A-E Assessment Recap
A- Airways
B- Breathing
C- Circulation
D- Disability
E- Exposure
- A-E is a systematic tool which all Health Care Professionals (HCP’s) will use in
some format. Adult, Midwives and Paediatric Nurses will utilise NEWS2, PEWS2.
Paramedics will utilise NEWS2 in routine patient assessment unless Trauma or
Paediatric assessment is needed, you may also use and Major Trauma Triage
scoring.
History of the Modernisation of the NHS in England
- In 1997 a newly elected government published its White Paper The New NHS;
modern, dependable; setting out their long term strategy for the NHS which
aimed to ‘provide better services to the public’
- In 2000 the Comprehensive Critical Care: a review of adult critical care services
(DoH, 2000b) identified a shortfall of ICU beds and a growth in the elderly
population.
- Advances in medicine and surgery - requires additional support for after care
- The government pledged to increase ITU beds by 30%
- This was not something that could happen quickly! AND
- A modernisation of critical care services commenced (4 years)
Politics and how it informs NHS
- Towards the latter part of the modernisation, ICNARC- (Intensive Care National
Audit & Research Centre) data enabled the DoH to interpret quantitative data on
patient severity and length of stay.
- It also enabled a large qualitative study to reveal the impact on organisation of
services, staff and culture of organisation.
- Introduction to ‘severity of illness’ – this impacted not only on ITU and HDU but
on the delivery of care as a whole leading to the concept of ‘critical care without
walls’ (Hillman, 2002).
- Politics in care- with the DoH advocating modernisation of health, the
government created a new agency – NHS modernisation agency which became
responsible for modernising NHS services, this programme ran for 4 years.
A- Airways
B- Breathing
C- Circulation
D- Disability
E- Exposure
- A-E is a systematic tool which all Health Care Professionals (HCP’s) will use in
some format. Adult, Midwives and Paediatric Nurses will utilise NEWS2, PEWS2.
Paramedics will utilise NEWS2 in routine patient assessment unless Trauma or
Paediatric assessment is needed, you may also use and Major Trauma Triage
scoring.
History of the Modernisation of the NHS in England
- In 1997 a newly elected government published its White Paper The New NHS;
modern, dependable; setting out their long term strategy for the NHS which
aimed to ‘provide better services to the public’
- In 2000 the Comprehensive Critical Care: a review of adult critical care services
(DoH, 2000b) identified a shortfall of ICU beds and a growth in the elderly
population.
- Advances in medicine and surgery - requires additional support for after care
- The government pledged to increase ITU beds by 30%
- This was not something that could happen quickly! AND
- A modernisation of critical care services commenced (4 years)
Politics and how it informs NHS
- Towards the latter part of the modernisation, ICNARC- (Intensive Care National
Audit & Research Centre) data enabled the DoH to interpret quantitative data on
patient severity and length of stay.
- It also enabled a large qualitative study to reveal the impact on organisation of
services, staff and culture of organisation.
- Introduction to ‘severity of illness’ – this impacted not only on ITU and HDU but
on the delivery of care as a whole leading to the concept of ‘critical care without
walls’ (Hillman, 2002).
- Politics in care- with the DoH advocating modernisation of health, the
government created a new agency – NHS modernisation agency which became
responsible for modernising NHS services, this programme ran for 4 years.
