Tag Archives: A&E

(or You do your job and I’ll do mine).  The notion of referred pain, where the symptoms of a health problem manifest themselves in a part of the body that is not itself the cause of the suffering, is well known. The care system increasingly suffers the organisational equivalent but those managing it- unlike most doctors attending on patients – seem incapable of adequate diagnosis and effective treatment. The author once worked with a “radical” surgeon of whom it was said that he  never made a three inch incision if a two foot one was possible. One only sought his […]
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It’s been a very difficult week for the NHS with hospitals across the country struggling to deal with significant pressures on their services.  While the political spotlight which comes with the start of an Election year hasn’t helped, talking to colleagues in the acute sector I am clear those pressures are very genuine and I am full of admiration with the work which they (both  front line staff and managers) have been doing to address them.  Furthermore as Nigel Edwards, Chief Executive of the Nuffield Trust, stressed in his blog on the issue while the problems are serious they are […]
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The NHS has finally made the front pages and will now undoubtedly be a key part of the election debate.  Despite the Tories best efforts to keep the NHS out of the news the pressure from increasing demand, reduced supply, cuts in training and workforce, cuts to local authorities and of course the devastation of the Health and Social Care Act has resulted, as widely predicted, in another NHS ‘crisis’. Pressure on A&E is indicative of wider pressures on GPs, community services, the voluntary sector and social care. A&E should be just that – for accidents and emergencies.  Such departments […]
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Jeremy Hunt has sunk to the lowest common denominator playing party politics by blaming General Practitioners and the last Labour government for the current NHS crisis in emergency care.  This clearly confirms that the Conservative party are prepared to blame anyone rather than take responsibility for their failings on their watch occurring during a massive top down reorganisation of the NHS. Using the 2004 GP contract to explain the current crisis is not only unhelpful in addressing the problem, it is factually wrong.  Jeremy Hunt knows this, notice his solution is not to renegotiate the contract. Working on the frontline […]
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The spate of stories about how badly NHS 111 is performing are just another example of how dysfunctional our urgent/emergency care system has become. We know that over the last decade there has been a remorseless rise in emergency admissions, calls to 999, attendances at A&E and use of the other various parts of the system like the Out of Hours service.  We only vaguely understand the causes which will be many and varied.  But what we do know is the system does not work.  We have yet another “Review” under way to report next year and local area teams […]
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This is NHS Check report no 6 originally published by Labour’s Shadow Health Team in January 2013 Not safe in his hands: A&E under David Cameron Revealed: Worst winter in the NHS for almost a decade as cuts, under-staffing and reorganisation leave A&E services on the brink Before the election, David Cameron said the NHS was safe in his hands. However, Accident and Emergency units have seen performance deteriorate significantly this winter. Labour has uncovered new evidence to show to patients are suffering delays at every stage of emergency: More ambulances missing 8 minute arrival target Patients waiting for hours in the back […]
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Before the election, David Cameron said the NHS was safe in his hands. However, Accident and Emergency units have seen performance deteriorate significantly this winter. Labour has uncovered new evidence to show to patients are suffering delays at every stage of emergency: More ambulances missing 8 minute arrival target Patients waiting for hours in the back of ambulances More patients waiting more than four hours in A&E Patients waiting hours on trolleys for hospital beds

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At the heart of concerns about reconfiguration and the future of our District General Hospitals is the issue around A&E Closures.   A real Accident & Emergency Department must have a genuine 24/7 consultant delivered surgical and medical service.  For a start it must meet the  Royal College of Physicians guidelines so that a consultant physician should always be available ‘on call’ and should be on site at least 12 hours per day, seven days per week with no concurrent duties.  And the admissions unit should have a consultant presence for more than four hours per day, seven days per […]
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