{"id":1482,"date":"2018-05-05T20:23:49","date_gmt":"2018-05-05T19:23:49","guid":{"rendered":"https:\/\/ealingsaveournhs.org.uk\/?p=1482"},"modified":"2018-07-07T11:12:46","modified_gmt":"2018-07-07T10:12:46","slug":"north-west-london-footprint-acronyms-and-jargon-explained","status":"publish","type":"post","link":"https:\/\/ealingsaveournhs.org.uk\/?p=1482","title":{"rendered":"North West London Footprint – Acronyms and Jargon Explained"},"content":{"rendered":"

 <\/p>\n

 <\/p>\n

This informal and unauthorised guide has been assembled out of self-need by someone in West London who attends public care services\u2019 meetings and attempts to read and understand NHS and Local Authority documents. I hope the reader finds it useful.<\/span><\/p>\n

 <\/p>\n

A&E<\/b> Accident and Emergency Unit<\/b><\/p>\n

The historic definition of an A&E unit is a hospital unit to which flashing blue light ambulances<\/span> deliver patients in pain. These units have an Intensive Care Unit, ICU consultants, ICU beds, Emergency doctors, and are often supported by Urgent Care Centres. Such units no longer exist at Central Middlesex and Hammersmith Hospitals. Apparently by 2021 a historically defined A&E unit will no longer exist at Ealing Hospital. \u00a0<\/span><\/p>\n

 <\/p>\n

Academic Health Science Centre<\/b><\/p>\n

This covers Imperial College and Imperial College Hospital Trust in West London and the specialist services in Chelsea and Westminster Hospital which provide heart, lung and cancer services<\/span><\/p>\n

 <\/p>\n

AC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Accountable Officer<\/b><\/p>\n

In NWL an Accountable Officer for the eight CCGs is currently being sought<\/span><\/p>\n

 <\/p>\n

ACP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Accountable Care Partnership<\/b><\/p>\n

Fixed price, long term (10\/15 years) contracts to deliver specific services to specific defined populations. Referred to in many October 2016 STPs. No ACPs had gone live by March 2018. As \u2018Accountable Care\u2019 has now been replaced with \u2018Integrated Care\u2019, one assumes ACP becomes ICP. <\/span><\/p>\n

 <\/p>\n

ACS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Accountable Care System<\/b><\/p>\n

ACSs were to be the delivery vehicle for implementing STP cost cutting and integrated care services. That is until they were re-named Integrated Care Systems (ICSs) in February 2018. ACSs\/ICSs will be private consortia of NHS bodies, Local Authorities, GP federations and private care providers who will deliver care services under 10\/15 year, fixed price contracts. Specific sections of the population will be targeted and provided with care for specific conditions. Contract cost will be calculated using capitated costing i.e. a fixed annual cost for each head of population. MCP and PACS are ACS\/ICS models of care. All ACSs\/ICSs were \u2018paused\u2019 in January 2018.<\/span><\/p>\n

 <\/p>\n

Acute<\/b><\/p>\n

Acute medicine refers to the immediate and early management of adults in hospital who require urgent or emergency care. Generally refers to physical illnesses and conditions (usually short term) which require diagnostic tests, treatment and follow-up care.<\/span><\/p>\n

 <\/p>\n

ADHD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Attention Deficit Hyperactivity Disorder<\/b><\/p>\n

 <\/p>\n

ADT<\/b> Admissions, Discharges and Transfers<\/b><\/p>\n

 <\/p>\n

AHP<\/b> Allied Health Professional<\/b><\/p>\n

Healthcare professionals distinct from nursing, medicine and pharmacy. \u00a0Some 30 professions fit into this category (e.g. anaesthetic technician, music therapist, etc).<\/span><\/p>\n

 <\/p>\n

ALOS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Average Length of Stay <\/b><\/p>\n

In a hospital bed.<\/span><\/p>\n

 <\/p>\n

APMS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Alternative Provider Medical Services<\/b><\/p>\n

This is one of three types of GP contracts. It is a time-limited contract type which can be held by private providers including limited liability companies.<\/span><\/p>\n

 <\/p>\n

AQP<\/b> Any Qualified Provider<\/b><\/p>\n

Dating back to 2011, the AQP arrangement allows private healthcare providers to compete for CCG (q.v.) contracts with NHS providers. <\/span><\/p>\n

 <\/p>\n

ASCOF \u00a0<\/b> Adult Social Care Outcomes Framework<\/b><\/p>\n

ASCOF aims to give an indication of the strengths and weaknesses of social care in delivering better outcomes for people who use adult social care services.<\/span><\/p>\n

 <\/p>\n

ASD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Autism Spectrum Disorder<\/b><\/p>\n

 <\/p>\n

BAAF<\/b> British Adoption And Fostering<\/b><\/p>\n

A voluntary organisation which supports, advises and campaigns for better<\/span> outcomes<\/span> for children in care. It was founded over 30 years ago.<\/span><\/p>\n

 <\/p>\n

BAF<\/b> Board Assurance Framework<\/b><\/p>\n

A mechanism to reinforce strategic focus and management of risk <\/span><\/p>\n

 <\/p>\n

BAME \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Black, Asian and Minority Ethnic<\/b><\/p>\n

 <\/p>\n

BDO<\/b><\/p>\n

The company that is NHS NWL\u2019s External auditor.<\/span><\/p>\n

 <\/p>\n

BMA<\/b> British Medical Association<\/b><\/p>\n

A professional association and trade union for doctors in the UK. \u00a0It was formed in 1832.<\/span><\/p>\n

 <\/p>\n

Bed Blocking<\/b><\/p>\n

When patients, fit to be discharged from hospital, are not discharged due to lack of appropriate facilities in the community. In NHS parlance this is referred to as Deferred Transfers of Care (DTOC).<\/span><\/p>\n

 <\/p>\n

BCF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Better Care Fund<\/b><\/p>\n

First announced in June 2013, \u00a35.3 billion was to be spent on transforming local health and social care resources by pooling resources. Major goals were reducing hospital admissions and making annual cost savings of \u00a31 billion. BCF went live in April 2015. In November 2015 the Government froze the fund at \u00a33.8 billion. The National Audit Office \u00a0branded BCF as a \u2018shambles\u2019 \u2013 hospital admissions rose not fell and instead of cost savings BCF had cost an additional \u00a3311 million.<\/span><\/p>\n

 <\/p>\n

BF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Brighter Futures<\/b><\/p>\n

A London self-advocacy group of active young asylum seekers, refugees \u00a0and migrants<\/span><\/p>\n

 <\/p>\n

BHH CCGs \u00a0\u00a0Brent, Harrow and Hillingdon CCG Collaborative<\/b><\/p>\n

 <\/p>\n

CA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Clinical Advisor<\/b><\/p>\n

