STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

A&E in Meltdown?

Watchdogs have concerns about safety at two thirds of England’s A&E departments, according to the latest Tonight programme.

Despite the best efforts of staff, the performance of A&Es is now as bad as it ever has been. And a report by the Care Quality Commission confirms that overcrowding is leaving patient safety compromised.

Reporter Fiona Foster interviews Dr Taj Hassan the President of the Royal College of Emergency Medicine who tells the programme:

Our recent statistics show that anywhere from five hundred to a thousand patients per year are dying because unfortunately our departments are ever more crowded.“ – Dr Taj Hassan

Chris Hopson of NHS Providers runs the body that represents most of the hospital and ambulance chiefs around the country. He says:
We are running our hospitals at ninety five, ninety eighty, ninety nine percent capacity. So when you get a surge in demand that overloads the system. You have to be careful about saying that the NHS is suddenly going to fall off the edge of a cliff because it never does. What I think we tend to see is a long slow deterioration.”

The NHS is short of 2,000 emergency doctors, according to the Royal College of Emergency Medicine. And experts estimate that up to a third of A&E patients could be better treated elsewhere.

Click on the link to read more

http://www.itv.com/news/2016-10-13/tonight-a-e-in-meltdown/

If you missed the tonight programme you can view on the itv hub (expires 12th Nov)

http://www.itv.com/hub/tonight/1a2803a1046

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A&E patients lined up in a corridor waiting for treatment Credit: ITV / Tonight

Filed under: A&E, ,

Listen to parents of sick children rather than tests, NHS tells doctors

New recommendations say medical staff must listen to parents who report their child is deteriorating, even if tests show no cause for alarm.

Doctors and nurses must listen to parents who report that their sick child is getting worse and investigate their concerns, even if the usual tests suggest there is no cause for alarm, say new NHS recommendations. NHS Improvement, which has reviewed the care of children who deteriorate while in hospital, says parents at the bedside are well placed to see any change in their child, but are not always heard and can be afraid to speak up.

Too often parents worry “about ‘time-wasting’ with any repeated concerns” or that they won’t be listened to, but “it is imperative that parents feel welcome and encouraged to speak up”, said Dr Mike Durkin, the NHS national director of patient safety. Children can deteriorate very quickly and die if they do not get the right treatment fast. Sepsis – blood poisoning – sometimes caused by meningitis, kills babies and children if they do not rapidly get antibiotics.

According to NHS Improvement, research shows that more than a quarter of preventable deaths in children and adults happen because they are not properly monitored so a change in their condition is not noticed.

Click on the link to read more

https://www.theguardian.com/society/2016/jul/13/listen-to-parents-of-sick-children-rather-than-tests-nhs-tells-doctors

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Filed under: NHS Blunders, , , ,

North Middlesex hospital A&E faces closure on safety grounds

Exclusive: Move would be first in NHS history, as internal documents seen by the Guardian show junior staff often left in charge of casualty unit.

An A&E unit has been threatened with closure on safety grounds for the first time in the NHS’s history, amid fears that its 500 patients a day are at what the medical regulator calls “serious risk” of suffering harm. The General Medical Council, which regulates doctors, and Health Education England, the NHS’s staffing agency, have both issued the unprecedented warnings to North Middlesex hospital over what one local MP described as “a catalogue of failings” in its emergency department.

Unpublished internal confidential NHS documents seen by the Guardian reveal widespread alarm in the NHS locally and nationally that some of the hospital’s A&E doctors lack the basic skills to do their jobs, and that young, inexperienced doctors have been asked to perform tasks they were not qualified to undertake.

There are also occasions on which, despite their lack of experience, “junior staff [are] being left in charge of the [emergency] department, highlighting a probable risk to patients”, a private meeting of NHS chiefs was told last month. There is also serious concern that just two of the 26 junior doctors in training in the A&E have ever worked in an emergency department before and that care in the unit overnight is described as “an area of significant risk” to patient safety.

Click on the link to read more

https://www.theguardian.com/society/2016/jun/14/north-middlesex-hospital-ae-faces-closure-on-safety-grounds

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Ambulances outside A&E at North Middlesex hospital.

Filed under: Hospital, , ,

North Middlesex issued with warning over emergency department

A warning notice has been issued to North Middlesex University NHS Trust after an unannounced CQC inspection found ineffective treatment of patients in the emergency room.

The inspection, in April, found the department was lacking middle grade doctors and consultants and suffered delays in assessing patients and moving them to specialist wards. The trust has now been given until 26 August to make improvements.

Professor Edward Baker, the CQC’s deputy chief inspector of hospitals, said: “People going to the emergency department at the North Middlesex University Hospital NHS Trust are entitled to an service that is safe, effective and responsive.

“When we inspected we found that patients were not receiving the quality of care that they should have been. We have strongly encouraged the trust to engage with other organisations across the local health and social care system to resolve this challenging issue.”

Julie Lowe, the trust’s chief executive, said that there were currently only seven out of 15 emergency department consultants and seven out of 13 middle grade emergency doctors in place, leading to “unacceptably long” waiting times.

“We have undertaken extensive recruitment exercises and despite our best efforts have, so far, been unable to fill all the posts, although we have made good progress in recent weeks with the support of partners,” she said. “We are working hard with our health partners to resolve the issues and bring the service back to the standard both we and our patients expect us to achieve.”

Click on the link to read more

http://www.nationalhealthexecutive.com/Health-Care-News/north-middlesex-issued-with-warning-over-emergency-department

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Filed under: A&E, , ,

Revealed: 30,000 patients left waiting in ambulances outside London A&Es last year

More than 30,000 patients suffered “appalling” delays stuck in ambulances outside London A&Es last year because of a lack of hospital beds, it can be revealed.

They were forced to wait at least 30 minutes — double the maximum time permitted under NHS rules — before crews were able to wheel them into the emergency department.

More than 3,000 were kept in ambulances for more than an hour. The total amount of time wasted during “delayed handovers” totalled 16,361 hours — the equivalent of almost two years. It is one of the reasons London Ambulance Service failed to hit the eight-minute response target for 999 calls every month last year, as crews and vehicles were unavailable for the next call.

Patient groups today warned that the total delay in patients receiving care was likely to have been far greater, as patients may have to wait an hour or more for an ambulance and then at least four hours in A&E.

Click on the link to read more

http://goo.gl/xRyRqp

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Filed under: A&E, , ,

Stricken A&E patients told ‘go home unless you’re dying’ as hospital is hit by seven-hour delays

North Middlesex Hospital put a message over a Tannoy advising people to go home unless they had a life-threatening illness

Stricken NHS patients were left waiting for up to SEVEN HOURS on hospital trolleys leaving medics with no option but to say: “Go home if you’re not dying.” In a disturbing new low for our over-stretched health service, the Sunday People can reveal a hospital put a message over a Tannoy advising people to go home.

