Five Year Forward View #CLAHRCYH in the community e-newsletter

Five Year Forward View

Welcome to the community e-newsletter for the National Institute for Health Research (NIHR) Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) bringing you the latest news and interesting developments from across the thirteen collaborations and the health service research community. The NIHR CLAHRCs are funded by the NIHR and form part of the NIHR infrastructure. This newsletter looks at the work NIHR CLAHRCs are doing around the Five Year Forward View.


Remit: Get back on track with access standards for A&E and ambulance waits, ensuring more than 95 percent of patients wait no more than four hours in A&E, and that all ambulance trusts respond to 75 percent of Category A calls within eight minutes; including through making progress in implementing the urgent and emergency care review and associated ambulance standard pilots

A key focus for the NIHR CLAHRC YH Avoiding Attendances and Admission Theme is to analyse emergency and urgent care data from the time of call through to discharge from hospital, to answer key UK policy priorities such as ‘Delivering the Forward View’.   Analysis of our linked datasets will identify those patients accessing ambulance services who are amenable to alternative care pathways, thereby reducing unnecessary conveyance to hospital and thus improving response times for more serious cases.  Preliminary analysis has identified mental health patients as a group amenable to alternative care and mental health nurse triage delivered from the emergency call room is an intervention being evaluated for this patient group.  In addition, analysis is underway of Hospital Episode Statistics Data to examine patterns of demand for A&E services and the impact on the four hour performance target.  Initially the theme is defining unnecessary A&E attendances, their impact on A&E performance and the potential for intervention for these attendances to improve performance and reduce crowding.

The NHS Five Year Forward View (2014) requires an equal response to mental and physical health needs, and “towards the two being treated together”. The NIHR CLAHRC YH Mental Health and Comorbidity theme are supporting a programme of work entitled the Sheffield Physical Health and Psychological Wellbeing (IAPT) Project, working with Health Education Yorkshire and Humber to test innovative ways to integrate mental and physical health care delivery in primary and community care.

Funded by the Prime Minister’s Challenge Fund, this project is working towards the implementation and evaluation of dual trained health professionals specifically trained in Access to Psychological Therapies (IAPT) skills. It is part of a broader initiative under Sheffield Right First Time, testing innovative ways to integrate mental and physical health care delivery. Further details can be found here.

Find out more about the CLAHRC Partnership Programme at

Please follow the link for more content NIHR CLAHRC community e-newsletter


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