It's time to admit this is a national emergency and act accordingly.
The #NHS has never sustained these demands. And they are only increasing.
The UK government has no insight into the problem and it seems they have neither the skills nor the fortitude for such crises.
1/n
The #NHS has never sustained these demands. And they are only increasing.
The UK government has no insight into the problem and it seems they have neither the skills nor the fortitude for such crises.
1/n
We have:
1. NHS pre-winter bed capacity beyond 95% - #NHS
2. The highest demand for primary care services ever recorded
3. An NHS staffing crisis
4. An unmitigated pandemic - #COVID19
5. An absent government
1. NHS pre-winter bed capacity beyond 95% - #NHS
2. The highest demand for primary care services ever recorded
3. An NHS staffing crisis
4. An unmitigated pandemic - #COVID19
5. An absent government
It is dangerous to run a hospital above 85% capacity. When space is tight in a hospital, risk increases.
Risk occurs as we must try and avoid admissions and expedite discharges. @NHSProviders
Risk occurs as we must try and avoid admissions and expedite discharges. @NHSProviders
In Scotland the Health Minister @HumzaYousaf has activated military health personnel to support NHS Lothian and NHS Borders. While the 'optics' may not be good, both the Health Boards and the Minister have (IMO) taken ACTION to safeguard their people.
gov.scot/news/increasin…
gov.scot/news/increasin…
The state in the rest of the UK is just as bad/worse:
https://twitter.com/doctor_oxford/status/1449361355983790084?s=20
Unfortunately current Leadership in the UK have in the recent past been slow on the uptake, failing to act quickly or decisively enough.
In the UK we currently have less beds than before the pandemic begun.
In part, this is due to ignoring The WHO guidance to: "increase basic healthcare capacity".
[One of the only countries in the world not to create more beds during the pandemic]
In part, this is due to ignoring The WHO guidance to: "increase basic healthcare capacity".
[One of the only countries in the world not to create more beds during the pandemic]
At last calculation NHS England was at 98% bed capacity!
https://twitter.com/TigressEllie/status/1449325575827492865?s=20
And due to some BAD central decisions it got even worse:
[Thread here, but in summary, Government decided not to support GPs and directed patients to non-clinical services instead]
[Thread here, but in summary, Government decided not to support GPs and directed patients to non-clinical services instead]
https://twitter.com/danielgoyal/status/1448971087581224985?s=20
The pandemic is becoming more out of hand, with deaths, admissions and cases all way too high and rising.
At current rates it will more than triple the annual loss of life and healthcare burden that we usually get from pneumonia (already one of the heaviest burden diseases):
While for the vast majority COVID is mild and causes no long-term effects, it is more serious than the flu, and at these levels, simply overwhelming!
If you need convincing of this, you can read this thread:
If you need convincing of this, you can read this thread:
https://twitter.com/danielgoyal/status/1448971087581224985?s=20
We still have no public health mitigations (in England) and limited elsewhere.
HAVE WE LEARNED AND ARE WE NOW PREPARED?
HAVE WE LEARNED AND ARE WE NOW PREPARED?
https://twitter.com/dgurdasani1/status/1448748100563177473?s=20
And crucially for treating Covid patients, we still have:
No Triage
No Follow-up
Less beds than before Covid.
...During a pandemic!
No Triage
No Follow-up
Less beds than before Covid.
...During a pandemic!
We need to act!
The UK government have yet to demonstrate the insight or acumen to manage either the pandemic or #NHSCrisis
They are consistently too late to act, and when they do, their focus seems to be on other matters.
The UK government have yet to demonstrate the insight or acumen to manage either the pandemic or #NHSCrisis
They are consistently too late to act, and when they do, their focus seems to be on other matters.
Leadership,
While the government need not be legally accountable for the policies they pursue (even if they lead to harm), we remain accountable for the actions we take.
Our duty is not to government nor organisation, but to the patient and wider public.
While the government need not be legally accountable for the policies they pursue (even if they lead to harm), we remain accountable for the actions we take.
Our duty is not to government nor organisation, but to the patient and wider public.
The government's drive to start clearing waiting lists over the winter is absolute fantasy and dangerous.
In regards to patient safety (IMO), resources must be directed to the frontline: primary care and frontline secondary care services
In regards to patient safety (IMO), resources must be directed to the frontline: primary care and frontline secondary care services
1. Expand acute care/general medicine capacity. Field hospitals if necessary, military if needed.
2. Redeploy
3. There has to be a functioning COVID-19 clinical care pathway.
4. Free market rules apply - pay what is necessary to recruit.
5. Look after the staff
2. Redeploy
3. There has to be a functioning COVID-19 clinical care pathway.
4. Free market rules apply - pay what is necessary to recruit.
5. Look after the staff
It's time to bring the forces of the NHS to bear..
The NHS has one of the largest workforces on the planet and we are used to managing care under pressure.
Due to central policies, last time many of the public had to face COVID-19 alone...maybe not this time?
The NHS has one of the largest workforces on the planet and we are used to managing care under pressure.
Due to central policies, last time many of the public had to face COVID-19 alone...maybe not this time?
We didn't get our response to the first crisis right. Perhaps without central interference, we can this time.
END.
Additional info - clinical lessons from the pandemic:
END.
Additional info - clinical lessons from the pandemic:
https://twitter.com/danielgoyal/status/1448703669692739592?s=20
Here is the thread relating to flu versus Covid.
https://twitter.com/danielgoyal/status/1446955691651043329
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