Responsible for assessing the health and clinical needs of people who phone the NHS 111 telephone service.<\/span><\/p>\n

 <\/p>\n

CAMHS<\/b> Child and Adolescent Mental Health Services<\/b><\/p>\n

 <\/p>\n

Care Network<\/b><\/p>\n

A group of General Practitioner surgeries in Ealing grouped together to share equipment and services. This includes diagnostic tests (such as ECGs), therapies and services for long term conditions.<\/span><\/p>\n

 <\/p>\n

Care Setting<\/b><\/p>\n

Where an individual receives care <\/span><\/p>\n

 <\/p>\n

CBT <\/b> Cognitive Behavioural Therapy<\/b><\/p>\n

A talking therapy that tries to help mental health service users to manage their problems by attempting to change the way they think and behave.<\/span><\/p>\n

 <\/p>\n

CCG \u00a0\u00a0\u00a0<\/b> Clinical Commissioning Group<\/b><\/p>\n

NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in England. To some extent they replaced Primary Care Trusts (PCTs), although some of the PCT staff and responsibilities moved to Council Public Health teams and CSUs after PCTs ceased to exist in April 2013. A well propagated myth is that CCGs are local GP-led. For example, Ealing CCG has 22 people on its Board of Governors only 7 of which are GPs. There are 211 CCGs.<\/span><\/p>\n

 <\/p>\n

CCU<\/b> Coronary Care Unit<\/b><\/p>\n

 <\/p>\n

CDD<\/b> Clinical Due Diligence<\/b><\/p>\n

This is the process by which the NHSI is assured that clinical risk will be managed and quality maintained during and after a merger transaction.<\/span><\/p>\n

 <\/p>\n

CDOP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Child Death Overview \u00a0Panel<\/b><\/p>\n

 <\/p>\n

    \n
  1. diff<\/b> Clostridium difficile<\/b><\/li>\n<\/ol>\n

    A bacterium which causes diarrhoea. It can be fatal. 14,000 deaths in the USA in 2011 were caused by C.diff.<\/span><\/p>\n

     <\/p>\n

    CEPN \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Community Education Provider Network<\/b><\/p>\n

     <\/p>\n

    CFO \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Chief Financial Officer<\/b><\/p>\n

     <\/p>\n

    CHC<\/b> (NHS) Continuing Healthcare<\/b><\/p>\n

    This is free healthcare outside of hospital that is arranged and funded by the NHS. It is only available for people who need ongoing healthcare and who meet a set of eligibility criteria.<\/span><\/p>\n

     <\/p>\n

    CHD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Coronary Heart Disease<\/b><\/p>\n

     <\/p>\n

    Choose and Book<\/b><\/p>\n

    This was a national electronic referral service which gives patients a choice of place, date and time for their first outpatient appointment in a hospital. Introduced in 2005 it was replaced by NHS e-Referral service in June 2015.<\/span><\/p>\n

     <\/p>\n

    CI \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Commissioning Intention<\/b><\/p>\n

     <\/p>\n

    CIP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Cost Improvement Programme<\/b><\/p>\n

     <\/p>\n

    Clinical Governance<\/b><\/p>\n

    A framework<\/span> through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care. <\/span><\/p>\n

     <\/p>\n

    Clinical Pathway<\/b>: An American concept dating back to 1985 which can be viewed as an application of process management thinking to the improvement of patient care. It is applied to a specific group of patients with a predictable clinical course, in which the different tasks (interventions) by the professionals involved in the patient care are defined, optimised and sequenced either by hour (emergency department), day (acute) or visit (home care). Outcomes are tied to specific interventions.<\/span><\/p>\n

     <\/p>\n

    CMHT<\/b> Community Mental Health Team<\/b><\/p>\n

     <\/p>\n

    CNR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Case Notes Review<\/b><\/p>\n

     <\/p>\n

    Co-Commissioning<\/b><\/p>\n

    This is where two or more care service commissioners align their priorities while retaining responsibility for their own resources. Within the NHS this flawed concept of trying to \u2018merge\u2019 departments\u2019 competing goals is barely credible. Where, more and more, we are seeing it with NHS and Local Authority bodies attempting co-commissioning it\u2019s ludicrous.<\/span><\/p>\n

     <\/p>\n

    Commissioning<\/b><\/p>\n

    For over 20 years in the NHS there has been a formal separation of service purchasing (so called NHS commissioning) and service provision. This separation opens the way for private healthcare companies to deliver NHS service provision.<\/span><\/p>\n

     <\/p>\n

    COPD<\/b> Chronic Obstructive Pulmonary Disease<\/b><\/p>\n

     <\/p>\n

    CPA<\/b> Care Programme Approach<\/b><\/p>\n

    The system used to organise care for secondary mental health services.<\/span><\/p>\n

     <\/p>\n

    CQUIN<\/b> Commissioning for Quality and Innovation<\/b><\/p>\n

    This is a system introduced in 2009 to make a proportion of healthcare providers\u2019 income<\/span> conditional on demonstrating improvements in quality and innovation in specified areas of care.<\/span><\/p>\n

     <\/p>\n

    CQC<\/b> Care Quality Commission<\/b><\/p>\n

    A non-departmental public body of UK government set up in 2009 to regulate and inspect health and social<\/span> care services in<\/span> England. This includes services provided by NHS, local authorities, private companies and voluntary organisations \u2013 whether in hospitals, care homes or people\u2019s homes. It employs over 2,000 staff. CQC has had its share of criticism and controversies during its relatively short life.<\/span><\/p>\n

     <\/p>\n

    CRHT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Crisis Resolution and Home Treatment<\/b><\/p>\n

     <\/p>\n

    CRO \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Clinical Research Organisation<\/b><\/p>\n

     <\/p>\n

    CSC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Children\u2019s Social Care<\/b><\/p>\n

     <\/p>\n

    CSU<\/b> Commissioning Support Unit<\/b><\/p>\n

    Formed in April 2013, CSUs provided extensive care contracting and business support services to CCGs, NHS Trusts, NHS England and Local Government. Services often range from finance and information governance through to acute contract management and health informatics. In 2013 there were 25 CSUs. In 2014 some CSUs were taken in-house by CCGs and some merged with each other. The Government\u2019s intention was that by 2016 CSUs would become independent bodies. By March 2018 there appeared to be five accredited regional public body CSUs. Added to these, are private company CSUs \u2013 Capita, Optum (United Health) and the eMBED consortium which includes Dr Foster.<\/span><\/p>\n

     <\/p>\n

    CVD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Cardiovascular Disease<\/b><\/p>\n

