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A&E cash linked to staff flu jabs | |
(about 1 hour later) | |
Hospitals in England will have to get most of their staff vaccinated against flu if they want access to the A&E bailout fund in the future. | |
The government has set aside £500m for the next two years to help deal with the growing pressures. | |
The 53 trusts most at risk this year have been told they will share £235m. | |
But to qualify for next year's slice trusts will have to get 75% of staff vaccinated as ministers attempt to tackle a long-running problem. | |
Currently less than half of health staff get the flu jab, putting themselves and patients at risk. | |
Chief Medical Officer Dame Sally Davies said she could not understand why they did not want to protect themselves and accused them of being "selfish" for not protecting their patients. | |
She also said two and three-year-olds would be getting the flu jab - via a nasal spray - this year as the roll out of the under fives vaccination programme begins. | |
The steps were announced as ministers set out their plans for tackling the growing pressures in A&E. | |
As well as the £500m pot, a series of longer term measures are also being taken after the NHS missed its four-hour waiting time target between January and March 2013. | |
It represented the worst performance for almost a decade. | |
24/7 service | |
This will start next year with care for vulnerable older patients with complex health problems. | |
From April 2014 they will get a named clinicians - most likely a GP - to coordinate their care across the hospital, community and social care system. | |
And by the end of the year a third of A&Es should have the technology in place to allow them to see the GP records of patients - only a handful currently do. | |
Next year will also see the start of "integrated care" pilots. | Next year will also see the start of "integrated care" pilots. |
These will include schemes that shift care out of hospitals and into the community by helping these patients manage their increasingly complex conditions. | These will include schemes that shift care out of hospitals and into the community by helping these patients manage their increasingly complex conditions. |
It will require joint working between social care, district nursing and GPs. | It will require joint working between social care, district nursing and GPs. |
A total of £3.8bn has been set aside from 2015 to expand this out across the country. | |
That is also the target date for the redesign of the urgent and emergency care system. | That is also the target date for the redesign of the urgent and emergency care system. |
NHS Medical Director Prof Sir Bruce Keogh is leading that review. | NHS Medical Director Prof Sir Bruce Keogh is leading that review. |
More detail is expected in autumn, but Sir Bruce said it was looking at issues such as seven-day working and an increased role for ambulances in treating and assessing patients. | More detail is expected in autumn, but Sir Bruce said it was looking at issues such as seven-day working and an increased role for ambulances in treating and assessing patients. |
Mr Hunt said: "In the long-term, I want a 24/7 service which recognises patients as individuals and looks out for them proactively." | |
But he said the support being put in place immediately meant the NHS should be able to keep to its four-hour waiting time requirement this winter. | |
He said it would be "tough", but "entirely possible". | |
But Shadow Health Secretary Andy Burnham told the House of Commons the plans were "half-baked". | But Shadow Health Secretary Andy Burnham told the House of Commons the plans were "half-baked". |
"Too little, too late. Not good enough on an issue of huge importance." | "Too little, too late. Not good enough on an issue of huge importance." |