Patients were told: “We would ask anyone who doesn’t have a life-threatening illness to go home and come back in the morning.” The extraordinary situation unfolded at the North Middlesex Hospital in Edmonton, north London on Friday night.

Tonight a spokesman for the hospital confirmed they had to issue the mayday alert because 450 casualties arrived during one shift. One eyewitness who saw the chaos unfold said he witnessed more than 100 people in the waiting room. He said at one point there were a dozen patients on trolleys lining the wall along the department because all cubicles full.

Many had been waiting on trolleys for several hours. At 11pm a message went on the tannoy saying that the wait to see a doctor was eight hours for adults and six hours in children’s A&E, leading to disbelief among those there.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/stricken-ae-patients-told-go-7409553

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Go home: There were seven-hour delays in the A&E department at North Middlesex Hospital

Filed under: Uncategorized, , ,

The secret A&E nurse’s diary: ‘He stands 1cm from my face, saying he will kill me’

A casualty nurse describes a week of stark contrasts, from helping a 79 year old man whose lips have turned blue to being confronted by a violent drunk

Sunday 7am – 7.30pm

Sundays are notoriously busy in A&E. GPs are closed, and there has been no movement out from the wards so there are no free beds in the hospital. At the start of my shift there are already 83 patients in the department. People are waiting to be treated in the corridors and it’s like sardines. My heart sinks. I’m in charge of ambulance triage – as soon as the ambulance pulls up outside, I have 15 minutes to get the patient into a cubicle and take over from the paramedic. I have targets to achieve. For every breach, we are fined. It seems unfair, especially when 10 turn up at once.

I hear one of my drunk patients shouting and run to find him ripping off his monitoring, throwing thousands of pounds worth of equipment across the room. I ask what he’s doing and he comes and stands 1cm away from my face, telling me he is going to kill me. He reaches into his pocket but before I know it, one of my colleagues has restrained him up against the wall.

Monday 7am – 7.30pm

Today is a day of stark contrast. I see a 20-year-old woman who describes symptoms of a urinary tract infection. Her GP prescribed her antibiotics five hours ago. She says they’re not working.

A few minutes later, a 79-year-old man walks into A&E. His lips are blue. He says he rolled over in bed last night and has felt short of breath since. I take him into resuscitation and later find out he suffered a collapsed lung. He should have phoned an ambulance.

Click on the link to read more of the secret A&E nurses diary

http://www.theguardian.com/society/2016/jan/22/casualty-nurse-diary-nhs

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Filed under: A&E, ,

NHS whistleblower fears patients will die as he leaks image of suffering patients

Ambulance worker Martin Jackson turned whistleblower to hand over a shocking picture of seriously ill people queuing on stretchers to be checked in at A&E

A NHS whistleblower fears ­patients will DIE in corridors due to the crisis in hospital. The warning from ambulance ­worker Martin Jackson came as he ­handed over this shocking picture of seriously ill patients on stretchers queuing to be checked in at A&E.

He said they waited for two hours. The hospital denied it was that long. The photo was taken at Northumbria Specialist Emergency Care Hospital in Cramlington which opened in June and has been described as a “vision for the NHS”. But Mr Jackson, 51, said: “It’s only a ­matter of time before a patient dies on a stretcher waiting to be seen, the Sunday People reports.

He said centralising A&E care for serious illness and injury in such ­“super” hospitals at the expense of other NHS units was not good for patient care. He believed it meant longer travel time for patients and waits for ­ambulance crews.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/nhs-whistleblower-fears-patients-die-6875670

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Worries: Martin Jackson fears a patient will die on a stretcher

Filed under: A&E, Whistleblowing, , , ,

How an NHS hospital missed my broken back

Britain has become locked into a taxpayer-funded model which is no longer fit for purpose. If we don’t act soon it will be beyond repair

A study last year by the US based think tank, The Commonwealth Fund, found Britain’s NHS to be the best healthcare system in the world, outperforming by some margin other advanced economies that spend far more on health. Other international studies have not been nearly so flattering, but whether a credible assessment or not, my own recent experience of UK health provision does not chime with this starry eyed view of our “precious” value-for-money NHS.

Early last summer, I was stretchered into a London Accident and Emergency unit after being catapulted off my bike and landing at speed on the unforgiving concrete. A few hours later, following a cursory physical examination and a number of X-rays, I was discharged.

Click on the link to read more

http://www.telegraph.co.uk/news/nhs/11948744/How-an-NHS-hospital-missed-my-broken-back.html

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Filed under: A&E, ,

Injured RAF sergeant moved from A&E waiting room over fears uniform might cause upset

An RAF airman was moved out of a hospital waiting room because staff feared his uniform may “upset” other patients, it has been reported.

According to the Sun, aircraft engineer Mark Prendeville, was taken to A&E at Queen Elizabeth The Queen Mother Hospital in Margate, Kent, after chemicals from a fire extinguisher got in to his eyes during a training exercise.

The 38-year-old, who has served in Iraq and Afghanistan, was taken to an empty corner of the waiting room before being moved behind a corner by hospital staff, the newspaper said.

His family was allegedly told by hospital workers that “they didn’t want to upset people” as they “have lots of different cultures coming in”.

Click on the link to read more

http://www.itv.com/news/2015-09-26/injured-raf-sergeant-moved-from-a-e-waiting-room-over-fears-uniform-might-call-upset/

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Mark Prendeville served in Iraq and Afghanistan

Filed under: A&E, NHS, , ,

Department of Health misses own waiting time targets

New figures show that the Department of Health has missed its own waiting list targets.

At the end of June, almost 86,000 patients had been waiting for more than 18 weeks for a first outpatient appointment. The target is for nobody to wait longer than that. The number of people waiting for a first appointment has risen by more than 45%.

The quarterly figures from the health department for April to June of this year revealed an 11% rise in patients waiting for a first outpatient appointment.  That means more than 212,000 people have been referred to a specialist or consultant by their GP but have yet to be seen. Of those, the number of patients waiting longer – more than 18 weeks – increased by over 45% to nearly 86,000. The number of people waiting for diagnostic services, which can include a test for a potentially fatal illness, increased by nearly 12% from March to June.

Click on the link to read more

http://www.bbc.co.uk/news/uk-northern-ireland-34082381

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Filed under: A&E, Hospital, , , ,

Hospitals still not doing enough to safeguard dementia patients: Warning noisy and cluttered wards are causing sufferers to become distressed or suffer harm

  • Figures published today show the worst hospitals scoring just 42 in 100
  • They show a huge variation between the worst and best, which scored 98 
  • Some hospitals had even failed to install hand rails to prevent harmful falls
  •  Nurses have warned many A & E units have become ‘places of terror’ 

Hospitals are failing dementia patients by not doing enough to prevent them becoming distressed or suffering harm, official figures show. Wards are often too noisy, unfamiliar and frightening, or cluttered with bedside tables and chairs which can cause serious falls. Figures published yesterday show that the worst hospital scored only 42 out of 100 in terms of how well it was set up to care for patients with dementia.