     <\/p>\n

    CWHHE CCGs<\/b><\/p>\n

    A \u2018Collaborative\u2019 of the Clinical Commissioning Groups in Central London, West London, Hammersmith & Fulham, Hounslow and Ealing. Ealing CCG joined this collaborative on 1 December 2013.<\/span><\/p>\n

     <\/p>\n

    C&YP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Children and Young People<\/b><\/p>\n

     <\/p>\n

    DDLAC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Designated Doctor for Looked After Children<\/b><\/p>\n

     <\/p>\n

    District General Hospital<\/b><\/p>\n

    A Major Hospital.<\/span><\/p>\n

     <\/p>\n

    DTOC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Delayed Transfer of Care<\/b><\/p>\n

    Bed blocking to the lay person. DTOCs are often caused by patients who have no available Out of Hospital health\/social care package or who need a mental health bed which is unavailable. <\/span><\/p>\n

     <\/p>\n

    DFG<\/b> Disabled Facilities Grant<\/b><\/p>\n

    A grant available for essential adaptations to give disabled people better freedom of movement into and around their homes. Mandatory DFGs are obtained from local authorities in England and Wales.<\/span><\/p>\n

     <\/p>\n

    DIPC<\/b> Director of Infection Prevention and Control<\/b><\/p>\n

    A DIPC has executive authority and responsibility for ensuring strategies are implemented to prevent avoidable Healthcare Associated Infections (HCAIs)<\/span><\/p>\n

     <\/p>\n

    Discharge to Assess<\/b><\/p>\n

    A pilot being led by ECCG and Ealing Hospital to move patients out of a hospital bed into their own bed at home \u2013 presumably as quickly as possible.<\/span><\/p>\n

     <\/p>\n

    DNA<\/b> Did Not Attend<\/b><\/p>\n

     <\/p>\n

    DNLAC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Designated Nurse for Looked After Children<\/b><\/p>\n

     <\/p>\n

    DoH<\/b> Department of Health<\/b><\/p>\n

     <\/p>\n

    DPIA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Data Protection Impact Assessment<\/b><\/p>\n

     <\/p>\n

    DPO \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Data Protection Officer<\/b><\/p>\n

     <\/p>\n

    ECCG<\/b><\/p>\n

    Commissioner of primary and secondary healthcare in Ealing. Allegedly a body of local GPs, but of the 22 members of the Governing Body just 7 are GPs.<\/span><\/p>\n

     <\/p>\n

    ECG<\/b> Electrocardiogram<\/b><\/p>\n

    An ECG is a recording of the heart\u2019s electrical conductive system. <\/span><\/p>\n

     <\/p>\n

    ED \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Emergency Department<\/b><\/p>\n

     <\/p>\n

    EHC Plan \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Education, Health and Care<\/b><\/p>\n

    Introduced in The Children and Families Act (2014)<\/span><\/p>\n

     <\/p>\n

    EIA\/EAIA<\/b> Equality Analysis and Impact Assessment<\/b><\/p>\n

    A process to improve quality of local health services by ensuring that all Trust employees think carefully about the impact of their work on staff, service users and family carers <\/span><\/p>\n

     <\/p>\n

    Elective Hospital<\/b><\/p>\n

    A hospital providing elective surgery and medicine, out-patients and diagnostics and high dependency care. Patients are admitted from a waiting list. Treatment at these facilities is not interrupted by emergency cases (except in winter A&E crises as happened in 2017\/18).<\/span><\/p>\n

     <\/p>\n

    EMSA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Eliminating Mixed Sex Accommodation<\/b><\/p>\n

     <\/p>\n

    ENT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Ear Nose and Throat<\/b><\/p>\n

     <\/p>\n

    EPR<\/b> Electronic Patient Record<\/b><\/p>\n

    Comprises a series of software applications which bring together key clinical and administrative data into one place.<\/span><\/p>\n

     <\/p>\n

    EQIA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Equality Analysis and Impact Assessment<\/b><\/p>\n

     <\/p>\n

    ESCAN \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Ealing Services for Children with Additional Needs<\/b><\/p>\n

     <\/p>\n

    ESCB \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Ealing Safeguarding Children Board<\/b><\/p>\n

     <\/p>\n

    ESON \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Ealing Save Our NHS<\/b><\/p>\n

    Campaigning volunteer organisation active since 2012.<\/span><\/p>\n

    www.ealingsaveournhs.org.uk<\/span><\/p>\n

     <\/p>\n

    ESRF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0End Stage Renal Failure<\/b><\/p>\n

     <\/p>\n

    ETTF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Estates and Technology Transformation<\/b><\/p>\n

     <\/p>\n

    FCE<\/b> Finished Consultant Episode<\/b><\/p>\n

    The point at which a patient is discharged from the care of a particular consultant<\/span><\/p>\n

     <\/p>\n

    FFT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Friends and Family Test<\/b><\/p>\n

    Gives every patient the opportunity to feedback on the quality of the care they receive.<\/span><\/p>\n

     <\/p>\n

    FGM \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Female Genital Mutilation<\/b><\/p>\n

     <\/p>\n

    FYFV \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Five Year Forward View<\/b><\/p>\n

    NHSE published this in 2014. It gives details on prevention, empowering patients, new models of care including MCPs, PACS, maternity care and care homes. It extols the virtue of technology, innovation and productivity.<\/span><\/p>\n

     <\/p>\n

    Footprint<\/b><\/p>\n

    There are 44 footprints which cover the whole of England. Footprints are run by representatives of Local Authorities, NHS CCGs and NHS Trusts. Each one created a \u00a0Sustainability and Transformation Plan (STP) in October 2016. Footprints must execute their STPs and clear all financial deficits by 2021. <\/span><\/p>\n

     <\/p>\n

    FT<\/b> (NHS) Foundation Trust<\/b><\/p>\n

    A not for profit, public benefit corporation. It differs from an NHS Trust in as much as it is not directed by government. It can retain any surplus and borrow to invest in improved services. It is accountable to its local community, its commissioners, Parliament, the CQC and NHS Improvement. <\/span><\/p>\n

     <\/p>\n

    FTE \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Full Time Equivalent<\/b><\/p>\n

    The hours worked by an employee on a full time basis. Can be used to convert hours worked by several part-time workers<\/span><\/p>\n

     <\/p>\n

    GB \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Governing Body<\/b><\/p>\n

     <\/p>\n

    GDPR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0General Data Protection Regulation<\/b><\/p>\n

    Comes into effect on 25 May 2018<\/span><\/p>\n

     <\/p>\n

    GMS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0General Medical Services \u00a0<\/b><\/p>\n

    One of the three types of GP contracts for delivering Primary care. Was introduced in April 2014.<\/span><\/p>\n

