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'Two-tier' A&E proposals

NHS Medical Director Sir Bruce Keogh has unveiled his proposed changes to emergency care across the NHS, calling for a "two-tier" A&E service offering specialised care to ease pressure on an "emergency service at its limit."

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Ambulances 'should be mobile urgent care centres'

Ambulances responding to 999 calls should become "mobile urgent treatment services, not just urgent transport services", NHS Director Sir Bruce Keogh said today.

Paramedics could treat patients inside ambulances, instead of bringing them to A&E, the review suggested. Credit: PA Wire

Announcing his findings of a major review into how to ease pressure on services and improve A&E care he said ambulances could treat people inside the vehicle, instead of bringing them to hospital.

He suggested more training for paramedics so the vehicles could operate safely as urgent treatment centres, and said closer links need established between the ambulance service and GPs and community health teams.

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