Intéressantes comparaisons. Alain _____
From: Accident and Emergency Academic List [mailto:[email protected]] On Behalf Of Salim Kadhim Shubber Sent: 14 janvier 2009 17:39 To: [email protected] Subject: Re: Bed shortage Hi, It is certainly reassuring that we in the South East Coast are not on our own with this problem! We appear to have gone back to the pre-2003 with patients on trolleys for more than 8-10 hours or even 12 hours. . We have seen this for the first time "a complete standstill of patients, patients on ambulances trolleys waiting a long time to be unloaded onto a trolley. NO beds for the patients on trolleys to go to. Our total numbers year on year are up marginally in keeping with previous years (3-4%) The numbers of ambulance delivered patients was up during the recent freeze but this is only part of the difficulty in my view. This has been happening on & off for at least two months. I understand from our ambulance colleagues that their activity has been up, but it does not help when they are all pitched up in the department. I wonder as this appears to be a national phenenomen, if the recent government initiative of 18 week target by Dec 2008, may have aggravated the worse than usual winter pressures. I too would be interested to hear from any one who does not mind sharing their CDU protocol offline([email protected]) I wonder if units with CDU have been immuned from the current difficulties as described or has any one developed an system of pit-stopping/rapid assessment of these patients to prevent undue delay and untoward incidents. Best wishes Salim Shubber Eastbourne On Tue, 13 Jan 2009 22:17:52 -0000 "Crane, Steven" wrote: > Hi, > > it's the same here in York. > > We've gone from just about doing OK in 2007 to being >more or less > completely screwed during 2008 and now in this quarter. > > We've seen a 20% rise in admissions to the hospital >during December, > coupled with problems getting people out of the >hospital, ward closures > due to infection control issues and a small but >important rise in > overall attendance. Add to that our 25% reduction in >junior doctors > numbers (we cannot fill non-training posts) - we >currently have 6 middle > grades and 6 SHO level docs - and we're really up >against it. We are > currently doing 92% (which isn't that bad in the >circumstances), but I'm > sure an external visit is on the horizon. > > We too could do with a CDU. I've been asking for years. >Maybe we might > get one soon. > > In the meantime I'll keep taking the tablets! > > Steve > > ________________________________ > >From: Accident and Emergency Academic List > [mailto:[email protected]] On Behalf Of JULIAN >HUMPHREY > Sent: 13 January 2009 21:06 > To: [email protected] > Subject: Re: Bed shortage > > > Same problem at Barnsley. The medical admissions unit >has siezed up > recently! Turnround team iminent. > > Maybe it's a South Yorkshire thing? > > BTW Has anyone got an outline business case for a CDU I >could use. > > If so please contact me off forum at >[email protected] > > Thanks, > > Julian > > > ________________________________ > >From: "McCormick Simon Dr, Consultant, A&E" > > To: [email protected] > Sent: Tuesday, 13 January, 2009 1:09:08 PM > Subject: Re: Bed shortage > > > > Matthew, > > > > You are not the only one! > > > > Our Trust has been on Red/Amber Bed Alert since late >October and this > has had a significant impact on the ED (particularly as >manifested by > our performance against the Four Hour Standard). In >fact we our just > starting a two day visit by external consultants, paid >for by the PCT, > to look in to what is happening to Emergency Care. > > > > We watch our figures very closely and although our >attendances were much > the same during October and November we did see a rise >in December of > about 5% on last year. Our admissions rate isn't up >that much but the > really increase in admissions seems to have come via the >GPs. Also, > there is clearly a problem getting people home again. > > > > Because of the bed problems we are suffering the problem >of 'boarding' > in the ED and all the impact that has on the department. > We have > started collecting the number of minutes of boarded >patients we have > each day to show how much work we (mostly nurses) are >doing on patients > who should already have been admitted (we allow the >hospital 30 minutes > to find a bed and then we start counting). > > > > Simon > > > > > > ________________________________ > >From: Accident and Emergency Academic List > [mailto:[email protected]] On Behalf Of Dunn >Matthew Dr. (RJC) > A & E - SwarkHosp-TR > Sent: 13 January 2009 12:08 > To: [email protected] > Subject: Bed shortage > > > > I'd be surprised if we're unique here, but we seem to >have had a bit of > a shortage of beds this winter. Before I checked the >figures I > attributed this to the cold snap, the flu prevelance >(and the post flu > pneumonia which we'd seen quite a lot of) and a couple >of other things > going around including norovirus. Oddly, when I checked >our figures > though, not only are A and E attendances not up, but >emergency > admissions are down slightly on last year (although >elective admissions > are up). Anyone else in a similar situation? > > Matt Dunn > > ________________________________ > > Did you know South Warwickshire General Hospitals NHS >Trust is applying > to > become an NHS Foundation Trust? You can find out more >about our > application > and/or apply for Membership at > http://www.warwickhospital.nhs.uk/foundationtrust/default.aspx > or by calling our Foundation Trust Office on free phone >0800 085 2471. > > This email has been scanned for viruses by NAI GS6, >however we are > unable to > accept responsibility for any damage caused by the >contents. > The opinions expressed in this email represent the views >of the sender, > not > South Warwickshire General Hospitals NHS Trust unless >explicity stated. > If you have received this email in error please notify >the sender. > The information contained in this email may be subject >to public > disclosure > under the NHS Code of Openness or the Freedom of >Information Act 2000. > Unless the information is legally exempt from >disclosure, the > confidentiality of this e-mail and your reply cannot be >guaranteed. >
