The NHS needs MORE CAPACITY!

NOW!

At the start of the pandemic The UK Government reduced NHS bed capacity. The further into Winter we get the more catastrophic this failure/decision becomes.

There is still time...

1/5

Make Some Noise!
RT pls

#YourNHSNeedsYou
#COVID19
2/5
The math is quite easy:

Going into the Winter we normally have 15% bed capacity available. We currently have 5%.

6% of beds taken up by COVID-19 patients
+
4% of beds cut at the start of the pandemic (was 8%)

That is the 10% loss. Or a 70% reduction in bed availability.
3/5
Almost every other country in the world increased basic care capacity..

It was one of the first things the World Health Organisation advised.

More people to treat = more capacity to treat them.
4/5
So now we have let loose a pathogen that is currently killing three times the number of people pneumonia and flu does combined, and have not provided anywhere for them to be treated.

And now COVID must take up the very limited space for other conditions...so everyone loses!
5/5
I mean, there is a list of catastrophic failures, but surely this has to be near the top.

Failing to provide the resources to treat patients with Covid while pursuing a herd immunity strategy is the height of recklessness.

It must end now!
Fund the NHS frontline!
END

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More from @danielgoyal

31 Oct
The NHS response to the Pandemic.

The public have a right to feel ABANDONED...
...in many ways they were.

But give me a moment to convince you: it was NOT the NHS that abandoned the public...it was our Leadership who abandoned us all.

[RT pls - people need to know].
1/10
2/10
All but the most suggestible would agree: the UK have sh*t the bed with COVID-19. A series of colossal and deadly failures led to the highest mortality rate in Europe,... Image
3/10
..one of the worst economic declines in the world, and a devastating effect on non-COVID diseases. Image
Read 18 tweets
28 Oct
Why didn't you follow the WHO guidelines and increase basic healthcare capacity?...Why leave us with less beds to deal with more patients?

And why, after 20 months, do we still have less beds than before the pandemic?

[Counts as one question!..my tweet, my rules 😉]
@IanMaher7 @trishgreenhalgh @dgurdasani1 @DrSimonHodes @DrAmirKhanGP @DrSelvarajah @chrischirp @Kit_Yates_Maths @martinmckee @alisonleary1 @Katynurse27 @TigressEllie So far, in this entirely uncontrolled biased sample, and assuming we permit democracy to rule..
Why didn't we follow sage advice sept; increase hospital capacity; listen to other nations/WHO, and why CMO is not independent..
Keep them coming...repetition allowed, as is venting...
Read 4 tweets
27 Oct
To those that use the NHS,

You will have no doubt heard about the pressures on the NHS just now. It is true, we are worried. We have begun this Winter under considerable strain - more than usual. And, I won't lie, we expect things to get worse.
1/15
#NHS
We have little capacity - both emotional or beds. We are short staffed, and on top of all this we have a pandemic to deal with.
I understand you too may be running out of capacity... to face even more calamity after a calamitous 20 months. You too must be worried.
2/15
Firstly, can I say, we are still here. We get up in the morning (or night) and come to work. We donn our PPE, roll up our sleeves and face the avalanche of patients, requests, relatives, battle-hardened colleagues, and a pathogen that we have lost many colleagues to.
3/15
Read 19 tweets
26 Oct
The government's £6bn NHS investment for waiting lists is...

...too little,
...too late,
and raises further concerns about the priorities of this government.

theguardian.com/society/2021/o…
Firstly, don't be fooled. Investment into waiting lists are unavoidable. The restricted access during the pandemic mean a catch-up initiative was always going to be needed.

The first question: would more decisive leadership have led to less restriction to care and less backlog?
The second: how much have the years of underinvestment in the NHS worsened the problem?

The waiting lists have been growing massively under this government prior to COVID.

[source BBC - chart is over 10 years]
Read 16 tweets
24 Oct
Summary thread (for me too).

Clinical care for COVID-19 in the UK: shortcomings and lessons to be learned.

+

My view on what next...
Here, I summarise the threads I have written over the last couple of months.

It will tell part of the story of the UK's national response from a clinical perspective.

I have attached the previous threads only for those who wish more detail.
There are several critical failures in the clinical pandemic response, including:
1. The Herd Immunity Strategy
2. Reducing basic healthcare capacity
3. Bypassing primary care triage for non-clinical Covid triage
4. No Covid follow-up service
Read 23 tweets
22 Oct
The truth about the GP crisis...from a non-GP doctor.

I share this with you for 3 reasons:

1. To highlight the source (and fault) of the current GP crisis.

2. Because the primary care crisis is at a critical point and can be salvaged.

3. Public support matters.
We go back to March 2020, when all the health service staff were preparing for the arrival of this new, unknown pathogen. We were all nervous.

Those who expected to be right in the thick of it were:

Primary care - GPs, DN's, receptionists, etc
A&E (+ paramedics)
Medicine
ICU
For those who don't know, the typical pathway begins with the GP or Practice Nurse..

they assess, then either test and send home with advice, or send to A&E for further assessment...

if deemed 'unwell', they are admitted to medics.

That is what we were preparing for.
Read 20 tweets

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