Forty-hour ambulance waits as NHS delays worsen
More than 10,000 ambulances a week are caught in queues of at least an hour outside accident-and-emergency units in England, a BBC News analysis shows.
When finally admitted, to the Royal Cornwall Hospital, which has apologised for her care, she had surgery.Both ambulance response times and A&E waits have hit their worst levels on record in all parts of the UK in recent months. Alongside Cornwall, parts of Gloucestershire, Lincolnshire, Somerset and Bristol have the longest waits, Freedom of Information requests by the Liberal Democrats have revealed.This is meant to happen within 15 minutes of arrival - but, as the BBC News analysis shows, regularly takes longer.
Government and local health chiefs' attempts to tackle the problems were "not really making a dent" in the delays, she said, and the system was facing gridlock. Having fallen at home, in August, she had been left in "excruciating pain" lying on the floor overnight, her daughter said. Unions have cited the problems facing the emergency-care system as one of the factors motivating members to strike.
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Factors influencing conveyance of older adults with minor head injury by paramedics to the emergency department: a multiple methods study - BMC Emergency MedicineBackground Head injury (HI) in older adults due to low-energy falls result in a substantial number of emergency department (ED) attendances. However, mortality associated with minor HI is very low. Reducing conveyance to hospital is important for older adults and is a priority for the National Health Service (NHS). Therefore, paramedics are required to make accurate decisions regarding conveyance to the ED. This study used routine data and semi-structured interviews to explore the factors that influence paramedic decision-making when considering whether to convey an adult aged 65 years and over with a minor HI to the ED. Methods Semi-structured telephone interviews were completed with ten UK paramedics from a single EMS (ambulance) provider organisation. Interviews explored the factors influencing the paramedics’ conveyance decision-making in adults aged 65 years and over with a minor HI. Data were initially analysed inductively to develop a thematic framework. A retrospective analysis of ambulance service data was also completed to determine the scope and scale of the issue in Southwest England. An in-depth audit of 100 conveyed patient records was used to determine the proportion of patients conveyed to the ED who met National Institute for Health and Care Excellence (NICE) and Joint Royal Colleges Ambulance Liaison Committee (JRCALC) guidelines. Results In 2019 South Western Ambulance Service NHS Foundation Trust (SWASFT) attended 15,650 emergency calls to patients aged 65 and over with minor HI, with 70.5% conveyed to ED. 81% of conveyed patients met NICE and JRCALC guideline criteria for conveyance, with the remainder conveyed due to wound care or other medical concerns. The framework developed from the interviews comprised four themes: resources; patient factors; consequences; paramedic factors. Important factors included: the patient’s social situation; guidelines; clinical support availability; the history and presentation of the patient; risk. Conclusion Th
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Scots mum whose tot developed worrying rash waits 90 minutes on NHS 24 callStephanie, who waited a further two hours to be seen in the busy hospital, said she would have attended A&E sooner if she knew the NHS call back would have taken as long.
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