http://www.bbc.co.uk/news/health-30949775
However it's still not there yet, and this is the traditional January lull before it picks up again
Friday, 23 January 2015
Friday, 16 January 2015
Safe staffing
Safe staffing in A&E, topical at any time, but this winter also very political.
Key points:
- 1:4 nurse to cubicle ratio
- band 7 on every shift
- 2 nurses to every trauma and cardiac arrest patient
- 2:4 ratio in resus
Monday, 12 January 2015
Friday, 9 January 2015
New year A&E figures
Figures are out for ED performance in the new year, after the Christmas period performance has returned to pre Christmas lows
Wednesday, 7 January 2015
The nub of the problem
The guardian have hit the nail on the head. With a normal wait to be seen time this is not an A&E crisis, it's caused by delays in discharge
Major incident - a short term fix
Major incident describes a situation when there is a massive overwhelming of nhs resources. To meet this extra staff are drafted in for the emergency situation, normally from other areas of the hospital. A good example of this in practice was the July bombings in 2007. The whole of the nhs came together to treat the emergency.
The problem with the current crisis is that unlike normal major incidents there is no defined end point. A hospital and it's staff can't stay on an emergency war footing forever. Sooner or later the staff or the nhs will break
Politics in the current problem?
Labour are calling for a sumit on the A&E crisis, the conservatives cause them of generating headlines.
It is clear there are problems, the conservatives have admitted this much, across the country A&E departments have failed to hit the target 3 months in a row, but this is not an A&E problem, it is a whole system problem, A&E is just were it becomes most apparent
Friday, 2 January 2015
Comprehensive review
A comprehensive review from the telegraph into the current problems in the NHS, very well written.
Subscribe to:
Posts (Atom)