Thread by @drokane

The NHS acute emergency care is failing spectacularly and unless you are within the 4 walls of the ED you will not know this unless it is you who needs our care.

If you or those you love have sepsis meningitis a fracture a stroke a heart attack, pneumonia your care and treatment will be delayed significantly. It will get worse as the cause has not been fixed.

For those who will die due to this, this is manslaughter. This is how it is. You have been made aware. We can do no more. What we need to do will take time and we have none left.

The hospital is full. No beds. This has meant that we cannot get patients out of ED to safe areas. ED is just crowds of people lying on trolleys, sitting on chairs and standing around and we are tying to get through the crowds to see them get tests done. More keep arriving

There is no privacy we see and examine people on the chair or trolley. We try to see the sickest. Those who need urgent treatments wait hours or days. It is a shambles. But 100 m away you wouldn't know a thing was wrong.

So there are no alarms or sirens but it has never been like this and you need to act or accept this care which will soon become so unworkable to be basically loss of acute care. Serious life threatening Accidents and trauma will just have to join the very long queue.

The only way to get space is to discharge patients many of whom are just waiting for social care. But there is no social care as council funds limited, no carers as poor pay and brexit and better jobs elsewhere. We could put beds in sports halls or hotels but still need carers.

This needs a government solution but they have done nothing substantial now for years. The whole situation feels deliberate.

Lastly for those who feel comfort as they have bupa it doesn't cover acute care. They will tell you to phone 999.

For clarity patients generally come in via the ED and after processing by ED docs if need review are referred to medical or surgical teams who decide to admit some to wards. About 50 of these beds have patients who do not need to be in hospital but we have nowhere else for them.

Thanks to those who made this. Just need to add the healthcare worker being insulted by the usual squad.