Waiting Times and Attendance Durations at English A&E Departments
Urgent and emergency care, System thinking and system working
February 2019

In March 2019, NHS England is expected to report the outcome of its review of constitutional waiting times targets. This report reviews the factors that have led to the decline in performance against one of these targets - the 4-hour target for Accident and Emergency Departments. The analysis uncovers new insights and has the potential to reshape received wisdom about the performance of A&E departments, carrying important implications for healthcare policy and system leadership.

PDSA Cycles
December 2018

Plan, Do, Study, Act (PDSA) cycles, developed by Walter Shewhart and Edward Deming, are a common model used for testing small scale changes. Using these cycles enables you to test whether the proposed change will succeed, before rolling out full implementation. 

Fishbone
December 2018

The fishbone tool, developed by Kaoru Ishikawa, is a cause and effect analysis that helps you to understand a range of the causes to a problem, not just the obvious ones. Use this tool to determine why a particular problem is occurring.