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Lancashire A&E department Closing Due to "Staffing Issues"

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by NursingNotes.
Lancashire A&E department Closing Due to

Chorley Hospital’s A&E department is set to close on Monday due to ongoing issues recruiting staff to work in the department. 

Staff working at the hospital were informed this afternoon that from Monday the A&E department at Chorley will be downgraded to an Urgent Care Centre - meaning they can only treat minor injuries and illness, but life-threatening emergencies will be diverted elsewhere.

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According to the Lancashire Evening Post, news of the closure has been met with anger from staff, locals and health unions - many blame ongoing government funding cut to the health service as a whole. Further blame could lie with the government crackdown on agency fees.

A Hospitals Trust spokesman said: “It is not possible to staff the rotas after 18 April, and there are no other safe options for delivering care – so the emergency department at Chorley will be temporarily replaced by an urgent care service until the staffing crisis is resolved.

The NHS Trust confirmed that although steps were taken to prevent the closure, no public consultation has taken place.

RELATED: 90% OF NHS TRUSTS STILL USING 'OFF-FRAMEWORK' AGENCIES.

“The urgent care service will be provided at the urgent care centre, at Chorley & South Ribble Hospital.

“The service will be provided by a combination of emergency department consultants, nurse practitioners, GPs, nurses and healthcare assistants.

“The vast majority of people who currently attend the emergency department at Chorley have conditions that can be treated safely and appropriately by an urgent care centre.

“Additionally from Monday 999 ambulances will take patients to Royal Preston Hospital or other nearest appropriate hospital rather than Chorley, and patients who attend Chorley themselves, but who need to be admitted, or need specialist services will be transferred to Preston for assessment.”

UNISON Branch Secretary Pete Smith said: “This is a sad and worrying day for people in Chorley. The down-grading of the A&E department is not due to any reduction in the needs of the local community. It is a consequence of decisions taken by the Conservative Government to starve the NHS of adequate resources.

“For years the share of national income spent on our NHS has been falling. This has resulted in increasing pressures on staff – and now the recruitment problems are so bad that the A&E can no longer function.

“Jeremy Hunt should come to Chorley to see how his Government’s underinvestment is in danger of wrecking our NHS.”

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‘Red bags’ will get patients home from hospital quicker

Innovative ‘red bags’ will help community patients admitted to hospital be discharged quicker are being rolled out across the country.

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by Matt Bodell.
‘Red bags’ will get patients home from hospital quicker

The ‘Hospital Transfer Pathway’ or ‘Red Bag’ helps provide a prompt, safe and efficient transfer of care.

Innovative ‘red bags’ will help community patients admitted to hospital be discharged quicker are being rolled out across the country.

Red bags will contain contains a copy of their personal information, past medical history, a supply of medicines and a change of clothes for when they are ready to be discharged.

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The simple initiative started three years ago in Sutton, South West London, and now all areas of the country are being urged to adopt the scheme with a toolkit launched today to help.

As well as giving reassurance to patients, the red bags will provide hospital staff with quick, up-to-date information and medication requirements for the patient, avoiding unnecessary phone calls.

The personal touch makes a big difference.

Professor Stephen Powis, NHS England National Medical Director, said: “This is an example of where a joined up approach is helping to improve patient care and speed up a stay in hospital for all the right reasons. Sometimes it’s the personal touch that makes a big difference to patients, especially if they’re elderly, and the red bag helps people feel reassured and more at home. Doing more of the obvious is key to improving all our experiences of care.”

Caroline Dinenage, Minister for Care at the Department of Health and Social Care, said: “This scheme is an excellent example of the NHS and social care system working together to improve care and support for vulnerable older patients. Not only is this more efficient – saving valuable resources – but it’s a much better experience for patients leaving hospital when their treatment has finished.

“It’s encouraging to see this scheme being rolled out across the country as we move towards our ambition of joined up care that is centred around the individual.”

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Patients waiting more than 18 weeks for planned operations hits ten year high

We are seeing the highest figures since August 2008 when the number of people waiting more than 18 weeks stood at 520,564.