Many had failed to install handrails to prevent falls or put up clear signs so patients did not get lost, and some were deemed to be too clinical and unwelcoming. Up to a quarter of patients in hospital have dementia. Many become extremely distressed when in such unfamiliar surroundings. Nurses recently warned that A&E units have become ‘places of terror’ for sufferers.

Hospital managers were urged to make wards more ‘dementia-friendly’ under a strategy launched by David Cameron in 2012. Health bosses were told to take measures to prevent patients falling over or becoming distressed. The Daily Mail has long campaigned for an improvement in the care for patients with dementia as part of our Dignity for the Elderly campaign.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3194470/Hospitals-not-doing-safeguard-dementia-patients-Warning-noisy-cluttered-wards-causing-sufferers-distressed-suffer-harm.html

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Filed under: A&E, Dementia, Hospital, NHS, , , ,

Mers outbreak: Manchester Royal Infirmary A&E closes over suspected cases

The A&E department of the Manchester Royal Infirmary has been closed after two suspected cases of the respiratory virus 

Two patients have been isolated and are being examined for Middle Eastern Respiratory Syndrome, which can cause fever, coughing, shortness of breath, diarrhea and vomiting, amongst other symptoms.

Around 1,000 cases of the disease have been reported worldwide since May this year, and around 40 per cent of those infected die from it.

Click on the link to read more

http://www.independent.co.uk/news/uk/home-news/mers-outbreak-live-manchester-royal-infirmary-ae-closes-over-suspected-cases-10419409.html

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Filed under: A&E, Hospital, NHS, , , ,

NHS 111 helpline service to undergo major revamp following undercover investigation by The Telegraph

All negotiations over the running of local NHS 111 services have been suspended following a Telegraph investigation which exposed major safety risks to patients.

Health officials will issue a new blueprint this autumn promising a new model of care, and national standards on how the helpline should work with ambulances, GP out of hours and urgent care providers.

NHS England’s chief operating officer has written to all providers and commissioners of 111 services, calling for all current tender processes to be halted, until a new “functionally integrated” service has been designed.

The letter was issued last Friday, two days after The Telegraph disclosed concerns about the way 111 helplines are being run. South Central Ambulance Service launched an inquiry after an undercover investigation found call handlers being put under pressure to avoid sending ambulances. Some told how they phrased questions so as to minimise health concerns.

Click on the link to read more 

Speeding ambulance

Speeding ambulance

Filed under: A&E, Hospital, NHS, , , , ,

Nice to publish report on NHS staffing levels despite being told to stop work

Ministers and NHS bosses face an embarrassing row over safe staffing levels for nurses in hospital A&E departments in England after it emerged that the government body told to stop work in this area is going to publish its recommendations anyway.

The National Institute of Health and Clinical Excellence (Nice), which is legally independent of the NHS, plans to release its work at the end of the month. It is also continuing evidence reviews for staffing mental health care for both inpatients and those in the community, for learning disability services and for other community health services.

The move, revealed by the Health Service Journal (HSJ), comes a month after news that NHS England, which is far more tightly controlled by the Department of Health (DH), had decided to take such work in-house. This was seen by critics as likely to lead to lower, and cheaper, standards in terms of staffing within the financially challenged service, which has already been told by health secretary Jeremy Hunt to stop using expensive staffing agencies, which, he says, have been “ripping off the NHS”.

The Nice publications will not be billed as official guidance but will be sent to NHS England in any case. Nice is concerned also that both its own work and that of NHS England has been hampered by only looking at nursing numbers.

Click on the link to read more

http://www.theguardian.com/society/2015/jul/10/nice-publish-report-safe-nhs-staffing-levels-told-stop-work

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Jeremy Hunt, the health secretary, has said expensive staffing agencies are ‘ripping off the NHS’. Watchdog Nice plans to release its report into safe staffing levels

Filed under: A&E, Hospital, NHS, , , ,

A&Es are places of terror for the old: Nurses warn that bewildered elderly patients are constantly being left on trolleys in corridors

  •    30 hospitals have declared major incidents and cancelled routine surgery because they were so busy during the busy winter season
  •    Some nurses blame the GP and 111 helpline for the rising numbers of patients who are not seriously ill but are turning up in A&E
  •    Elderly patients are considered less urgent than cases of road traffic accidents, brain haemorrhages and heart attacks

Casualty units have become ‘places of terror’ for the elderly, senior nurses have warned. They say patients are being abandoned on trolleys in corridors in mid-summer, when hospitals should be less busy. The so-called ‘winter pressures’ are now carrying on year-round with a steady stream of patients arriving. And it is the elderly who are most affected, with many routinely having to wait up to 20 hours on trolleys.

This winter was one of the worst on record for A&E units, with 30 hospitals declaring major incidents and cancelling routine surgery because they were so busy. But nurses say the crisis is continuing, with patients turning up after failing to get an appointment with their GP or being referred inappropriately by the 111 helpline.

It is the elderly who wait the longest, however, because they are less urgent than cases of road traffic accidents, brain haemorrhages and heart attacks.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3136833/A-Es-places-terror-old-warns-nurses-Bewildered-patients-left-trolleys-corridors.html

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Filed under: A&E, Elderly, Hospital, NHS, , , ,

NHS patient safety fears as health watchdog scraps staffing guidelines

Nice says it has stopped devising ratios of nurses to patients, recommended in report into Mid Staffs scandal, with NHS England taking over the work

The NHS has been accused of backtracking on improvements to patient safety brought in after the Mid Staffordshire hospital scandal in an effort to tackle its escalating financial problems. The National Institute of Health and Clinical Excellence (Nice) watchdog has unexpectedly scrapped work to set out how many nurses are needed in different parts of hospitals to ensure safe patient care. The move drew sharp criticism from nurses’ leaders, patient safety campaigners and Sir Robert Francis, the QC whose official report into Mid Staffs recommended Nice draw up guidelines on NHS-wide safe staffing levels, because understaffing had contributed significantly to the scandal.

Nice – which is an independent body – said it had stopped devising a raft of patient to staff ratios intended to help guarantee patient safety in A&E units and mental health settings at the request of NHS England, which will now take over the work. However the fear is that NHS England will either introduce lower standards – in terms of the number of nurses required – that are cheaper for hospitals to meet, or that the guidelines on the safe number of nurses will be abandoned altogether.

