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Beauty Sirikarn
Dołączył: 24 Lut 2021 Posty: 30 Skąd: USA
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Wysłany: Pią Kwi 16, 2021 9:33 am Temat postu: 12-hour A&E waits on rise in England |
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More than 100,000 patients spent at least 12 hours in A&E departments in England last year, data seen by the BBC's 5 live Investigates shows.
The figures from the Health and Social Care Information Centre (HSCIC) also show the number of people waiting that long has been rising.
There were 124,000 such events (1% of attendances) in the first 10 months of 2015 against 68,000 in all of 2013.
NHS England said the proportion of extended waits was extremely small.
However, it added that even one 12-hour wait by a patient was too many.
The NHS target is for 95% of patients to be discharged, transferred or admitted into hospital for treatment within four hours. All nations currently report performance against this target publically but England is the only nation which does not report 12-hour waits from arrival in A&E.
Dr Adrian Boyle, chair of the Quality Emergency Care Committee at the Royal College of Emergency Medicine (RCEM), said: "It's not just about tedious waits for patients.
"Studies have repeatedly shown that there is an increased mortality in people who spend a long time in emergency departments, so crowding kills patients."
The data includes all patients still in A&E after 12 hours but does not say why they were there so long.
Dr Boyle said: "These are almost always people who need admission to hospital, so these are the most vulnerable and the most seriously ill patients."
The nations measure long waits in different ways. Scotland, Wales and Northern Ireland start the clock from when the patient arrives, whereas the NHS in England does not.
England's published data on 12-hour waits counts the time spent in A&E from the point at which a doctor decides a patient should be admitted - so this figure does not include time spent in casualty prior to a decision being taken, or those patients who are discharged or treated in the casualty department.
Dr Boyle said: "The effect of that is there is a big discrepancy in the figures for how long someone actually spends in an emergency department and breaches of the 12-hour standard.
"NHS England needs to report 12-hour breaches from the moment a patient arrives in A&E."
As a result, trusts in England reported 1,282 breaches of the 12-hour decision to admit standard to the end of November 2015 - compared with the 124,000 occasions provisional HSCIC data shows up to the end of October for the same year.
NHS England said: "The focus in England is the four-hour standard to admit, transfer or discharge, and this applies to all attendances at A&E."
Although there are some differences in definitions, the new figures on 12-hour waits for England mean data is now available for all four UK nations for the first time. สล็อตออนไลน์
NHS England said: "In terms of comparing NHS England with the NHS in other areas of the UK, we have different standards and different monitoring of such standards. Any comparison, therefore, needs to be approached with caution." _________________ Beauty Sirikarn |
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