Thread by @PandaScottish

[thread] NHS Nightingale is an achievement

Converting an existing building and repurposing it in layout, infrastructure, processes and capability is an achievement to planning & execution thereof

But ... it has to be capable of fulfilling its purpose

independent.co.uk/news/health/co…

"Up to 3,800 staff were needed for the initial creation of the hospital, although The Independent has been told only around a third of that number had been recruited and trained. NHS England refused to provide any staffing details, but denies there are shortages."

It is the "refused to provide any staffing details"

Who ordered that refusal?

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

Insiders at varying levels in the hospital, who have spoken on condition of anonymity, also criticise the “political spin” & portrayal of the Nightingale which they say has given a “false perception” of what it is like, with social media posts doing “more harm than good”.

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

“The PR has not helped. When people see TikToks and things like that I can understand why they ask questions. The impression people seem to have gained is that we are fully staffed and have plenty of equipment. But we are not immune to the challenges of every other hospital,”

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

"admitted its 1st patient on 7/4 & in the weeks since then has had approximately 30-35 patients at any one time. It discharged its 1st patient on 19/4 , before that several patients werer transferred back to London hospitals because they became sicker than could be safely managed

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

“It’s pretty well acknowledged that staffing is the issue. Not many people have been able to get released from their trusts. There is no shortage of people who want to send patients to the Nightingale."

"Everyone here knows some hospitals around London are on their knees, but unless you have staff you can’t expand the capacity. That is the limiting factor.”

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

If Nightingale was to take more patients, this would mean poorer staffing levels: “If it did expand, the idea would be to stretch staff ratios from 1 nurse to 6 patients, 1 junior dr to 6 patients and 1 consultant for 42 beds. Thank goodness we haven’t had to do that.”

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

“The question is what do we do with the Nightingale now? Will we have a second surge? There is talk of it being used as a stepdown facility and rehabilitation service but it would need to be redesigned. "

"It’s a big massive space and in order for people to rehab properly you need quiet, day and night cycles and specific spaces. We would have to make some pretty significant changes.”

"In handling any crisis, it is absolutely crucial to retain credibility. Giving false reassurance is the worst thing one can do.... almost as bad as outright lying is holding information so closely that people think officials know more than they say."

ncbi.nlm.nih.gov/books/NBK22148/

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