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A&E in crisis

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By (user no longer on site) OP   
over a year ago

It may well be, but everyone who works in our A&E departments deserve a medal, they are amazing.

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By *reelove1969Couple
over a year ago

bristol

i think the root of the problem here is people using a&e who should actually be sat in a walk in centre or a gp surgery

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By (user no longer on site)
over a year ago

Not all of them, my brother works in A&E and he's a right cunt most of the time

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By (user no longer on site) OP   
over a year ago

Or a care home packing a vulnerable old man with dementia together with all of his belongings onto an ambulance on the pre-text of a fake black out because they don't want to keep him. I kid you not

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By (user no longer on site)
over a year ago


"i think the root of the problem here is people using a&e who should actually be sat in a walk in centre or a gp surgery"

I agree with you, but when your really poorly and your Dr doesn't have appointments for a week maybe 2 then where do you turn to?

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By (user no longer on site)
over a year ago


"Or a care home packing a vulnerable old man with dementia together with all of his belongings onto an ambulance on the pre-text of a fake black out because they don't want to keep him. I kid you not "

111 can also be blamed for piling pressure on

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By *icketysplitsWoman
over a year ago

Way over Yonder, that's where I'm bound

The crisis hasn't happened by accident and the issue is that it's not a health service crisis but a health and social care crisis.

Walk-In Centres have gone.

GPs are being blamed for earning a lot and not being open enough when the fact is that we have a shortage of GPs. Those that are operating are still human and have lives. It's not realistic to assume that a GP practice can be open 24/7. There are GP practices offering to help A&E departments by acting as walk-ins to relieve local pressure.

The other end is bed-blocking as discharge is slow as where people need social (not health) care there is nowhere to send them. Care packages are cut to the bone.

Then there are the people who have mental ill-health and end up in A&E because there is nowhere else for them.

Then there at the people who abuse the A&E system.

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By *oodmessMan
over a year ago

yumsville

Last time I was in A&E the guy bandaging up my foot thought I couldn't see him when he walked off.

I asked him why he'd taken so long - I was sat there a decent 30+ minutes easily. He said he couldn't find the right dressings - when I said to him, didn't the 4 of your mates know when you were talking to them? He nearly fell off his chair and said something like he had to make sure he had the right ones.

He put a melamine plaster on it, then tried finding a brochure about minor accident for another few minutes when leaving.. I told him there are probably people waiting to see him.

They probably do work very hard, and the hours they do too, probably means they have to pace themselves, but, whilst some are in it for love - others are no doubt in it for the pay I'd say.

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By (user no longer on site)
over a year ago

so isn't the fact that they get paid enough then.

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By *icketysplitsWoman
over a year ago

Way over Yonder, that's where I'm bound


"so isn't the fact that they get paid enough then."

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

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By (user no longer on site)
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

"

Yes I gathered that, doesn't mean they deserve a medal though does it?

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By (user no longer on site)
over a year ago

too many people for too little hospital places, I see your point. vote Ukip right?

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By (user no longer on site)
over a year ago


"too many people for too little hospital places, I see your point. vote Ukip right?"

I never thought of that well done you.

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By *icketysplitsWoman
over a year ago

Way over Yonder, that's where I'm bound


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?"

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

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By *HaRiFMan
over a year ago

Beyond the shadows.


"too many people for too little hospital places, I see your point. vote Ukip right?"

Don't know about that, they are a party with 1 policy and nothing else. If they enforce that 1 policy, there will be even less GP's and less staff in the hospitals.

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By *reelove1969Couple
over a year ago

bristol


"i think the root of the problem here is people using a&e who should actually be sat in a walk in centre or a gp surgery

I agree with you, but when your really poorly and your Dr doesn't have appointments for a week maybe 2 then where do you turn to? "

walk in centre ?

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By (user no longer on site)
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

"

Yes he said they deserve a medal.

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By (user no longer on site)
over a year ago


"Or a care home packing a vulnerable old man with dementia together with all of his belongings onto an ambulance on the pre-text of a fake black out because they don't want to keep him. I kid you not "

Does that happen as often as pubs and night clubs packing off their young d*unks to A&E via ambulance or police van or their mate's car to get stitched or patched up?

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By (user no longer on site) OP   
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal."

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give.

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By (user no longer on site)
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give."

I worked in A&E for 6 months as part of my training (SGH, Hilda!) and I seriously would not do it again no matter how much you paid me. Very few staff stay in A&E for very long - the burnout rate is ridiculously high. I would suggest that all hospitals have a separate receiving area for drink/drug related emergency admissions.

