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Struggling A&E units 'to get £500m bailout' Struggling A&E units to get £500m bailout
(about 7 hours later)
Struggling A&E units in England are to get a £500m bailout over the next two years to ensure waiting times are kept under control, the BBC understands. Struggling A&E units in England are to be given a £500m bailout over the next two years to ensure waiting times are kept under control.
Problems in A&E units have stabilised in recent months, but from January to March the NHS missed its four-hour waiting time target as long waits hit their highest level for nine years. Prime Minister David Cameron said the funds would be targeted at areas under most pressure after the NHS missed its waiting time target in the winter.
The £500m will come from Department of Health efficiency savings, reports say. The money - sourced from savings - will be deployed in A&E units and linked community services, such as pharmacies.
It comes just a fortnight after MPs said plans in place were inadequate. Doctors said the government was guilty of "papering over the cracks".
The Health Select Committee said the "confusing" and "contradictory" information it had received raised questions over whether the NHS would be in a position to cope better next winter. News of the cash injection comes a fortnight after the Commons Health Select Committee said the "confusing" and "contradictory" information it had received over NHS crisis plans raised questions about whether it would be in a position to cope better next winter.
During the cross-party group's investigation, the MPs found just 17% of hospitals had the recommended level of consultant cover, while difficulties with discharging patients and a lack of beds at times meant the flow of patients through the system was disrupted.During the cross-party group's investigation, the MPs found just 17% of hospitals had the recommended level of consultant cover, while difficulties with discharging patients and a lack of beds at times meant the flow of patients through the system was disrupted.
Details of how the new money will be spent are expected to be announced on Thursday but the money is expected to be focused on the minority of the 168 A&E units with the worst problems. 'Pinch-points'
But doctors have cast doubt over the impact the expected extra money would have in the NHS, which has an overall budget of more than £100bn. The problems in A&E units have stabilised in the past few months, but from January to March the NHS, which has an annual budget of more than £100bn, missed its four-hour waiting time target as long waits hit their highest level for nine years.
More than 300,000 patients waited longer than they should have - a 39% rise on the previous year.
The Department of Health said £500m - sourced from its own efficiency savings programme - was being provided after the NHS had been working hard to put plans in place to cope with growing demands.
These included schemes being drawn up to provide more support to care homes to help the frail elderly and increasing opening hours at walk-in centres and pharmacies.
However, the money will be focused only on the minority of the 168 A&E units with the worst problems.
The troubled 111 non-emergency phone service is also to get a £15m cash injection. It comes after problems rolling out the service and the news last month that one of the major suppliers wanted to pull out.
Mr Cameron said it was important the NHS had the funds to tackle the "pinch-points".
"By acting now, we can ensure doctors, nurses and NHS staff have the support they need and patients are not left facing excessive waits for treatment," he said.
But doctors have cast doubt over the impact the money will have.
Dr Clifford Mann, of the College of Emergency Medicine, said: "It is a short-term fix. It does not address the underlying cause - we have a shortage of doctors.Dr Clifford Mann, of the College of Emergency Medicine, said: "It is a short-term fix. It does not address the underlying cause - we have a shortage of doctors.
'Decisions needed now'
"It is also very demoralising. Only the hospitals that are deemed to have failed will get the money. Those that worked hard to keep going are not getting anything.""It is also very demoralising. Only the hospitals that are deemed to have failed will get the money. Those that worked hard to keep going are not getting anything."
Shadow health minister Jamie Reed said: "David Cameron's A&E crisis is a symptom of wider problems in the NHS and care system, which this announcement will not address." A spokesman for the British Medical Association (BMA) said it was right that the government was listening to the concerns of doctors and patients but added: "At a time when they are demanding cuts of £20bn across the NHS, this is nothing more than papering over the cracks.
"It is recognition that their austerity programme has hospitals facing ever increasing demands with diminishing resources."
Labour's shadow health minister Jamie Reed said: "David Cameron's A&E crisis is a symptom of wider problems in the NHS and care system, which this announcement will not address."
Lord Hunt, Labour's deputy leader in the House of Lords, said he feared the extra money had come too late and warned: "Decisions need to be made now on spending in the winter."
Liberal Democrat MP Andrew George, a member of the Health Select Committee, said the money was "very welcome", but the government had to ensure it was "put to best use" and "distributed fairly".