Click on the link to read more

http://www.theguardian.com/society/2015/jun/04/nhs-patient-safety-fears-nice-scrap-staffing-level-guidelines-mid-staffs-scandal

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Sir Robert Francis QC, whose report into the Mid Staffs scandal recommended staffing guidelines, has criticised the scrapping of the work. Photograph: Martin Godwin/Martin Godwin

Filed under: NHS, , ,

A&E swamped as thousands can’t get in to see GPs: Patients placing huge pressure on units after being refused same-day appointments at surgeries

  • Many have non-urgent issues but can’t be seen quickly by family doctors
  • Experts want more GPs, nurses & primary care staff at A&E departments 
  • People refusing to use alternative services such as 111 or walk-in clinics 
  • Patients see A&E as recognisable ‘brand’ so will continue to go there

Thousands of people are flooding A&E because they have been refused a same-day appointment with their GP, a report has found. Patients are placing huge pressure on casualty wards as they arrive in ever larger numbers. Many have non-urgent health problems that could easily be dealt with at a localsurgery but they are unable to be seen promptly by family doctors.  Now experts have called for more GPs, nurses and other primary care staff to be stationed at A&E departments to deal with patients who do not really need emergency care.

The report, published today by the Royal College of Emergency Medicine and the Patients Association, found that many Britons are also refusing to use alternative services such as the NHS 111 helpline, walk-in clinics or out-of-hours GP services. The document says A&E is seen as a recognisable ‘brand’ by patients so they will continue to go there even if other services are available.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3108414/A-E-swamped-thousands-t-GPs-Patients-placing-huge-pressure-units-refused-day-appointments-surgeries.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: A&E, GP's, Hospital, , ,

Family haunted by memory of mum being left to die on hospital trolley

THE family of cancer victim Lily Smith say they will never forgive the NHS after she spent 12 hours of the last day of her life on a hospital trolley.

The 83-year-old great grandmother’s final wish was to be allowed to die in peace at her Newstead home after she was diagnosed with terminal lung cancer last December. But an ambulance was called when she suddenly took a turn for the worse after contracting pneumonia. Lily then spent nine hours in a corridor at the Royal Stoke University Hospital’s A&E before spending a further three hours on a trolley at the Medical Assessment Unit.

She passed away just three hours after finally being placed on the Clinical Decision Unit on March 25. Now her devastated relatives have questioned why more was not done to make their dying mother’s last hours more comfortable. One of her four surviving children, Ian Smith, said he will always regret dialling 999 when his mother started to have difficulties breathing.

Click on the link to read more

http://www.stokesentinel.co.uk/Family-haunted-memory-mum-left-die-hospital/story-26459356-detail/story.html

Family collect of Lily Smith who died at The Royal Stoke Hospital

Lily Smith

 

Filed under: A&E, Elderly, NHS, NHS Blunders, , ,

Doctor on call for major disasters needed in struggling A&E department

A DOCTOR on call for major disasters was sent to a crisis-hit hospital emergency department after severe bed shortages led to patients being treated in corridors.

The Worcestershire Royal Hospital’s A&E department was under so much pressure West Midlands Ambulance Service had to send in its medical incident officer to help beleaguered staff after months of problems. Unions said it was “totally unacceptable”, adding that its members were “furious”. The Worcestershire Acute Hospitals NHS Trust, which runs the hospital, apologised but said the circumstances were “less than ideal”. Pressure on beds had been “a constant issue” for more than a year. It simply could not discharge patients quickly enough, resulting in a backlog.

Click on the link to read more

http://www.express.co.uk/news/uk/571270/The-Worcestershire-Royal-Hospital-doctor-disasters-A-E

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A medical incident officer has to help beleaguered staff after months of problems

Filed under: A&E, Hospital, NHS, ,

NHS in crisis: Gok Wan’s auntie suffers agonising 7-hour wait on Scots hospital A&E trolley

GOK Wan’s family have told of their fury after the TV star’s frail aunt lay in agony on a trolley at a Scots hospital for seven hours.

Mary Wan, 81, was taken to Glasgow Royal Infirmary after complaining of excruciating leg pains at her nursing home in the city. But relatives were horrified when she was left until early in the morning with no food or medication, despite suffering a stroke just weeks before. Gok’s cousin Charles, 51, who is Mary’s son, said: “My mum is an elderly Chinese woman who doesn’t speak any English. I have to speak up for her.

“For someone of her age to suffer in pain for that time is not on. She is the best mum in the world and deserves to be looked after properly.”

Click on the link to read more

http://www.dailyrecord.co.uk/news/health/nhs-crisis-gok-wans-auntie-5341832

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Gok with cousin Charlie, and his aunt Mary

Filed under: A&E, Hospital, NHS, , ,

NHS scheme ‘like a police line-up’

A hospital has been criticised after patients were forced to parade their conditions on laminated signs, under a new scheme likened to “a police line-up”. Broomfield Hospital in Chelmsford, Essex, has introduced a trial which sees Accident & Emergency patients given cards detailing their medical condition. Hospital managers say the initiative – which labels patients according to their level of urgency – is designed to help speed up waiting times. All patients are given a green or red laminated cards detailing their condition – meaning those with alcohol problems, mental health issues and gynaecological problems – could lose patient confidentiality.

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11470242/NHS-scheme-like-a-police-line-up.html

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Broomfield Hospital in Chelmsford Photo: Eastnews Press Agency

Filed under: A&E, Hospital, NHS, , ,

Dad dies of heart attack hours after bungling paramedics refuse to take him to A&E – dismissing it as a PANIC ATTACK

A coroner has blasted bungling paramedics who dismissed a dad’s agonising chest pains as a PANIC ATTACK – just hours before he died of cardiac arrest.

Tragic Jeffrey Corbin, 59, was even persuaded not to go to hospital by an ambulance crew who told him he would have to wait up to SEVEN HOURS in A&E for treatment. Shockingly, when he collapsed in his bedroom 24 hours later on April 20 last year it took 75 minutes for a first responder to turn up after he was categorised as a low priority. National government targets require an ambulance to attend an address within 30 minutes of a 999 call. But because of extra demand over the Easter weekend it took a further 14 minutes before an ambulance finally arrived at his home in Sneyd Green, Stoke-on-Trent. When the retired factory worker was finally taken to hospital it was too late and the father-of-three was pronounced dead.