     <\/p>\n

    GP<\/b> General Practitioner<\/b><\/p>\n

    A qualified doctor who provides primary care, management of long term conditions and health promotion and preventative services.<\/span><\/p>\n

     <\/p>\n

    GPFV \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0General Practice Forward View<\/b><\/p>\n

    Published by NHSE in April 2016, it commits to \u00a32.4 billion\/year GP support until 2020\/21<\/span><\/p>\n

     <\/p>\n

    HAP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health Action Plan<\/b><\/p>\n

     <\/p>\n

    HASSP<\/b> Health and Adult Social Services Scrutiny Panel<\/b><\/p>\n

    This statutory body reviews and scrutinises the planning, provision and operation of health<\/span> services in the<\/span> area.<\/span> In the London Borough of Ealing (LBE) this panel meets in public every 11 weeks or so. It is made up of LBE Elected Members (Councillors), LBE Officers and representatives of around 10 local NHS bodies. \u00a0<\/span><\/p>\n

     <\/p>\n

    HCAI<\/b> Healthcare Acquired Infections<\/b><\/p>\n

    Infections resulting from medical care or treatment in hospital (in- or out-patient), nursing home or even in a patient\u2019s home. Typically these infections are (in order of incidence) gastrointestinal system, respiratory, urinary tract, surgical site, skin and soft tissue and primary bloodstream. <\/span><\/p>\n

     <\/p>\n

    HCAS<\/b> High Cost Area Supplement<\/b><\/p>\n

    A long standing funding arrangement which compensates the WLMHT for additional costs of employing staff in the outer London area.<\/span><\/p>\n

     <\/p>\n

    HDU<\/b> High Dependency Unit<\/b><\/p>\n

    Provides specialist care for adults with different medical and surgical conditions. It assists patients who are at risk of deteriorating.<\/span><\/p>\n

     <\/p>\n

    Health and Wellbeing Board<\/b><\/p>\n

    The Health and Social Care Act 2012 established these boards as forums for key leaders from the health and care system<\/span> to work<\/span> together to improve the health and wellbeing of their local population and reduce health inequalities.<\/span><\/p>\n

     <\/p>\n

    HEE \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health Education England<\/b><\/p>\n

     <\/p>\n

    Healthwatch<\/b><\/p>\n

    A largely ineffectual consumer champion that gathers and represents the public\u2019s views on health and social care. It is not a regulatory body but it has statutory authority. Funding is from Local Authorities. There are 152 of them throughout England<\/span><\/p>\n

     <\/p>\n

    HENRY \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health Exercise and Nutrition for the Really Young<\/b><\/p>\n

     <\/p>\n

    HI<\/b> Health Intelligence<\/b><\/p>\n

     <\/p>\n

    HLP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health London Partnership<\/b><\/p>\n

     <\/p>\n

    HR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Human Resources<\/b><\/p>\n

     <\/p>\n

    HSCIC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health and Social Care Information Centre<\/b><\/p>\n

    Set up in April 2013.<\/span><\/p>\n

     <\/p>\n

    H-STAT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Health Service Travel Analysis Toolkit<\/b><\/p>\n

    A set of strategic analysis tools developed by TfL and the NHS. The principal tool is a travel time database for both highway and public transport modes in London.<\/span><\/p>\n

     <\/p>\n

    Hub<\/b><\/p>\n

    In NHS NWL a Hub (or a Community Hub) means a physical building which will house a \u00a0wider range of day care services than would be offered by a smaller GP practice. Services offered will include ophthalmology, cardiology, integrated diabetes service, long term condition management, community mental health, physiotherapy, dermatology, gynaecology, phlebotomy, MSK, ENT, adult community care and enhanced Primary care.<\/span><\/p>\n

     <\/p>\n

    IAPT<\/b> Improving Access to Psychological Services<\/b><\/p>\n

    An NHS programme offering interventions approved by NICE for treating people with depression, anxiety disorders, panics, phobias, Obsessive Compulsive Disorder (OCD) and post traumatic stress disorder. Treatments include education groups, counselling, guided self help and Cognitive Behavioural Therapy (CBT)<\/span><\/p>\n

     <\/p>\n

    ICASE<\/b> Integrated Care and Support Exchange<\/b><\/p>\n

    This team helps pioneer integrated care sites<\/span><\/p>\n

     <\/p>\n

    ICHT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Imperial College Healthcare NHS Trust<\/b><\/p>\n

     <\/p>\n

    ICP<\/b> Integrated Care Pathway<\/b><\/p>\n

    One way of managing, monitoring and recording a patient\u2019s care. See \u2018Clinical Pathway\u2019.<\/span><\/p>\n

     <\/p>\n

    ICS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Integrated Care System<\/b><\/p>\n

    The new (February 2018) name for Accountable Care System (ACS)<\/span><\/p>\n

     <\/p>\n

    ICT<\/b> Information and Communications Technology<\/b><\/p>\n

     <\/p>\n

    ICU<\/b> Intensive Care Unit<\/b><\/p>\n

    A special Ward which provides intensive care for those patients who are in a critically ill or unstable condition.<\/span><\/p>\n

     <\/p>\n

    IDCR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Integrated Digital Care Record<\/b><\/p>\n

     <\/p>\n

    IG \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Information Governance<\/b><\/p>\n

     <\/p>\n

    IGPR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0International GP Recruitment<\/b><\/p>\n

     <\/p>\n

    ImBC SOC1<\/b><\/p>\n

    One of two 2012 NHS North West London (NWL) SaHF business cases, which requested \u00a3513 million for building work at hospitals, GP surgeries and building community health hubs in NWL. It first appeared in public in December 2016 and was rejected by NHSE\/NHSI (London) in November 2017, on the grounds of lack of evidence to justify \u00a0reducing NELs annually by 99,000 by 2025\/26. If ImBC SOC1 does not get Treasury approval then the SaHF plan to eliminate Ealing District Hospital falls apart and there is no Plan B.<\/span><\/p>\n

     <\/p>\n

    ImBC SOC2<\/b><\/p>\n

    The other 2012 NHS NWL SaHF business case, which will request \u00a3314 million for building work at \u2018inner\u2019 NWL hospitals. As of April 2018, this business case had not been submitted for approval or made public. <\/span><\/p>\n

     <\/p>\n

    Integrated Care<\/b><\/p>\n

    The Coalition Government planned that the health and social care system will be fully joined together by 2018. The approach is that structures like the Health and Wellbeing Boards will bring together Local Authorities, the NHS, social care providers, education, housing services and others to bring about better integration of local services. This nirvana had not been achieved by 2018, and it is unlikely to be achieved for many years to come.<\/span><\/p>\n

     <\/p>\n

    ICS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Integrated Care System<\/b><\/p>\n

