Later this week, thousands of NHS staff will start getting dismissal letters because they haven't had a Covid jab. But with chronic workforce shortages, there are real fears for #patientsafety. Now @thesundaytimes has learned hospitals may be allowed to break the rules 🧵1/5
In some areas, like maternity, there are real worries that dismissing unvaccinated staff could leave services unsafe and breaching existing regulations on safety. Trusts have been told to inform the watchdog @CareQualityComm if that's the case, but what happens then? 2/5
Now the CQC has made clear its view to @thesundaytimes - the new rules on unvaccinated staff do not supersede existing safety regulations - so if NHS bosses decide after a risk assessment that its more unsafe to dismiss unvaccinated staff, the regulator won't take action. 3/5
But how do you balance one competing law with another? @TotterdellJac says hospital CEOs are being put between "a rock and a hard place" and warns in maternity for example, she can't ask babies to wait a few months if her trust struggles to maintain safety 4/5
Full story in @thesundaytimes: Unvaccinated NHS staff could remain on NHS wards amid wider patient safety fears: 5/5 thetimes.co.uk/article/bc203c…

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More from @ShaunLintern

Jan 4
Great Western Hospital declares a critical incident this morning. Good to see transparent announcement from @Kevin_McNamara1 here:
Also confirmed: @BlackpoolHosp has declared a critical incident due to high demand, staff absences and "rapidly rising rates of Covid-19" leading to increased admissions #livingwithcovid
NEW: @UHP_NHS has today declared a critical incident. Message to staff warns of 15 ambulances waiting and no space in A&E and 475 Covid staff absences. Full details:
Read 6 tweets
Jan 1
Exclusive: A wave of staff absences is crippling some NHS services. @thesundaytimes reveals details of 40 hour waits in A&E, operations delayed and ambulance services on the brink with 50k staff off due to Covid: thetimes.co.uk/article/115e41…
On Friday NHS Emgland released absence data up to Dec 26 but the latest stats shared with @thesundaytimes shows Covid-related absences reached 40,325 on Dec 31, an increase of 62% in 5 days. This included 19,143 nurses and midwives and 2,120 doctors.
At Lewisham Hospital in southeast London on Wednesday half of the unit’s nurses were off sick, prompting the trust to close some cubicles and redeploy staff from other parts of the hospital to keep patients safe. It has also cancelled less urgent operations.
Read 12 tweets
Dec 30, 2021
I'm told Covid patient numbers in hospital in England will jump by another 1,000 when the data is updated later, off the back of a 1,000 rise yday. This will mean roughly 11,300 Covid patients in hospital - numbers last seen at the end of February.
There we have it - 11,452 in English hospitals, up 4,338 in a week. Image
London the out and out clear hotbed of infection but the Midlands and North West coming up behind (major deja vu there) and all other regions on the rise Image
Read 4 tweets
Dec 18, 2021
Exc: NHS put on a "war footing" ahead of Omicron with thousands of Covid patients to be treated in their own homes. @NHSEngland chief medic reveals plan to deploy 20k reservists and boost ICU bed capacity by 10%
thetimes.co.uk/article/covid-…
Read all the details in tomorrows @thesundaytimes #TomorrowsPapersToday Image
"We expect 20% of NHS staff in London may be absent by Christmas Day...we are likely to see the same effect outside London later" - @NHSEnglandNMD tells @thesundaytimes Image
Read 6 tweets
Dec 18, 2021
Ministers have been warned that delaying action to tackle Omicron until after Christmas could make large numbers of hospital admissions and deaths inevitable: thetimes.co.uk/article/omicro…
It's very unusual for Sage to release papers on a Saturday afternoon - we can speculate as to why - my own speculation would be that scientists want this out in the public domain so ministers have to "own" whatever they do next.
In its latest minutes Sage says "it is almost certain" there are now hundreds of thousands of new
Omicron infections per day - and hospital numbers maybe "one tenth of the true number" due to lag in data
Read 5 tweets
Oct 13, 2021
Hospitals trigger emergency measures as patients wait 13 hours in ambulances independent.co.uk/news/health/nh…
.@gloshospitals declared an incident on Sept 19 which lasted for 16 days sue to a sustained increase in patient demand. @RoyalFreeNHS Barnet Hospital declared an incident on Monday and @NorthMidNHS saw over 200 patients crowding in its A&E on Monday afternoon
The situation in the Midlands is "dreadful" according to a leaked briefing to @OFFICIALWMAS staff - equivalent of 100 shifts was lost on Monday this week due to delays at A&E units:
Read 4 tweets

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