Click on the link to read more

http://swns.com/news/dad-dies-of-heart-attack-hours-after-bungling-paramedics-refuse-to-take-him-to-ae-dismissing-it-as-a-panic-attack-65044/

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Jeffrey Corbin. The grieving family of a heart attack victim, who died 24 hours after paramedics failed to take him to hospital, are taking legal action against the NHS (© Newsteam / SWNS Group)

Filed under: A&E, Elderly, Hospital, NHS, NHS Blunders, , ,

NHS in crisis: Family of woman left lying on A&E trolley for 16.5 HOURS told to bring in PILLOWS for her

THE family of a woman left on an A&E trolley for 16-and-a-half hours were told to bring in pillows for her, an insider says. The source told the Record: “They were told none were available in the hospital.” He said the woman endured the nightmare wait in accident and emergency at Glasgow’s Victoria Infirmary on Sunday night after suffering a head injury. And he added: “She was told there were no beds in the whole of Glasgow”. The insider also told how another female patient was left on a trolley for 17-and-a-half hours in a room normally used for putting on plaster casts. The report will add to fears of a deepening crisis in Scotland’s A&E units. And it’s the latest in a series of worrying incidents at the Victoria’s casualty unit.

Click on the link to read more

http://www.dailyrecord.co.uk/news/scottish-news/nhs-crisis-family-woman-left-5218852

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Filed under: A&E, Hospital, NHS, ,

3,000 heart attack and stroke victims suffer delays after falling ill at weekends

3,000 heart attack and stroke victims a year are suffering delays being admitted to hospitals after falling ill at weekends, because NHS services are not working round the clock, a new report suggests. Senior doctors last night warned that patients are dying needlessly because of poor access to GPs and out-of-hours services failing to detect emergency cases which should be sent to hospital. New analysis of national NHS data shows a steep drop in the number of cases being admitted to hospital as an emergency at weekends, and a still sharper fall in the number who were sent there by GPs.

The figures suggest that each year, 3,144 patients suffering from heart attacks and strokes end up suffering a delay of at least 24 hours being admitted to hospital, because their case was not identified as an emergency.

Click on the link to read more

http://www.telegraph.co.uk/news/nhs/11423136/3000-heart-attack-and-stroke-victims-suffer-delays-after-falling-ill-at-weekends.html

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NHS lets down patients with appalling standards at weekends, says top doctor

http://www.telegraph.co.uk/news/nhs/11438668/NHS-lets-down-patients-with-appalling-standards-at-weekends-says-top-doctor.html

Filed under: A&E, Hospital, NHS, Uncategorized, , , ,

GPs should check on colleagues who dole out too many antibiotics, NHS watchdogs say

Family doctors should question colleagues who dole out too many antibiotics, NHS watchdogs have said, after research found 97 per cent of patients who ask for the drugs receive them.  The National Institute for Health and Care Excellence (Nice) has issued draft guidance to clamp down on prescribing of such medication, amid concern that rising resistance to antibiotics is becoming a “catastrophic threat” to the nation’s health. Medical experts say the over-use of antibiotics in the Western world is fuelling infections which resist treatment, and could mean an extra 10 million deaths a year, unless practices change.

The new proposals says GPs should step in if they believe their colleagues are giving antibiotics out too often – and should resist pressure from patients who insist they need the medication. Health officials said NHS professionals needed to question each other, and that patients should be given a proper explanation, when antibiotics are not suitable.

Click on the link to read more

http://www.telegraph.co.uk/news/nhs/11418136/GPs-should-check-on-colleagues-who-dole-out-too-many-antibiotics-NHS-watchdogs-say.html

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Filed under: GP's, , , ,

Casualty chief struggling with stress of job hanged himself

At his inquest A&E colleagues told of work pressures and the strain he was under

The boss of a troubled NHS A&E department died due to self harm after being found hanged 200 yards from where he worked. Mark Channell was joint head of the casualty unit at North Middlesex Hospital which was found wanting in a Care Quality Commission report just days after his death in August last year. A couple of months earlier, in June, the local MP, David Burrowes, spent 13 hours on an A&E trolley at the hospital waiting for treatment for appendicitis, the day before a CQC inspection. At his inquest A&E colleagues told of work pressures and the strain of the CQC inspection at the North London hospital.

Mr Channell, a highly regarded nurse manager, was put in charge of the hospital’s A&E department to manage the flow of patients following the controversial closure of neighbouring Chase Farm Hospital’s A&E department. A huge row broke out among senior managers when it was discovered MP Burrowes had been abandoned in a corridor. It happened on a day that saw 600 patients pass through A&E – 200 more than planned for.

Click on the link to read more

http://www.telegraph.co.uk/news/uknews/11416862/Casualty-chief-struggling-with-stress-of-job-hanged-himself.html

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Filed under: A&E, NHS, , ,

Exclusive: NHS 111 providers ordered to appoint GPs to redirect cases towards primary care

Exclusive All NHS 111 providers have been told to ensure they have GPs available in call centres or available to give clinical advice at peak times to reduce the burden on ambulance services and redirect cases towards primary care.

In a letter to NHS 111 commissioners and obtained by Pulse, NHS England’s national director of commissioning operations Dame Barbara Hakin said that the plans for GP presence in call centres or available to provide clinical advice should be in place ‘as soon as possible’ to minimise the burden on ambulance services suffering ‘as soon as possible’. Dame Barbara said that pilots of GPs working in call centres had successfully led to ‘diversion to primary care, especially GP out of hours’, as well as some diversion to A&E. Although the letter says increased GP input into NHS 111 is a short-term measure, Pulse understands that NHS England is set to include the appointment of GPs as part of its final directions for commissioners procuring new contracts.

Click on the link to read more

http://www.pulsetoday.co.uk/commissioning/commissioning-topics/urgent-care/nhs-111-providers-ordered-to-appoint-gps-to-redirect-cases-towards-primary-care/20009184.article#.VOMKI_msXuI

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Filed under: GP's, NHS, , ,

Locum doctor: Why shouldn’t I sell my labour to the highest bidder? – By Jim Higginson

I am a locum tenens: a place-holder. I get calls and emails – scores every day – telling me that places are vacant in local emergency departments. And so, when I choose, I climb into the skin of an emergency medicine middle grade. That is, for a few days a month, I work in A&E. This skin isn’t my skin. I wear it because I get paid – well – to do so.

The recent news highlighting the rising national locum bill concentrates on the expense of locum consultants. In fact, most of the expenditure is on juniors and those, like me, of mid-level experience. I am not an emergency medicine trainee, and have never had formal A&E training: I’m training in  oral and maxillofacial surgery (maxfacs).

Click on the link to read more

http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/feb/09/locum-doctor-sell-labour-highest-bidder?