    In February 2018 NHS decided to change the name of Accountable Care System (ACS) to Integrated Care System (ICS). See Accountable Care System<\/span><\/p>\n

     <\/p>\n

    IC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Intermediate Care<\/b><\/p>\n

    NHS Intermediate Care Services are provided to patients \u2013 mostly older \u2013 to help them avoid going into hospital. They last up to six weeks and can be delivered at home or in a care home.<\/span><\/p>\n

     <\/p>\n

    IHA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Initial Health Assessment <\/b><\/p>\n

    For Looked After Children<\/span><\/p>\n

     <\/p>\n

    IPS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Individual Placement Support<\/b><\/p>\n

    This aims to develop employment support for adults with addiction<\/span><\/p>\n

     <\/p>\n

    IPR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Integrated Performance Review<\/b><\/p>\n

     <\/p>\n

    IRP<\/b> Independent Reconfiguration Panel<\/b><\/p>\n

    A supposedly independent expert group focusing on NHS service change. In the NWL IRP in date most members were paid directly or indirectly by the NHS. It offers informal advice and guidance to the Secretary of State for Health. Its recommendations have no statutory authority. The NHS NW London IRP found no compelling evidence to support the SaHF downsizing of Charing Cross and Ealing Hospitals. <\/span><\/p>\n

     <\/p>\n

    ISA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Information Sharing Agreement<\/b><\/p>\n

     <\/p>\n

    ISP<\/b> Intensive Support Programme<\/b><\/p>\n

    For acute mental health service users this involves talking about feelings, emotions and ways of thinking and behaving.<\/span><\/p>\n

     <\/p>\n

    JHOSC<\/b> Joint Health Overview and Scrutiny Committee<\/b><\/p>\n

    In north west London this body is composed of Councillors from 9 Local Authorities. Senior NHS staff are invited to attend its six times a year meetings. Its purpose appears to be to scrutinise both the purchasing of NHS services and the delivery of NHS services. Attendance by Local Government Councillors is sporadic.<\/span><\/p>\n

     <\/p>\n

    KPI<\/b> Key Performance Indicator<\/b><\/p>\n

    The purpose of KPIs is to define consistent performance measures for a selection of public health priorities. Examples of these indicators are psychological support, quality, outcomes, unplanned admissions, access, communication and activity. <\/span><\/p>\n

     <\/p>\n

    LA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Local Authority<\/b><\/p>\n

     <\/p>\n

    LAC<\/b> Looked After Children <\/b><\/p>\n

    Refers to all children and young people under 16 who are either \u2018In Care\u2019 (Part IV of the Children Act) or \u00a0\u2018Accommodated\u2019 (Part III of the Children Act).<\/span><\/p>\n

     <\/p>\n

    LAS<\/b> London Ambulance Service<\/b><\/p>\n

     <\/p>\n

    LBE \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0London Borough of Ealing<\/b><\/p>\n

     <\/p>\n

    LIFT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Local Improvement Finance Trust<\/b><\/p>\n

    An NHS LIFT is a public\/private partnership funded NHS facility. A kind of PFI<\/span><\/p>\n

     <\/p>\n

    LIS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Local Improvement Scheme<\/b><\/p>\n

     <\/p>\n

    Local Hospital<\/b><\/p>\n

    Its strict, formal definition by the NHS North West London (NWL) is still awaited. However a working definition might be: a hospital<\/span> providing an Urgent Care Centre, outpatients, diagnostics, and further day care services, including specialist clinics and outpatient rehabilitation. An NHS NWL Local Hospital has no traditional A&E services, no Emergency Care consultants, no Intensive Care Unit and no operating theatres. Ambulances will never deliver chronically ill or severely injured patients to an NHS NWL Local Hospital.<\/span><\/p>\n

     <\/p>\n

    London Health and Care Information Exchange<\/b><\/p>\n

    Launched in May 2016, this is an \u00a318 million grant funded three year project<\/span><\/p>\n

     <\/p>\n

    London North West University NHS Healthcare Trust<\/b><\/p>\n

    Formed on 1 October 2014, this organisation includes Central Middlesex, Ealing, Northwick Park and St Marks hospitals together with community services across Brent, Ealing and Harrow including Willesden Centre for Health and Care. It employs 8,000 staff and serves 850,000 people. (Sometime in 2018 \u2018University\u2019 was added to its name. Apparently the University is University College London, but the University of Buckingham has an office in Ealing Hospital and there are also links with Imperial College London).<\/span><\/p>\n

     <\/p>\n

    LSU<\/b> Low Secure Unit<\/b><\/p>\n

    Delivers intensive, comprehensive, multidisciplinary treatment and care by qualified staff for patients who demonstrate disturbed\/violent behaviour in the context of a serious mental disorder and who require the provision of security.<\/span><\/p>\n

     <\/p>\n

    LTC<\/b> Long Term Condition<\/b><\/p>\n

    Such as chronic pulmonary disease (COPD), diabetes, mental health problems and people with a high risk of a stroke.<\/span><\/p>\n

     <\/p>\n

    Major Hospital<\/b><\/p>\n

    A hospital providing A&E, Urgent Care Centre, trauma care, emergency surgery, intensive care, obstetrics, midwife unit and in-patient paediatrics. District General Hospitals are Major Hospitals.<\/span><\/p>\n

     <\/p>\n

    MCP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Multispeciality Community Provider<\/b><\/p>\n

    MCPs are new place-based models of care, which deliver Primary care and community-based health and care services. MCPs serve whole populations. There are 14 MCP Vanguards which were selected in 2015\/16. MCPs are ACS\/ICS models of care \u2013 see ACS or ICS. MCPs were first introduced in NHSE\u2019s Five Year Forward View in 2014.<\/span><\/p>\n

     <\/p>\n

    MDT \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Multi-discipline Teams<\/b><\/p>\n

     <\/p>\n

    MECC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Making Every Contact Count<\/b><\/p>\n

     <\/p>\n

    MHFA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Mental Health First Aid<\/b><\/p>\n

     <\/p>\n

    MI \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Myocardial Infarction <\/b><\/p>\n

    A heart attack<\/span><\/p>\n

     <\/p>\n

    Monitor<\/b><\/p>\n

    The body which regulated health services in England \u2013 and is now part of NHS Improvement<\/span><\/p>\n

     <\/p>\n

    MRI<\/b> Magnetic Resonance Imaging<\/b><\/p>\n

    MRI scanners use strong magnetic fields and radio waves to form images of the body<\/span><\/p>\n

     <\/p>\n

    MRSA \u00a0<\/b> Methicillin-resistant Staphylococcus Aureus<\/b><\/p>\n

    A bacterium responsible for several difficult-to-treat infections in humans. It is resistant to penicillins. It is especially troublesome where patients have open wounds, invasive devices and<\/span> weakened immune<\/span> systems.<\/span><\/p>\n

