The crisis engulfing the NHS is getting worse - in July 40k patients delayed in ambulances outside A&E were harmed — enough to fill the O2 Arena in London twice over.
On average, every day in July the equivalent of the entire London Ambulance Service and South Coast Ambulance Service response to 999 calls was lost due to paramedics stuck outside overcrowded A&Es - 4,916 hours lost every day. 2/9
Since the start of May, about 7,400 more people have died of non-Covid reasons than would be expected. The increase has been highest in southwest England, where ambulance delays are also the worst handover delays of any region. 3/9
During July there were record levels of life-threatening 999 calls...but the slowest answering times on record. 47k people waited longer than 4 minutes for their 999 call to be answered...and eternity in a real emergency 4/9
"It would be reasonable to assume the long delays that patients are subjected to waiting for ambulances at the moment will filter through into excess mortality" says @RCEM_VP 5/9
In recent months Coroners have been highlighting deaths as a result of A&E delays. Michael Wysockyj, 66, Bina Patel, 56, Kenneth Shadbolt, 94; David Patric, 73; Jacqueline Hulbert, 78: the list of patients who have died in the past year waiting hours for help goes on 6/9
But transparency over coroner deaths is lacking - The Sunday Times has learned publication of 'prevention of future death' reports has been quietly suspended by @MoJGovUK since May. A new website is blamed but publication is not expected to start til later in the autumn 7/9
The NHS is planning to beef up 999 & 111 staff + open extra beds this winter. But @RCEM_VP says plans so far are “underwhelming”. He said the NHS had for years failed to plan for winter: “It’s a predictable event, & it shouldn’t take us by surprise every single year" 8/9
Racist abuse and harassment was widespread within @NHSBT “not just at the front line but also at management level” documents reveal 🧵1/n thetimes.co.uk/article/9884d8…
Today The Sunday Times reveals the details of @MelissaTherms tribunal claims against @NHSBT and its former CEO and Chair who she recorded having an allegedly racist conversation in which the chair said she should be "isolated and left to sink" 2/n
The chief exec Betsy Bassis resigned earlier this month but we now know she and chair Millie Banerjee were investigated last year. Banerjee resigned from SWLondon ICS this week after being approached by The Sunday Times 3/n
NEW: 999 callers for suspected heart attacks or stroke in West Midlands are now being told it could be several hours before an ambulance reaches them. @OFFICIALWMAS lost 2,300 hours of ambulance time outside hospitals on Monday with 700 emergency calls waiting at one point 1/2
Director Jeremy Brown told staff in a briefing this week: "It is heartbreaking that we need to take this step, but when investigating serious incidents it has become clear that families involved in these delayed responses have asked us why we didn’t share this information" 2/2
🚨 New data on ambulance handovers at hospital shows 4k people suffered severe harm because of delays outside A&E in June, up from 3.2k in May. A total of 34k people experienced potential harm, says @AACE_org report
All of England's ambulance services now at REAP level 4 - equivalent to 'black alert' - amid heatwave pressures and massive delays outside hospitals. Data I've seen suggests some trusts have only a handful of crews to respond to hundreds of waiting incidents. #nhsummercrisis2
"The ship's sinking" was the message to surgeons at @nottmhospitals on Friday where a senior clinician told staff they had 65 patients waiting for emergency surgery. If this was from a single incident "then we would be declaring a major incident" the clinical director said.
@nottmhospitals Messages I've seen show the trust has already declared winter pressures level of demand with staff told of “widespread closure” of elective surgery lists for July.
Its real worry to have electives being cancelled now at a time the NHS traditionally tries to get on top of things
The most detailed analysis yet of NHS waiting lists in @thesundaytimes warns they could triple to 14.3m by 2030, triggering a “population health crisis” 1/8 thetimes.co.uk/article/b324cb…
A new study examined data on 130 procedures in the NHS and estimated the hidden need due to Covid. Up to 3.3m people need an elective procedure but have yet to be identified due to the pandemic. 53% of the waiting list are working age the researchers say 2/8
Without a substantial increase in NHS capacity, the team behind the work say the total figure for those waiting for surgery in England could rise to 14.6 million by 2030. Eliminating this would need a 50% increase in NHS activity 3/8
Exclusive: An epilepsy drug that caused disabilities in thousands of babies, after being prescribed to pregnant women without warnings, could pose a risk to second and even third generation children, @MHRAgovuk has said. 🧵 1/8 thetimes.co.uk/article/epilep…
As part of a new inquiry into sodium valproate, the UK medicines regulator has said the drug could pose a "transgenerational risk" because of genetic changes. It could also be affecting male sperm and fertility as well as women's eggs. 2/8 thetimes.co.uk/article/fcfdc1…
Dave and Yvette Tout, from Exeter, fear their 3 yr old grandson Zach is showing similar traits to their son Andrew, now 33, who was diagnosed with disabilities caused by valproate aged 7. Yvette took the drug after being told it was safe 3/8 thetimes.co.uk/article/fcfdc1…
@FRSAMatthew says a growing capacity gap is a major problem for the NHS. He says: "Whatever the attempts to obfuscate the reasons are clear, the combination of impact of Covid, austerity and the long term failure to address the social determinants of health." #NHSConfedExpo
"As always happens in times of crisis, those who have never really supported the core principles of our health service see an opportunity. Day in day out, we are seeing concerted attacks on the NHS from parts of the media, think tanks and from politicians" #NHSConfedExpo