Rationing by waiting, and insufficient staff. Wales is worst…

Full to capacity means stressful working conditions, delayed diagnosis, Surgeons having to do other work just to keep the hospitals going, and higher risk of cross infections. Waiting lists are increasing, but more so in Wales.. To cap it all there is a record undercapacity in nurses as reported in the Health Service Journal

Nick Servini for BBC Wales reports 19th Jan 2017: Welsh NHS patients still waiting longer than in England (Figures for Scotland here)

Waiting times in the Welsh NHS continue to lag behind the health service in England in most key categories for treatment and diagnosis, according to the latest statistics.

Directly comparable figures show the biggest gap was in the wait for hip operations, up by a fifth in 2015-16.

The average wait for hip operations in England was 76 days while in Wales it was 226 days.

But waiting times in Wales for heart by-pass surgery fell significantly.

In 2014-15 the average wait in Wales was 111 days. It fell to 43 days in 2015-16.

Overall, there were significantly longer waits in Wales in seven out of the 11 main indicators measured in Wales compared to the same indicators measured in England…..

Kat Lay describes the waiting times in A&E in The Times 20th Jan 2017: Hospitals’ beds full as ambulances are turned away

Twice as many hospitals turned ambulances away last week as they did in the same week last year, new figures show.

Health bosses warned the public that they should not add to pressures on the health service by going to A&E or their GP when suffering from the flu or norovirus and asked people to “do their bit” to check on vulnerable relatives and neighbours.

Hospital beds are essentially full, at 95.8 per cent, up from 94.8 per cent the week before and higher than in 2016. High levels of bed occupancy can disrupt the smooth flow of patients through treatment…., said: “Those who get infected with norovirus will usually make a full recovery within one to two days. However, it is important to drink plenty of fluids to prevent dehydration, especially in the very young or elderly. Good hygiene is essential to preventing infection, this includes thorough hand washing after using the toilet and before eating or preparing foods.”

Health chiefs also warned that the expected severe cold weather over the next few days could be dangerous and pose a health risk to vulnerable patients and people suffering chronic diseases.

Dr Thomas Waite, of the extreme events team at Public Health England, said: “The cold weather is forecast to continue for several more days, and in periods of cold people with long term health conditions, very young children and older people are at greatest risk of ill health….

HSJ:19 January, 2017 By

Revealed: The hospitals with the worst nurse staffing

Almost every NHS acute hospital in England is failing to meet its own nurse staffing targets, an investigation by HSJ has revealed.

Image result for niurse shortage cartoon


This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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