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by Chloe Dawson.
Patients waiting more than 18 weeks for planned operations hits ten year high

The amount of patients waiting more than 18 weeks for planned surgery has hit a ten year high.

Patients waiting for planned operations are paying the price for seeing the NHS through one of the worst winters in recent memory, warns the Royal College of Nursing, as waiting lists hit half a million.

Waiting lists are on the rise following the decision at the beginning of January to delay tens of thousands of operations as the health and social care system struggled to cope with the pressures of a colder than average winter.

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According to the latest figures, in April this year 500,068 people had been waiting more than 18 weeks for planned operations, an increase of more than 30 per cent (382,000) on the same time last year.

This is the highest figure since August 2008 when the number of people waiting more than 18 weeks stood at 520,564.

'A worrying upward trend'.

The April figure marks a worrying upward trend since January 2018, when the waiting list stood at 392,000.

The latest April figures also show the number of patients waiting more than a year has increased 83.8 per cent since the same period last year, from 1,568 to 2,882. This represents a 637 per cent increase from the same period in 2013.

Janet Davies, Chief Executive and General Secretary of the Royal College of Nursing, said: “Cancelling non-urgent care may have helped the NHS fight though one of the worst winters in recent memory, but patients in need of elective surgery should not have to pay the price for chronic staff shortages and years of underfunding.

“Half a million people have waited more than 18 weeks for planned care, the highest figure in ten years. And the number waiting more than a year is approaching 3,000. That is truly shameful. For these people, the Prime Minister’s promise of more NHS funding cannot come soon enough.

“But more funding is only half the battle. Addressing the 40,000 nurse vacancies in England alone is not just a question of money, but requires long term workforce planning and a determined focus on improving recruitment and retention.”

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Patients will suffer as NHS deficit spirals out of control

NHSI blamed acute hospitals for the overspend due to an increased patient demand.

Published on

by Chloe Dawson.
Patients will suffer as NHS deficit spirals out of control

NHS trusts in England have reported a combined financial deficit of nearly twice the amount planned.

The figures, released by NHS Improvement, showed a system under systematic strain and an NHS deficit of £960m in the last financial year - nearly double what the organisation had planned for.

NHS Improvement pointed out that 156 of the 234 trusts finished the year either reaching or exceeding their financial targets and said that acute hospitals were responsible for the overspend due to an increased patient demand. It added that other NHS organisations including ambulance services and mental health trusts had collectively underspent.

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During January, February and March alone, there were 1.1 million people who attended A&E who needed to be admitted for treatment – 70,000 more than the same period last year.

Heavily reliance on temporary workers.

The Royal College of Nursing has said that the chronic staffing shortage is partly to blame for the overspend with high vacancy rates and a heavy reliance on expensive temporary workers.

Offical figures show the sector is faced with 92,694 staffing vacancies - including 35,794 nursing vacancies and 9,982 medical vacancies.

Janet Davies, Chief Executive and General Secretary of the Royal College of Nursing, said: “These figures reveal both sides of the same coin – a cash-starved NHS forced to run without enough staff to treat people safely. For as long as hospitals remain £1 billion in the red, patients will pay a heavy price.

“The number of nurses missing from England’s NHS remains stubbornly high – hospitals cannot afford to recruit and inadequate numbers are being trained too.

“Theresa May and Philip Hammond cannot allow this financial knife-edge to continue. Whether the Chancellor announces the extra funding in time for the NHS anniversary this summer or waits until the Autumn Budget, it must be both substantial and genuinely new money. It would not be enough just to wipe these deficits – health and care budgets must be boosted to reflect genuine demand. Anything less exposes patients to unacceptable risks and leaves care increasingly unsafe.”

'Incredible resilience'

Ian Dalton, Chief executive of NHS Improvement, said: "Despite epic challenges, NHS staff up and down the country displayed incredible resilience and saw more patients than ever before within four hours.

"More than two-thirds of providers ended the year on budget or better than planned. Given rising demand and record vacancies, this is an important achievement."

Chris Hopson, Chief executive of NHS Providers claims a 5% annual increase in NHS funding is needed to maintain the same levels of care seen in Europe.

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