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Why shouldn’t a doctor, cowed and exhausted by a system designed to undermine and disempower, consider selling their labour to the highest bidder? Photograph: Tom Jenkins for the Guardian

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111 line increasing pressure on NHS, say leading doctors

The figures were produced by the doctors’ union the BMA, which has had long-standing concerns over NHS 111. Doctors’ leaders say increased referrals mean more pressure on already overstretched GPs and hospitals. NHS England says the 111 service is meeting increasing demand. A spokesman said the proportion of referrals to GPs and emergency services had remained steady despite a surge in calls. But the BMA is concerned that the service is not delivering appropriate advice to some patients and this means some are being incorrectly directed to busy hospitals and GP surgeries.

The BMA looked at the outcomes of calls to NHS 111, which was rolled out in March 2013 to replace the old NHS Direct service. In its final full year of operation in 2011-12, NHS Direct received 4.4 million calls from patients. In comparison, calls to NHS 111 increased year-on-year and in 2014 (up to November) it received and responded to more than 15.4 million calls. Referrals from NHS 111 to A&E increased from just under 400,000 calls in 2013 to over a million in 2014. Similarly, referrals to GPs went up from just under 3 million to 8 million between 2013 and 2014.

Click on the link to read more

http://www.bbc.co.uk/news/health-31119807

Have you recently used the NHS 111 number? Were you referred to a GP or A&E department? You can share your experiences by emailing  haveyoursay@bbc.co.uk   If you would be happy to speak further to a BBC journalist, please include a contact telephone number.

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Filed under: GP's, Hospital, , , ,

Super A&E con exposed: NHS chief promised new £90m unit in Northumbria won’t lead to other hospitals being downgraded… but three nearby facilities will now stop taking ‘blue light’ cases

A new £90 million emergency-only hospital hailed as ‘a glimpse of the future’ by the most senior doctor in the NHS will lead to three other A&E units being effectively downgraded, The Mail on Sunday can reveal. After NHS England medical director Professor Sir Bruce Keogh visited the site of the Northumbria Specialist Emergency Care Hospital last February, he praised it as an example for others to follow. Local NHS bosses say it ‘aligns’ with Sir Bruce’s controversial plan to develop a two-tier emergency network across England – a move critics claim will jeopardise A&Es, meaning longer journeys for patients.

When unveiling his national plan in November 2013, Sir Bruce said it was ‘complete nonsense’ to suggest some A&Es would be downgraded as a result of the drive to develop larger specialist units.  But the opening in June of a new 210-bed facility in Cramlington, ten miles north of Newcastle, will trigger the loss of ‘blue-light’ emergency services at three district general hospitals elsewhere in Northumberland. Officials insist Hexham, Wansbeck and North Tyneside hospitals will maintain ‘walk-in A&E services’. Yet the three units will only be staffed and equipped to cope with incidents typically dealt with by lower-ranking urgent care centres, according to a leading doctor.

Click on the link to read more

http://www.dailymail.co.uk/news/article-2934777/Exposed-super-E-NHS-chief-s-broken-promise-impact-new-90million-unit.html

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Local NHS bosses have accused Sir Bruce of trying to create a ‘two tier’ emergency response system which critics say will mean longer journeys for patients

Filed under: A&E, Uncategorized, , , ,

Woman, 42, found hanged in hospital A&E department

A woman has been found hanged in a hospital A&E department. The body of the 42-year-old was discovered in a side room at the Royal Blackburn Hospital in Lancashire shortly before 1am yesterday. The shocking discovery is being investigated by police. A file has been prepared for the coroner’s office. East Lancashire Hospitals NHS Trust (ELHT), which runs the hospital, declined to say whether the woman- from Burnley – was considered a suicide risk when she arrived at the department, or whether she had any known psychiatric problems. Dr Ian Stanley, acting medical director at ELHT, said: “Our sympathies are with the patient’s family at this difficult time. “This tragic incident is presently the subject of an initial police investigation and the trust will make no further comment at this time.”

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/woman-42-found-hanged-hospital-5056513?

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Filed under: A&E, Uncategorized, , ,

Britain’s A&E units sent into meltdown as NHS 111 helpline sends 6,000 extra callers a week

The NHS 111 phone helpline has plunged accident and emergency units into chaos by sending 6,000 extra callers a WEEK for walk-in hospital treatment. The number of people who were ­advised to go to A&E in the 2013-14 ­financial year was 526,500, the Government revealed. But in eight months to November last year – before this winter’s crisis – the figure had ballooned to 515,500, an ­average extra 6,000 a week. The 111 ­helpline replaced the popular NHS Direct in 2010 and in its first eight months only 7,400 people were told to go to A&E, writes Nigel Nelson in the Sunday People. Doctors blame unqualified 111 call handlers for tipping A&Es into ­meltdown. NHS Direct call lines had been manned by medically qualified staff. Earlier this month every NHS trust in England failed to meet its emergency care targets. In the lead-up to Christmas, more than 400,000 ­patients had to wait longer than the target four hours to be seen.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/britains-ae-units-sent-meltdown-4998228

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Chaotic: Doctors say call handlers are not qualified to decide whether people require A&E treatment

Filed under: A&E, Uncategorized, ,

NICE outlines draft guidance for safe nurse staffing in A&E – Press Release

The National Institute for Health and Care Excellence has issued a draft guideline to advise NHS A&E departments on how to ensure there are safe levels of nursing staff.

The number of people attending A&E departments has increased steadily since 2002/03². The guidance will help hospitals to plan safe staffing for nursing and best meet demand for their A&E services.

Click on the link to read

https://www.nice.org.uk/news/press-and-media/nice-outlines-draft-guidance-for-safe-nurse-staffing-in-a-e

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Sister says working A&E night shift is ‘more stressful than war zone – By Jo Stephenson – Nursing Times

The sister at the University Hospital of Wales in Cardiff, who previously nursed soldiers on the frontline during the 2003 Iraq invasion, said she had to make decisions “that put patients at risk and put staff under extreme pressure”. She described how a pregnant woman miscarried on the floor of a triage area in view of strangers and how she was forced to leave an unconscious patient in the care of junior staff and “hope to God he didn’t aspirate, have a massive bleed or fit”. “I spent weeks in and out of the trenches being shelled, nursing soldiers under trolleys as the warning sirens went off,” she wrote in an account of her experiences. “I know what stress is.

Click on the link to read more …  Working in A&E

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Filed under: A&E, Uncategorized, ,

Click on the link to track how your hospital is doing near you

The additional pressures of cold weather, norovirus and flu have an impact on all A&E departments across the UK. This tracker allows you to find out how the NHS is doing where you live.