     <\/p>\n

    MSK<\/b> Musculoskeletal<\/b><\/p>\n

    Encompasses well over 200 disorders affecting joints, bones, muscles and soft tissues (e.g. rheumatoid arthritis, osteoarthritis, lower and upper back pain,<\/span> o<\/b>steoporosis and carpal tunnel syndrome<\/span>)<\/b><\/p>\n

     <\/p>\n

    MSU<\/b> Medium Secure Unit<\/b><\/p>\n

    Houses people who have been admitted by the Courts under the Mental Health Act (MHA), who have been transferred from prison under the MHA or people transferred from an ordinary hospital ward because it is felt they need to be treated in a more secure setting.<\/span><\/p>\n

     <\/p>\n

    NAO<\/b> National Audit Office<\/b><\/p>\n

     <\/p>\n

    NCA<\/b> Non-Contact Activity<\/b><\/p>\n

    Known as \u2018Out of Area Treatment\u2019 prior to 2005. This is where patients cannot be treated<\/span> locally<\/span> because of resource unavailability and have to be treated elsewhere. In 2012\/13 for example there were 232 NCA patients living in Leeds who were treated elsewhere – some as far away as Weston-Super-Mare in Somerset. NCA also applies to overseas visitors.<\/span><\/p>\n

     <\/p>\n

    NHSE<\/b> NHS England<\/b><\/p>\n

    It oversees the budget, planning and delivery and day-to-day operation of the commissioning side of the NHS in England. It also holds the contracts for some GPs and dentists.<\/span><\/p>\n

     <\/p>\n

    NHSI \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0NHS Improvement<\/b><\/p>\n

    Operational since 1 April 2016, it oversees NHS Foundation Trusts, NHS Trusts and private suppliers of NHS-funded care. It took over Monitor and the NHS Trust Development Authority<\/span><\/p>\n

     <\/p>\n

    NHS Number<\/b><\/p>\n

    This is the National Unique Identifier used to help healthcare staff and service providers match you to your health records. The NHS care.data programme, run by Atos, releases this number to any third party unless you have written to<\/span> your GP forbidding this.<\/span><\/p>\n

     <\/p>\n

    NHSNWL<\/b> National Health Service North West London<\/b><\/p>\n

     <\/p>\n

    NELs \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Non-Elective Admissions<\/b><\/p>\n

    These are largely emergency admissions into Major Hospitals.<\/span><\/p>\n

     <\/p>\n

    NTDA<\/b> NHS Trust Development Authority<\/b><\/p>\n

    Responsible for providing leadership and support to the non-Foundation Trust sector of NHS providers. Now part of NHS Improvement.<\/span><\/p>\n

     <\/p>\n

    NOS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0National Occupational Standards<\/b><\/p>\n

     <\/p>\n

    NWL \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0North West London<\/b><\/p>\n

     <\/p>\n

    OD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Organisational Development<\/b><\/p>\n

     <\/p>\n

    OFSTED \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0The Office for Standards for Education, Children\u2019s Services & Skills<\/b><\/p>\n

     <\/p>\n

    Once for London<\/b><\/p>\n

    Pan-London operating principles for Primary Care set up by NHS London<\/span><\/p>\n

     <\/p>\n

    OOB \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Out of Borough<\/b><\/p>\n

     <\/p>\n

    OOH<\/b> Out Of Hours<\/b><\/p>\n

     <\/p>\n

    OPE \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Operational Pressures Escalation<\/b><\/p>\n

    This framework provides a way of hospitals indicating how much pressure they are under on any particular day.<\/span><\/p>\n

     <\/p>\n

    OP+LTC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Old People and Long Term Conditions<\/b><\/p>\n

     <\/p>\n

    Out of Hospital Services (OOH)<\/b><\/p>\n

    This involves delivering more care in community settings such as in patients\u2019 homes, GP surgeries, and local health centres. Illness Prevention through self-help is also part of OOH. It aims to avoid unnecessary hospital admissions, visits to hospital and fewer hospital beds.<\/span><\/p>\n

     <\/p>\n

    PACS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Primary and Acute Care System<\/b><\/p>\n

    PACS join up GP, hospital, community and mental health services. Nine Vanguards were chosen to develop PACS. PACS was first mentioned in the NHSE Five Year Forward View in 2014. PACS is an ACS\/ICS model of care \u2013 see ACS or ICS.<\/span><\/p>\n

     <\/p>\n

    PAM \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Patient Activation Measure<\/b><\/p>\n

     <\/p>\n

    PAS<\/b> Patient Administration System<\/b><\/p>\n

    An IT system which automates the administrative paperwork in healthcare organisations, particularly hospitals.<\/span><\/p>\n

     <\/p>\n

    Pathway<\/b><\/p>\n

    See \u2018Clinical Pathway\u2019<\/span><\/p>\n

     <\/p>\n

    PAU<\/b> Paediatric Assessment Unit<\/b><\/p>\n

     <\/p>\n

    PCCC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Ealing CCG\u2019S Primary Care Commissioning Committee<\/b><\/p>\n

     <\/p>\n

    PFI<\/b> Private Finance Initiative<\/b><\/p>\n

    A way of creating \u2018public-private\u2019 partnerships (PPPs) by funding public infrastructure projects with private capital. Early PFIs were 60 year projects but in recent years 30 years is the standard. The total cost of new PFI hospitals will be considerably more than the build costs. The new Barts Hospital cost \u00a31.1 billion to build but when fully paid off in 2048\/49 the total cost will have been \u00a37.1 billion.<\/span><\/p>\n

     <\/p>\n

    PGM \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Policy and Guidance Manual<\/b><\/p>\n

     <\/p>\n

    PICU<\/b> Psychiatric Intensive Care Unit<\/b><\/p>\n

    A safe, secure and low stimulus Ward environment separate from the rest of the inpatient unit.<\/span><\/p>\n

     <\/p>\n

    PID \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pelvic Inflammatory Disease<\/b><\/p>\n

     <\/p>\n

    PMCF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Prime Minister\u2019s Challenge Fund<\/b><\/p>\n

     <\/p>\n

    PMS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Premenstrual Syndrome<\/b><\/p>\n

     <\/p>\n

    PMS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Personal Medical Services<\/b><\/p>\n

    One of the three types of GP contracts. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

     <\/p>\n

    Polyclinic<\/b><\/p>\n

    A place where a wide range of health care services (including diagnostics) can be obtained without the need of an overnight<\/span> stay. Although common and successful in Cuba, France, Germany, India, Russia and Ukraine, polyclinics never got off the ground in England. The original 2007 Lord Darzi plan suggested a total of 150 NHS Polyclinics in London, each dealing with around 25,000 patients. This plan was never implemented. The October 2016 STPs refer to \u2018Hubs\u2019 which seem quite similar to the Polyclinic idea. <\/span><\/p>\n

