Consultant in Emergency Medicine @Airedale_ED. Interest in trauma & critical care. ED Covid Lead. @TaRTS_course. Wife, mother, daughter. General plate spinner.
Huge attendance at our first monthly joint ED/ICU/Anaesthetics team sim training 😊 Ongoing plan is for 11am, first Wednesday of the month in the ED. Thanks to all for taking part 😊
THREAD: Given tomorrow's election, I've been thinking about our nation's (poor) health, the wider determinants of health and how these have worsened and what it means for policy....
TLDR: worrying only about NHS & social care is missing the point
let's dive in... 1/25
Last week @NHSEngland told @C4Dispatches that the poor care at Shrewsbury A&E was not common across hospitals. But it has written to the NHS accepting care is falling below standards and urging trusts to avoid corridor care where possible. What do A&E staff think of this?
So despite @RCollEM talking incessantly about 250 excess deaths per week, GIRFT data, 5 hrs, moral injury, corridor care, exit block etc , it's taken a TV programme for NHSE to realise there is a problem. And to act as if Trusts were choosing to do this rather than being forced.
Genuinely fascinated how so many seem to be shocked by #Dispatches as if they were unaware of the situation
I must live in my own bubble because I feel as if we've all been talking about overcrowding /corridor care/ GIRFT data/ exit block /no flow, etc, for a very long time
ALT Commenting on Channel 4 Dispatches Undercover A&E: NHS in crisis, Siva Anandaciva, Chief Analyst at The King’s Fund, said:
‘As tonight’s Dispatches so graphically shows, long waits for care and stretched NHS services are not just an inconvenience and waiting list statistics are not just abstract numbers. Rising pressure in NHS services and delays accessing treatment can have profound implications that, in some cases, result in tragedy.
‘The intense pressures in emergency departments are a visible symptom of a wider health and care system that has lived under constant pressure for much of the past decade. Some of the solutions to over-crowded hospitals lie in bolstering primary and community care so people can stay well without the need for urgent care, and in shoring up our ailing social care services so people can be safely discharged and cared for.’
I hope every hospital exec and manager has seen tonight’s #Dispatches and have asked themselves what they can do to support their ED staff. The investigator was moved to tears after just a couple of months of it. EM Staff are doing this long term and they are struggling.
Almost 19,000 NHS patients were left waiting in A&E for THREE DAYS over a 12-month period, according to NHS England data
The Conservatives have allowed our health service to be destroyed and we cannot allow them to do more damage
Please RT if you agree
theguardian.com/society/arti…
We are recruiting a senior specialty doctor to join our team. This post is at Tier 4, so suitable for:
🩺Post-ACCS/CT3 EM trainees wanting to step away from training.
🩺Established specialty doctors wanting a new challenge.
Application deadline 28th June jobs.nhs.uk/candidate/jobadv…
A&Es have been in crisis for years. Everyone has known this. This horrific situation, that includes avoidable death and injury, has been normalised. Staff have been left broken by working in these conditions for so long.
🚨 There are now just 3 hours left to register to vote
If 125,000 more people register by 23:59, it will be the highest number of registrations in one day
Moved, changed nationality, or changed name? Register again - 4m under-25s aren't registered
gov.uk/register-to-vote
URGENT! Pls share. The last chance to register to vote in the General Election is 11.59pm tomorrow Tue 18 June. Potentially 8m aren't registered at their current address. Here's 4 key facts...
1) You can do it online here registertovote.service.gov.u…
2) It's good for your finances. Not being on electoral roll can make it more difficult to be accepted for credit products like bank accounts or mortgages.
3) You can opt out of the 'Open Register' (which allows your info to be sold on) which will stop you getting junk mail marketing )
4) You'll need ID when you do vote (not to register) if you don't have it, you can get it free until Wed 26 June gov.uk/apply-for-photo-id-vo…
A quick scan of the party manifestos leaves me with a big worry. Nobody is prioritising fixing long waits in A&E despite this being the most urgent and consequential problem in the NHS. Also the one where action would yield the fastest benefits.
The prime minister was wrong to say that junior doctors are the only NHS workforce in dispute. SAS doctors are currently considering an offer from Government and GPs remain in dispute over the most recent contract imposed by the Government in England. #ITVdebate
Dear 🇬🇧,
When the leaders of our most trusted profession — @TheRCN — declare the state of our A&Es to be a “national emergency for patient safety”, it’s time for all politicians to wake up and deliver an urgent plan for NHS funding, beds, staff, and social care. Now.
#SOSNHS
ALT The Guardian.
“Rise in hospital ‘corridor care’ is national emergency, union warns.
By Denis Campbell and Robyn Vinter
03 March 2024 06:00 BST
Overcrowding is forcing hospitals to treat so many patients in corridors and storerooms that it constitutes a “national emergency”, the UK’s nursing union has said.
“The horror of this situation cannot be understated. It is a national emergency for patient safety.”
When Junior Doctors are on £16 an hour and MP's are on £46 an hour.
And raising the Junior Doctors pay by £4 an hour is unaffordable, even though they just raised MP's pay by £5 an hour.
It's hard not to see the lie.
RT if Junior Doctors NEED paying.
In January 2011, just 17 people waited longer than 12 hours on a trolley for an emergency hospital bed.
In January 2024, more than 50,000 people did.
Please RT so everyone can be aware of the damage the Conservatives have done to our NHS.