Click on the link to track how your hospital is doing near you

http://www.bbc.co.uk/news/health-25055444

Fresh from the release of the quarterly statistics on Tuesday, there is more bad news about the performance of the NHS in England. The first week of the New Year saw the numbers being seen in four hours drop to 86.7% – a new record low for a single week.It means the last four weeks have been the four worst on record. Attendances are rising, but that does not tell the full story. When you look at other indicators, such as the number of ambulances being delayed, operations being cancelled and delays in discharging patients, the rises being seen are much, much worse. It lends weight to the argument that the NHS has reached a tipping point. What exactly is happening elsewhere in the UK is much harder to tell. There is not the wealth of statistics available, as there is for England, and what is published lags a few months behind. But it is fair to say the pressures are being felt everywhere.  By Nick Triggle, Health correspondent, BBC News

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Filed under: Hospital, Uncategorized, , , ,

Mac on… the worst A&E crisis in ten years -By MAC For The Daily Mail

“You’ve been in A&E all this time? I’m sorry, Neville I thought you’d left me

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Former nurse dies after extreme ambulance and A&E delays – Daughter says she would rather end life than grow old in the UK.

The daughter of a pensioner who died of pneumonia just days after being left for hours lying in agony on a cold floor because no ambulances were available to help has decried the state of the NHS, saying she would rather end life than grow old in the UK.

Helen Forde watched as her 92-year-old mother, Bridget Forde, drifted in and out of consciousness after suffering a fall and breaking her hip last month. Despite serious heart problems and being in severe pain, it took four 999 calls and a wait of more than five hours before an ambulance arrived. Her nearly-blind daughter, who was “unable to see if she’d turned blue”, said she was repeatedly told no help was available.

When paramedics eventually arrived at her home in Birchwood Avenue, Muswell Hill, they were said to be shocked at her condition. Mrs Forde was taken to the Whittington Hospital in Archway where she waited another 14 hours in A&E for a bed. What turned out to be a minor bone fracture ended with her dying of pneumonia six days later (on December 8) – something her daughter is convinced is the result of the slow ambulance response time and an NHS “in crisis”. She said: “The last memory I have of my mother is her lying on that floor in agony. It’s something I can’t forgive nor forget.

Click on the link to read more

http://www.hamhigh.co.uk/news/health/former_nurse_dies_after_extreme_ambulance_and_a_e_delays_1_3908811

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Helen Forde holding a photo of her mother Bridget Forde

Filed under: A&E, Elderly, Uncategorized, , , ,

Dublin – Hospital crisis is killing our patients, says A&E boss

Dr Aidan Gleeson is head of the Emergency Department in Dublin’s Beaumont Hospital – which is currently under siege from serious overcrowding. He said that patients left on trolleys suffer increased risk of harm or death. “You have patients with heart attacks who are diagnosed late. Patients with pneumonia and sepsis may not be getting the resuscitation and antibiotics quickly enough because they cannot get the doctor to examine them. These are the realities,” he said. “We have a national crisis in our Emergency Departments for years, where plenty of people are being hurt or dying as a result. Yet it is not receiving the same attention as something like Ebola – even though the chances of anyone dying of it in Ireland are extremely slim.”

Click on the link to read and see video

http://www.independent.ie/irish-news/health/hospital-crisis-is-killing-our-patients-says-ae-boss-30888404.html?

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Sheila Malone (86) was forced to wait in a chair for 16 hours in the Beaumont emergency department last month after presenting with severe chest pains and vomiting.

Filed under: Uncategorized, , ,

NHS waiting times: Which of the 15 promises have been broken under the Coalition?

Over the weekend Labour’s shadow health secretary, Andy Burnham, claimed that the Coalition has breached the rights of British patients under the NHS constitution. Many people will be surprised to hear they even have these rights. Since when? What force do they have? And, as the Service posts the worst A&E waiting time figures in a decade, what actually are they? Well, the situation is not as straightforward as it seems. The NHS constitution, written in 2009, has no legal force in itself – it just describes the rights which the NHS is already bound to uphold by British and European law, including the right to access care for free and the right to have your complaints properly investigated.

One of these patient rights is to be treated in a timely fashion, as defined by the Department of Health in the NHS handbook, available to the public and all members of staff in the NHS.  This DoH defintion has three elements. The first is the time it takes to get a non-urgent appointment with a specialist (target 18 weeks). The second is the length of time it takes to see a cancer specialist after an urgent referral from your GP (target two weeks). The third element is a raft of 13 non-binding “pledges” which the NHS aims to fulfil in a certain percentage of cases.

Together, the two basic rights and 13 “pledges” form a list of 15 promises that define what people should expect from “their NHS”, and provide a crucial measure of whether the government is fulfilling its own stated goals.

With that in mind, how many of them –according to NHS England data – are actually being upheld under the Coalition?

Click on the link to read   tic 1  Redcross        

http://www.telegraph.co.uk/health/nhs/11327445/NHS-waiting-times-Which-of-the-15-promises-have-been-broken-under-the-Coalition.html

Health secretary Jeremy Hunt defends A&E waiting times – video. The Guardian.  Click on the link  http://www.theguardian.com/society/video/2015/jan/06/health-secretary-jeremy-hunt-ae-waiting-times-video

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Labour attacked on performance of Welsh NHS as new report compares our service with England’s

A study comparing NHS performance in Wales and England shows that Labour in Cardiff have failed to tackle serious problems, opposition parties have claimed. The research by the non-partisan House of Commons Library compares how the two health services perform in key areas such as hospital and ambulance performance and waiting times. It found that the proportion of A&E patients spending four or more hours in emergency facilities is higher in Wales than in England, ambulance response times were worse in Wales and statistics suggested there were more people on waiting lists.

Click on the link to read

http://www.walesonline.co.uk/news/wales-news/labour-attacked-performance-welsh-nhs-8374219

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NHS crisis grows as young Britons turn their backs on family doctors

An alarming new dimension to the NHS crisis has been revealed as data shows young adults are bypassing GPs and heading straight to overstretched A&E departments because they can’t get suitable appointments. A stark generational divide in the way people use the NHS is highlighted in a report by Citizens Advice, which finds that people aged 18 to 34 are more than twice as likely to attend A&E departments or walk-in centres as those aged 55 and over – and that they are far less likely than older people to be able to see a GP when they need to.

Click on the link to read more

http://www.theguardian.com/society/2014/dec/20/nhs-crisis-young-health-family-doctors

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EXCLUSIVE: Christmas crisis for A&E wards

A RECORD 13,000 patients will be stuck on trolleys in hospital Accident and Emergency departments this Christmas.

Figures compiled by this paper show that 11,265 patients spent between four and 12 hours waiting for a ward bed in the past two weeks as overstretched A&E departments struggle to cope with increased demand.   Figures from NHS England also reveal the number of trolley waits over the whole year is the highest since records began a decade ago.  Numbers are predicted to go up a further 15 per cent over the Christmas and New Year fortnight to a record 13,000.  Between January and October this year, 153,517 patients waited up to 12 hours on a trolley, more than treble the 2005 figure.