     <\/p>\n

    PPE \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Patient and Public Engagement<\/b><\/p>\n

     <\/p>\n

    Primary Care<\/b><\/p>\n

    Usually the first place people go for health advice and treatment, outside of a hospital. The service is provided near to or in a patient\u2019s home by GPs, nurses, therapists, dentists, pharmacists and opticians. These Primary Care providers deliver health promotion, care and treatment, and refer patients to and liaise with hospitals and other care providers. <\/span><\/p>\n

     <\/p>\n

    PSED<\/b> Public Sector Equality Duty<\/b><\/p>\n

    Requires NHS organisations to eliminate unlawful discrimination, advance equality of opportunity and good relations.<\/span><\/p>\n

     <\/p>\n

    PTSD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Post Traumatic Stress Disorder<\/b><\/p>\n

     <\/p>\n

    QIPP<\/b> Quality, Innovation, Productivity and Prevention<\/b><\/p>\n

    Large scale transformation programme for the NHS which aimed to improve the quality of care and make \u00a320 billion efficiency savings by 2014\/15.<\/span><\/p>\n

     <\/p>\n

    QOF<\/b> Quality and Outcome Framework<\/b><\/p>\n

    A voluntary annual reward and incentive programme detailing GP practice achievement results. Introduced in 2004 it gives an indication of the overall achievement of a surgery through a points system.<\/span><\/p>\n

     <\/p>\n

    QRP<\/b> Quality & Risk Profile<\/b><\/p>\n

    A tool used for gathering together key information about an NHS service provider to support how compliance is monitored with the essential standards of quality and safety. QRP helps CQC assess where risks lie.<\/span><\/p>\n

     <\/p>\n

    QPS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Quality Payments Scheme<\/b><\/p>\n

     <\/p>\n

    Q&S \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Quality and Safety<\/b><\/p>\n

     <\/p>\n

    RCA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Root Cause Analysis<\/b><\/p>\n

    A systematic approach to the assessment of Serious Incidents<\/span><\/p>\n

     <\/p>\n

    RCPsych \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Royal College of Psychiatrists<\/b><\/p>\n

     <\/p>\n

    RFI \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Request For Information<\/b><\/p>\n

     <\/p>\n

    RR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Rapid Response<\/b><\/p>\n

     <\/p>\n

    RSM <\/b><\/p>\n

    NHS NWL Internal auditor \u2013 previously known as Baker Tilley \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

     <\/p>\n

    RTT<\/b> Referral To Treatment<\/b><\/p>\n

    A target time NHS England set for hospitals to treat within a period of time starting when the request for treatment is made.<\/span><\/p>\n

     <\/p>\n

    Safeguarding Adults\u2019 Board<\/b><\/p>\n

    An Independent multi-agency partnership which raises awareness and promotes the welfare of vulnerable adults by the development of an effective co-operative.<\/span><\/p>\n

     <\/p>\n

    SaHF<\/b> Shaping a Healthier Future<\/b><\/p>\n

    This is an experiment in NHS NW London which is an attempt to cut costs by closing 4 out of \u00a09 hospital A&Es, downgrading 4 hospitals to enhanced UCC status and changing settings of care for up to 2 million people from hospital to ambulance, home, GP surgery or community healthcare facility. Announced in 2012, its annual financial savings target of 4% had by March 2018 not been achieved. Also by March 2018 only 2 A&Es had been closed. In November 2017, the SaHF business case (IMBC SOC1) which asked for \u00a3513 million for building work was rejected by NHSE\/NHSI (London).<\/span><\/p>\n

     <\/p>\n

    SCF \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Strategic Commissioning Framework<\/b><\/p>\n

     <\/p>\n

    SDQ \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Strength and Difficulties Questionnaire<\/b><\/p>\n

    A short behavioural\/mental health questionnaire for 13-16 year old Looked After Children<\/span><\/p>\n

     <\/p>\n

    Secondary Care<\/b><\/p>\n

    Specialist care typically provided in a hospital setting or following referral from a primary or community professional.<\/span><\/p>\n

     <\/p>\n

    SCO \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Special Guardianship Order<\/b><\/p>\n

     <\/p>\n

    SHMI<\/b> Summary Hospital-level Mortality Indicator<\/b><\/p>\n

    The ratio between the actual number of patients who die following treatment at a Trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there.<\/span><\/p>\n

     <\/p>\n

    SI \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Serious Incident<\/b><\/p>\n

     <\/p>\n

    SIRO \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Serious Risk Information Owner<\/b><\/p>\n

     <\/p>\n

    SLA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Service Level Agreement<\/b><\/p>\n

     <\/p>\n

    SOH \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Save Our Hospitals<\/b><\/p>\n

    Hammersmith and Fulham volunteer campaigning organisation.<\/span><\/p>\n

     <\/p>\n

    SPA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Single Point of Access<\/b><\/p>\n

    Single telephone number support. Currently used by WLMHT mental patients in Ealing, Fulham, Hammersmith and Hounslow. Should have 24\/7 clinical support but is sometimes deficient in this respect. <\/span><\/p>\n

     <\/p>\n

    Specialist Hospital<\/b><\/p>\n

    A hospital offering highly specialised care, such as for cardiothoracics and cancer.<\/span><\/p>\n

     <\/p>\n

    SRO<\/b> Senior Responsible Officer<\/b><\/p>\n

    The individual responsible for ensuring that a project or programme of change meets its objectives and delivers the projected benefits.<\/span><\/p>\n

     <\/p>\n

    STEIS \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Strategic Executive Information System<\/b><\/p>\n

     <\/p>\n

    STP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Sustainability and Transformation Plan<\/b><\/p>\n

    STPs are five year cost cutting and improvement plans (2016 \u2013 2021) for healthcare and social care. STPs are created by Footprints. Each of the 44 Footprints in England published its STP in October 2016. The STP care services\u2019 delivery mechanisms were to be Accountable Care Partnerships (ACPs), Multispeciality Community Providers (MCPs) and Primary and Acute Care Systems (PACS). Accountable Care Systems (ACSs) entered the NHS lexicon in 2017. STPs will apparently eventually morph into ACSs. However in February 2018 the \u2018Accountable Care\u2019 name was ditched and replaced by \u2018Integrated Care\u2019.Somewhat confusingly in March 2017, NHSE also began defining STP to mean Sustainability and Transformation Partnership.<\/span><\/p>\n

