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SUMMARY:Reconfiguration of Accident-and-Emergency Facilities in England - 
 Dr Houyuan Jiang (Cambridge Judge Business School)
DTSTART:20191023T110000Z
DTEND:20191023T120000Z
UID:TALK132631@talks.cam.ac.uk
CONTACT:Shuya Zhong
DESCRIPTION:The Keogh Report of 2013 proposed a major reconfiguration of t
 he accident and emergency (A&E) system under National Health Service (NHS)
  England to improve service. The proposed reconfiguration includes central
 ized facilities with multiple specialties as well as small local minor-inj
 ury facilities. We use stylized queuing models to analyze cost and service
  implications of the proposed reconfiguration. We find that increasing num
 bers of specialty patients that require admission to hospital makes splitt
 ing of specialty A&Es from general ones more attractive. The same applies 
 for patients with minor injuries. Our work generally supports the reconfig
 uration recommended in the Keogh report but with some fine-tuning: For ins
 tance\, a merger of A&Es (pooling) does not always make sense even though 
 it increases patient numbers when the patients in the two A&Es are of diff
 erent types. We provide simple quantitative rules to indicate whether the 
 proposed reconfiguration could lower costs in any particular region of the
  country. The results here are consistent with some NHS England providers 
 attempting specialty A&Es for geriatric patients and mobile drunkenness tr
 eatment centers on weekends. Our rules and approach can be useful for iden
 tifying candidate reconfiguration opportunities not only for NHS England b
 ut also for any other context where pooling and arrival heterogeneity are 
 important considerations.
LOCATION:Seminar room 1\, Institute for Manufacturing\, University of Camb
 ridge
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