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By (user no longer on site)
over a year ago


"Or a care home packing a vulnerable old man with dementia together with all of his belongings onto an ambulance on the pre-text of a fake black out because they don't want to keep him. I kid you not

Does that happen as often as pubs and night clubs packing off their young d*unks to A&E via ambulance or police van or their mate's car to get stitched or patched up?"

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By (user no longer on site)
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give."

More fool them, get a better paid job.

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By (user no longer on site) OP   
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal."

Is there a particular point you want to make Hilda?

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By *icketysplitsWoman
over a year ago

Way over Yonder, that's where I'm bound


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give.

More fool them, get a better paid job."

Then we're all fucked if no one is there as they have got better paid jobs.

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By (user no longer on site) OP   
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give.

More fool them, get a better paid job."

The people I encountered today were totally professional, caring, considerate and utterly brilliant. They were working hard, they had loads of patients but not one person moaned or did anything but show huge compassion for their patients. I admire them hugely.

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By *onbons_xxMan
over a year ago

Bolton

Bloody hell...it's weird how posts no matter how well intentioned become something that I'm sure most don't see coming

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By *ittle_brat_evie!!Woman
over a year ago

evesham


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

Is there a particular point you want to make Hilda?"

Soldiers get paints do their job yet we are continually told we must put them on a pedestool for it. They know the job they are going into and the risks it carries. Same argument from you?

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By *ittle_brat_evie!!Woman
over a year ago

evesham

*paid to do their job grrrr

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By (user no longer on site)
over a year ago

do u mean ADAM & EVE?lol

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By (user no longer on site)
over a year ago

The quick actions of the A&E dept saved me from dying at 14

Unsung heros.

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By *ittle_brat_evie!!Woman
over a year ago

evesham

As with all jobs you get stars and you get slackers and all levels in between. It is a high pressure job, no doubt about that and few of us would want to do it.

It's true that some people abuse the service for minor ailments that are neither accidents or emergencies and that puts a lot of strain on the already over worked staff.

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By *uby0000Woman
over a year ago

hertfordshire

the doctors and nurses were great when I was in hospital recently I wouldn't be here today if it wasn't for them

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By *at69driveMan
over a year ago

Hertford


"It may well be, but everyone who works in our A&E departments deserve a medal, they are amazing."
. They do an excellent job. However I think that the whole NHS system needs a complete overhaul. We should consider charging for some of the visits which people make and have a more through screening service for those who turn up but do not have any serious illness. I.e People using A & E instead of their GP. They should be turned away.

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By *ike4362ukMan
over a year ago

Cheshunt

It's really a bit of a 'perfect storm' built up by circumstances and the policies of this and the previous governments.

The new GP contracts were brought in for good reasons (lack of new GPs in training), but led to the demise of decent out of hour support. The NHS helplines didn't really compensate for this.

The walk in centres are good but there are far too few of them. Similarly for the minor injury units.

The ambulance services have been starved of funds and are hopelessly overstretched. A guy that I know is involved with the East of England ambulances. The number of crews on any particular shift is shocking, especially for the specialist crews. Typically there are only 4 fast response / specialist rescue cars covering the area from Northampton to Great Yarmouth / M25 to Lincoln. He's had calls to attend house fires in Great Yarmouth when he has been in Cambridge. Their managers are generally a bunch of self protecting arseholes that will happily dump the crews in the shit when things hit the newspapers, despite half of those being due to management decisions.

There is a particularly nasty flu bug floating around this winter. I've been hit for two weeks, not totally clear, but back to work tomorrow. It's not been well publicised, but I know of a huge number of people that have been hit, and that many friends have said that they know of other cases. Whilst this isn't a problem for the general population, for the elderly this has produced a massive influx to A&E and then a bed blocking problem as they take ages to recover.

The management have produced a target culture. As said above, when things aren't busy there is a culture to delay looking at people to make things look busier than they are, rather than the more professional and dealing with patients asap. That culture needs to be stomped on. It's totally unprofessional.

My solution?

Keep the GPs as they are (though I would like to know why there are massive different services across the country. I have no problems in getting a same day appointment).

Stop walk ins to A&E. They have a job, let them do it! Have a walk in centre that triages incoming casualties. Have d*unk/drug tanks to cover the silly overnight silliness. Put clinical professionals in there with the authority to kick the arses to minimise waste and promote hygiene.