     <\/p>\n

    SystemOne<\/b><\/p>\n

    A healthcare software system. It has been used widely in the NHS since 2006. Applications include those for GPs, community care, children\u2019s healthcare services, mental health, Secondary Care and social services. It allows for remote access to patient records and for clinical and medication ordering.<\/span><\/p>\n

     <\/p>\n

    S&T \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Strategy and Transformation<\/b><\/p>\n

     <\/p>\n

    TDA<\/b> NHS Trust Development Authority<\/b><\/p>\n

    Provided leadership and support to the non-Foundation Trust sector of NHS providers. Now part of NHS Improvement.<\/span><\/p>\n

     <\/p>\n

    Transport<\/b> for London<\/b><\/p>\n

    A local government body (\u2018statutory corporation\u2019) responsible for most aspects of the major public transport systems in Greater London.<\/span><\/p>\n

     <\/p>\n

    THH<\/b> The Hillingdon Hospitals NHS Foundation Trust <\/b><\/p>\n

     <\/p>\n

    TIA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Transient Ischaemic Attack <\/b><\/p>\n

    A \u2018mini-stroke\u2019<\/span><\/p>\n

     <\/p>\n

    TOR \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Terms Of Reference<\/b><\/p>\n

     <\/p>\n

    TPP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/b><\/p>\n

    The UK company which developed and supports SystemOne.<\/span><\/p>\n

    \u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n

    Trusts<\/b><\/p>\n

    Trusts are in effect public sector companies providing services on behalf of NHS England.<\/span><\/p>\n

     <\/p>\n

    UASC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Unaccompanied Asylum Seeking Children<\/b><\/p>\n

     <\/p>\n

    UCC<\/b> Urgent Care Centre<\/b><\/p>\n

    A limited range of \u2018minor\u2019 emergency and accident conditions are treated at UCCs \u2013 but 44 defined conditions (at Ealing Hospital UCC) are not treated. Staffed by GPs and nurses these can complement A&Es or exist as stand alone facilities. As stand alone facilities they<\/span> will not receive flashing blue<\/span> light ambulances and will have no on-site access to Intensive Care beds, consultants or an ICU.<\/span><\/p>\n

     <\/p>\n

    UCLH \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0University College London Hospital<\/b><\/p>\n

     <\/p>\n

    Unbundled Services<\/b><\/p>\n

    The breakdown of components of care pathways into individual service elements such as rehabilitation, high cost drugs and critical care. This allows these elements to be priced and commissioned separately.<\/span><\/p>\n

     <\/p>\n

    Vanguards<\/b><\/p>\n

    NHS grant-supported experiments in developing and delivering new care models. There are 50 of \u00a0them and they were selected between January and September 2015. They are variously collections of NHS CCGs, Trusts, GP federations, Ambulance services, Local and County Councils, and private healthcare suppliers all trying to work together. Vanguard missions include Acute care collaboration, urgent and Emergency care, enhanced care in care homes, MCPs, and integrated Primary and Acute care systems. So far to March 2018, \u00a3346 million has been spent on them. <\/span><\/p>\n

     <\/p>\n

    WLA \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0West London Alliance<\/b><\/p>\n

    A 17 year old partnership between seven West London Local Authorities \u2013 Barnet, Brent, Ealing, Hammersmith & Fulham, Hillingdon and Hounslow.<\/span><\/p>\n

     <\/p>\n

    WLMHT<\/b> West London Mental Health Trust<\/b><\/p>\n

    Provides mental health services for the 770,000 residents in Ealing, Hounslow, Hammersmith and Fulham. Also manages Broadmoor high security psychiatric hospital for men in Crowthorne, Berkshire.<\/span><\/p>\n

     <\/p>\n

    WRAP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Workshop to Raise Awareness of Prevent<\/b><\/p>\n

     <\/p>\n

    WRES \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Workforce Race Equality Standard<\/b><\/p>\n

     <\/p>\n

    WSIC \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Whole Systems Integrated Care<\/b><\/p>\n

     <\/p>\n

    WTE<\/b> Whole Time Equivalent<\/b><\/p>\n

    Human Resources term for a job requiring a full time employee or two half time employees.<\/span><\/p>\n

     <\/p>\n

    YP \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Young People<\/b><\/p>\n

     <\/p>\n

    YTD \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Year to Date<\/b><\/p>\n

     <\/p>\n

    Version: 7<\/span><\/p>\n

    16 April 2018<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

        This informal and unauthorised guide has been assembled out of self-need by someone in West London who attends public care services\u2019 meetings and attempts to read and understand NHS and Local Authority documents. I hope the reader finds it useful.   A&E Accident and Emergency Unit The historic definition of an A&E unit […]<\/p>\n","protected":false},"author":2,"featured_media":1483,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[],"tags":[],"class_list":["post-1482","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg","uagb_featured_image_src":{"full":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",1200,670,false],"thumbnail":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4-150x150.jpg",150,150,true],"medium":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4-300x168.jpg",300,168,true],"medium_large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4-768x429.jpg",640,358,true],"large":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4-1024x572.jpg",640,358,true],"1536x1536":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",1200,670,false],"2048x2048":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",1200,670,false],"td_0x420":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",752,420,false],"td_80x60":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",80,45,false],"td_100x75":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",100,56,false],"td_180x135":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",180,101,false],"td_238x178":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",238,133,false],"td_265x198":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",265,148,false],"td_300x160":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",287,160,false],"td_300x194":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",300,168,false],"td_300x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",300,168,false],"td_341x220":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",341,190,false],"td_341x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",341,190,false],"td_511x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",511,285,false],"td_537x360":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",537,300,false],"td_640x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",640,357,false],"td_640x350":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",627,350,false],"td_681x0":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",681,380,false],"td_681x400":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",681,380,false],"td_741x486":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",741,414,false],"td_1021x580":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",1021,570,false],"mailpoet_newsletter_max":["https:\/\/ealingsaveournhs.org.uk\/wp-content\/uploads\/2018\/05\/My-Post-4.jpg",1200,670,false]},"uagb_author_info":{"display_name":"Eric Leach","author_link":"https:\/\/ealingsaveournhs.org.uk\/?author=2"},"uagb_comment_info":1,"uagb_excerpt":"    This informal and unauthorised guide has been assembled out of self-need by someone in West London who attends public care services\u2019 meetings and attempts to read and understand NHS and Local Authority documents. I hope the reader finds it useful.   A&E Accident and Emergency Unit The historic definition of an A&E unit…","jetpack-related-posts":[],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1482","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1482"}],"version-history":[{"count":3,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1482\/revisions"}],"predecessor-version":[{"id":1487,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/posts\/1482\/revisions\/1487"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=\/wp\/v2\/media\/1483"}],"wp:attachment":[{"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1482"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ealingsaveournhs.org.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}