated on Tuesday 16 October 2007

To ask the Secretary of State for Health if he will place in the Library a copy of the research referred to on page 3 of his Department’s document Reforming Emergency Care: First steps to a new approach, published on 25 October 2001. (156796)

The research on page 3 of “Reforming Emergency Care” refers to bed occupancy. Our understanding is that there were two particular pieces of work on bed occupancy, which helped to inform policy development at that time.

Firstly, research into the relationship between bed occupancy and the management of elective and emergency pressures was set out in a report of the Emergency Services Action Team in 1997 “Report to the Chief Executive on winter pressures”. The report was published under the cover of an Executive Letter (MISC 97/62), which followed the guidance on Access to Secondary Care Services set out in Executive Letter (EL 97/42). A copy of the report has been placed in the Library and both executive letters have also been placed in the Library.

Secondly, work was commissioned on bed occupancy modelling. The work by Bagust, A et al “Dynamics of bed use in accommodating emergency admissions: stochastic simulation model” (1999) refers to similar bed occupancy rates as those cited in “Reforming Emergency Care”. A copy has been placed in the Library.