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By *hyblueEyesMan
over a year ago

Daventry


"i think the root of the problem here is people using a&e who should actually be sat in a walk in centre or a gp surgery"

It is exactly that. To give you an example I was on duty last weekend and of the 9 emergency calls we attended only 1 of them was a genuine emergency requiring a blue light run. 3 people we rang the out of hours doctor for them and 2 of them we transported in the back of the FRV to A&E as they were insistent that's where they needed to go (one of them had a cough and probably needed some antibiotics)

The other problem is the bed blocking. Something like 20% of the beds here are filled with people who are well enough to go home, but aren't physically capable of looking after themselves (mainly the elderly). Because there is a big shortage of care packages and care staff they can't be discharged as there is nobody to help them and that adds to the queues as people can't be moved from A&E to a ward

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By *nnyMan
over a year ago

Glasgow

Like Mike (above) I seldom have difficulty getting a same day appointment. If that can't happen I'll certainly get a phone call or even a visit.

It seems to me that some surgeries are overloading their lists (cos it generates income). That's OK until there's a problem like a bad winter or an outbreak of a community illness. Then primary care gets blocked and people who still need quick help take themselves off to A&E.

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By (user no longer on site)
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give.

More fool them, get a better paid job."

Wow let's hope you never need emergency treatment from me or my colleagues when we all bugger off for better wages then! Some people get a job and others have a calling, and in a lot of cases emergency workers and health care professionals DO deserve medals because more often than not they go above and beyond the call of duty purely for the love of the job and the patients they care for

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By (user no longer on site) OP   
over a year ago


"so isn't the fact that they get paid enough then.

It doesn't matter what you get paid if there is one of something and 100 people all want it at the same time.

Yes I gathered that, doesn't mean they deserve a medal though does it?

Ah, you're not talking about the crisis, just the OP stating they do a grand job. I didn't notice any medals.

Yes he said they deserve a medal.

They do, yes, they get paid, but in the grand scheme of things nowhere near enough relative to the value they give.

More fool them, get a better paid job.

Wow let's hope you never need emergency treatment from me or my colleagues when we all bugger off for better wages then! Some people get a job and others have a calling, and in a lot of cases emergency workers and health care professionals DO deserve medals because more often than not they go above and beyond the call of duty purely for the love of the job and the patients they care for "

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By (user no longer on site)
over a year ago

No medals needed, as some have said, it was our choice to choose, the profession, it is at the end of the day, just another job. It's extremely frustrating,at the moment,the NHS, is in crisis, there's simply not enough beds, 3 winter pressure wards have been opened at our hospital, and there's still not enough beds!these beds are full of frail and elderly patients, waiting in a queue, for social input.Bed managers are screaming for beds, and it's not uncommon, to have to step a patient down at 0.2.00 in the morning, because the bed is needed for another "more poorly"patient!don't think I've ever known it so bad, if I'm honest. I love my job! But at the moment its very hard to smile sweetly!

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By (user no longer on site)
over a year ago


"It may well be, but everyone who works in our A&E departments deserve a medal, they are amazing."
n thank you . But 111 has made a huge impact on the system as well as the ambulance service...great for patients horrible for the nhs,,

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By (user no longer on site)
over a year ago


"No medals needed, as some have said, it was our choice to choose, the profession, it is at the end of the day, just another job. It's extremely frustrating,at the moment,the NHS, is in crisis, there's simply not enough beds, 3 winter pressure wards have been opened at our hospital, and there's still not enough beds!these beds are full of frail and elderly patients, waiting in a queue, for social input.Bed managers are screaming for beds, and it's not uncommon, to have to step a patient down at 0.2.00 in the morning, because the bed is needed for another "more poorly"patient!don't think I've ever known it so bad, if I'm honest. I love my job! But at the moment its very hard to smile sweetly! "
.

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By (user no longer on site)
over a year ago

I have to say that while I totally agree with the sentiment regarding the hard work our A&E staff are doing, and how inundated they are, I can't help but agree with those that have been saying that a lot of people have been misusing the service for more trivial matters.

In fact I know this is true, because my ex used to be the same. The slightest thing, rather than wait til morning and phone the GP, nope, up to A&E.

Give the poor staff a break, the clue is in the name of the place

ACCIDENT & EMERGENCY.

Not, oh and a bit of a cough.

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By *eforfuncplCouple
over a year ago

Morecambe


"Not all of them, my brother works in A&E and he's a right cunt most of the time "

So funny x

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By *ust RachelTV/TS
over a year ago

Horsham

I have spent more than most people in A&E, I have nothing but the up most respect for the nurses and of course doctors who work their. You can't blame them for not seeing to patients in a time limit, if someone comes in withwith a higher priority injury than you, it is only right you might wait a bit longer.

Why can't we get rid of some of the penpushers, they are more than likely paid more than a few members of staff together.

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By (user no longer on site)
over a year ago


"It may well be, but everyone who works in our A&E departments deserve a medal, they are amazing.n thank you . But 111 has made a huge impact on the system as well as the ambulance service...great for patients horrible for the nhs,,"

Yeah the patients think the service is great when an ambulance arrives for a head cold !

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