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<p>NHS Improvement is working closely with Lewisham and Greenwich NHS Trust to achieve
delivery of the 95% four hour accident and emergency (A&E) standard. Several steps
are in place to support the Trust, including monthly oversight meetings between NHS
Improvement’s senior leadership team and the Trust’s chief executive team to review
performance; provision of NHS Improvement staff for on-site support to review long-stay
patients and discharge those who are medically fit to be discharged; and work with
mental health providers and the London Ambulance Service to support appropriate placement
of mental health patients as well as improve patient handover performance. The Trust
also received £500,000 of capital to develop and open a crisis café at the University
Hospital Lewisham site, to help prevent avoidable mental health attendances at A&E.</p><p>There
are multiple actions underway to support reductions in waiting times for patients
in London Emergency Departments. The London Urgent and Emergency Care programme and
the Emergency Care Intensive Support Team provide dedicated expertise and support
to several trusts<ins class="ministerial"><sup>1</sup></ins>. In addition, circa £26
million of extra capital investment was allocated to trusts across London to increase
beds, emergency department capacity, same day emergency care and acute mental health
services ahead of winter.</p><p> </p><p><ins class="ministerial"><sup>1</sup>Lewisham
and Greenwich, Kings’ College Hospital, Hillingdon, London North West, Imperial, Barking
Havering and Redbridge, Barts, Whittingdon, North Middlesex and University College
London Hospital.</ins></p><p> </p><p> </p>
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