First reported 19 Nov 2014•Latest report 7 Aug 2015
Definition
What this concern includes
Includes failures of hospital bed-bureau or equivalent bed-identification processes to maintain visibility of available beds, identify beds suitable for patients requiring admission and route or re-route admission requests to the appropriate service, including emergency and child psychiatric admission pathways.
Not included
Excludes actual shortages or unavailability of hospital beds where no failure of a bed-bureau or bed-identification process is asserted.
Excludes general admission delays, bed placement failures and patient-flow problems where the bed-bureau system itself is not deficient.
Excludes specialist referral, transfer or placement processes that do not involve identifying or routing available hospital beds through a bed-bureau or equivalent system.
Excludes generic information-management, staffing or communication deficiencies without an explicit connection to hospital bed-bureau operation.
Reports
2
Distinct published reports
Individual concerns
2
A report can raise multiple concerns
Date range
2014–2015
First to latest report issue date
Stated actions
5
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
NHS England2
East Midlands Ambulance Service NHS Trust1
NHS Devon Integrated Care Board1
University Hospitals of Leicester NHS Trust1
Executive non-departmental public body2
Integrated care board1
NHS trust1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Leicester City and South Leicestershire
Concerns raised1
Lack of a bed bureau system for identifying calls requiring emergency admission independently of bed availability
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.4
Action
Discuss the additional workforce changes required with lead commissioners to support AMPDS triage for urgent GP and healthcare-professional calls.
Stated by East Midlands Ambulance Service NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 6 July 2015.
Action
Communicate emergency-response guidance to lead commissioners for dissemination to GPs and Bed Bureau services.
Stated by East Midlands Ambulance Service NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 6 July 2015.
Action
Ensure Bed Bureau staff remain aware of the process for suspected stroke admissions.
Stated by University Hospitals of Leicester NHS TrustStated completedThe respondent said that this action was complete when they made their response on 6 July 2015.
Action
Design a Bed Bureau flowchart prompting consideration of emergency admission for suspected stroke patients.
Stated by University Hospitals of Leicester NHS TrustStated plannedThe respondent said that this action was planned when they made their response on 6 July 2015.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.5
Position
Bed Bureau call takers cannot override the referring GP’s decision about whether a patient requires emergency admission.
Stated by East Midlands Ambulance Service NHS TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Implementing AMPDS triage for all GP and healthcare-professional urgent calls requires additional paramedics; implementation cannot proceed without increased staffing.
Stated by East Midlands Ambulance Service NHS TrustUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
The hospital has a system for identifying GP calls requiring emergency admission, with staff awareness and a flow-chart being added to support that process.
Stated by University Hospitals of Leicester NHS TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
The referring GP remains responsible for identifying when emergency admission is required.
Stated by University Hospitals of Leicester NHS TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Bed Bureau services are locally organised and guided by the referring GP’s opinion and requirements regarding emergency admission.
Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Exeter & Greater Devon
Concerns raised1
Lack of an effective bed bureau system for identifying child psychiatric bed spaces
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Implement weekly CAMHS bed-capacity reporting and national case-manager teleconferences to support timely identification of available placements.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 19 November 2014.
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Includes failures of hospital bed-bureau or equivalent bed-identification processes to maintain visibility of available beds, identify beds suitable for patients requiring admission and route or re-route admission requests to the appropriate service, including emergency and child psychiatric admission pathways.