Click on the link to read more

http://www.express.co.uk/news/uk/544480/NHS-will-face-A-E-Christmas-crisis?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+daily-express-uk-news+%28Daily+Express+%3A%3A+UK+Feed%29

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One in three hospitals do nothing when visitors complain

One in three hospitals has admitted to doing nothing when visitors complain about poor treatment of those in their care. NHS watchdogs said they had been contacted by members of the public who had attempted to intervene because they feared patients were at risk of harm, only to be told it was none of their business. In one case, two female visitors who found a lost and confused elderly man roaming a hospital without shoes on, said staff refused to help them, leaving them to look after the man who went on to soil himself. In another, a hospital visitor who complained that an Accident and Emergency department was cramped and dirty, with dried blood on stretchers, said he was told that as he was not a patient, his complaint could not be considered.

Click on the link to read more

http://www.telegraph.co.uk/health/healthnews/11273698/One-in-three-hospitals-do-nothing-when-visitors-complain.html

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Report suggests 600,000 face waits of 24 hours in A&E

More than 600,000 patients a year are being forced to wait more than 24 hours in Accident & Emergency departments, suggests a new report which names the worst units in the country. The Care Quality Commission (CQC) report on A&E comes amid growing concern that casualty units are buckling under the strain even before winter sets in. The survey of almost 40,000 NHS patients names the 10 hospitals in the country with the lowest ratings from the public. The worst score goes to Tameside Hospital Foundation trust, in Greater Manchester followed by Medway Foundation trust, in Kent. Both were put into special measures during summer 2013 amid concern over failings in care and high death rates.

Click on the link to read more

http://www.telegraph.co.uk/health/healthnews/11269215/Report-suggests-600000-face-waits-of-24-hours-in-AandE.html

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Winter crisis in A&E Hospitals declare ‘black alerts’ as admissions shatter records, but full stats still unpublished

Jeremy Hunt is under pressure to order the publication of a set of reports showing the full extent of pressures on hospitals in England, amid accusations that the Government is attempting to downplay the scale of a potential winter A&E crisis. Labour said the failure of the NHS to publish its weekly “winter pressures situation reports” raised fears that the Health Secretary “doesn’t want people to know what’s happening on the NHS frontline”. And experts believe that vulnerable people are having more accidents in the home because of cuts in social care. The NHS insists there has been no political interference. Nonetheless, the reason for the delay remains unclear. If previous practice is followed, whereby figures are published weekly, the delay means that most of the November weeks’ figures would not be made public.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/winter-crisis-in-ae-hospitals-declare-black-alerts-as-admissions-shatter-records-but-full-stats-still-unpublished-9877877.html

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Filed under: A&E, Uncategorized,

NHS staff being trained to spot ebola signs in patients, says CMO – By Nicola Merrifield – Nursing Times

Preparations are underway to ensure all frontline staff in local NHS hospitals across England are trained in how to deal with suspected cases of ebola, should someone “walk in off the street” showing symptoms. Speaking during a parliamentary health committee session on the virus, chief medical officer Professor Dame Sally Davies said NHS England was training clinicians and other staff on how to use personal protective equipment, and the procedures around dealing with suspected cases. She added that every accident and emergency department was working to develop an isolation room on site where someone with suspected ebola could be placed before a diagnosis was made.

Click on the link to read more

NHS staff being trained to spot ebola signs in patients

 

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The list of 66 A&E and maternity units being hit by cuts

Research by The Telegraph shows that dozens of NHS maternity and Accident & Emergency units have been closed or downgraded since the last election, with even more under threat. Here, details of the changes which have taken place, and the changes facing decisions in the coming months:

Click on the link to read the list

http://www.telegraph.co.uk/health/healthnews/11184912/The-list-of-66-AandE-and-maternity-units-being-hit-by-cuts.html

 

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A&E emergency admissions at highest ever level – 24 OCTOBER, 2014 | BY SOPHIE BARNES – HSJ

Emergency admissions to accident and emergency departments have hit their highest level since records began, the latest NHS England figures reveal. Official figures of last week’s performance show that demand on emergency departments across the country has escalated, with 78,131 patients arriving at major A&Es requiring admission compared with 77,742 in May. While emergency admissions have steadily risen over the past four years, the increase this year has steepened. Emergency admissions between April and October are up 5.7 per cent compared with the same period in 2013-14. This compares with an 0.8 per cent increase during those months when comparing 2012-13 and 2013-14. To date, there have been just over 2.1 million emergency admissions to major A&Es – 5,000 more than at the same point last year.

Click on the link to read more

A&E emergency admissions at highest ever level

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A&E closures ‘affect death rates’

Closing hospital accident and emergency (A&E) departments has knock-on effects that lead to more patient deaths, a US study has shown.
Shutting down a local casualty ward can have a significant adverse impact on the fate of patients at nearby hospitals, it is claimed.
Recent closure of an A&E unit increased the death rate of patients admitted to surrounding hospitals by 5%, the research conducted in San Francisco found.
The results come in the midst of a major review of hospital emergency services in England which critics fear will open the door to widespread closures.
Professor Sir Bruce Keogh, medical director of NHS England, who is leading the review, has said that rationalising the current “fragmented” system could drive up standards and save lives.

Click on the link to read more
https://uk.news.yahoo.com/e-closures-affect-death-rates-200137183.html#mpRJrWL

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NHS facing summer crisis as A&E performance deteriorates. A total of 296,667 going to A&E last May

The figures show a record number of patients attending hospital A&E departments in any one week and a record number then admitted to hospital wards. The figures show a total of 296,667 going to A&E in the last week of May, again raising questions about the adequacy of GP services. Of these 77,745 were admitted to hospital.

http://www.theguardian.com/society/2014/jun/10/nhs-summer-crisis-ae-labour-hospitals

Patients wait in A&E at the Royal Free hospital in London

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NHS recruiting 50 doctors from India over Skype to plug desperate A&E shortages

The NHS is recruiting 50 doctors directly from India in a bid to fill desperate staffing gaps in Britain’s A&E departments.
Around 150 candidates, some of whom have not yet taken final exams in emergency medicine, will be interviewed in New Delhi over Skype next week and begin a four-year spell in Britain this summer.
Health bosses insist the drastic measure, which will cost the NHS £3,120 per doctor in flights, visas, registration and access to training tools, is the only way to keep emergency wards safely staffed.

Some A&E training courses in Britain have been more than half empty with 135 vacancies across the board this year.
One campaigner criticised the fact not all candidates will have to complete the Professional and Linguistic Assessments Board (PLAB) test – designed to check they have the right skills and knowledge to work in Britain.

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http://www.dailymail.co.uk/news/article-2614011/NHS-recruiting-50-doctors-India-Skype-plug-desperate-A-E-shortages.html#ixzz304fPeMZi

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