In a significant move aimed at improving patient care and alleviating hospital pressures, the National Health Services (NHS) has expanded its same day
emergency care services across the UK.
This has resulted in thousands more individuals receiving rapid tests and treatment, effectively avoiding overnight hospital stays.
Recent data paints a promising picture, revealing an 11 per cent increase in the number of patients discharged on the same day they were admitted as emergencies.
This advancement translates to several patients receiving urgent care within hours, subsequently freeing up beds for others in need.
Over the past year alone, an impressive 206,446 more patients have been discharged on the same day, amounting to 2,024,129 individuals in the year leading up to
January 2024, compared to 1,817,683 in the preceding year.
The successful rollout of same day emergency care to every hospital in England has played a pivotal role in easing bed congestion and reducing hospital admissions
by up to 30 per cent in certain NHS Trusts.
The Health and Social Care Secretary Steve Barclay has proposed a new £30 million fund to speed up the adoption of innovative medical technology in the NHS.
He confirmed the plan today at the Conservative Party Conference 2023 in Manchester.
Mr Barclay said that virtual wards will help healthcare professionals embrace new technology to improve patient care.
He said: "It is vital that clinicians have access to the latest technology to save staff time, deliver high-quality care and help cut waiting lists - one of the
government's top five priorities.
"This investment will see the latest tech innovations rolled out across the NHS. From virtual ward beds to wearable medical devices, patients will be better
supported, and we will ease pressures on hospitals this winter.
"We're preparing for this winter earlier than ever before including delivering thousands more hospital beds and hundreds of new ambulances."
In 2023, almost 14,000 people in England are estimated to have died due to excessive waits in emergency departments, averaging more than 260 deaths per week,
according to new figures from the Royal College of Emergency Medicine (RCEM).
The RCEM estimate is based on a large study of NHS patients published in the Emergency Medicine Journal in 2021, which found one excess death for every 72 patients
who spent eight to 12 hours in an A&E department.
Following a Freedom of Information audit of NHS trusts, the college has found that 65 per cent of people waiting 12 hours or more in A&E were patients waiting for
a hospital bed.
NHS data for England revealed that over 1.5 million patients waited 12 hours or more in major emergency departments last year. Based on the RCEM calculation, this
indicates that over a million of those patients were waiting for a bed.
Lack of staffing and increased demand from patients is mounting unsustainable pressure on the NHS, putting patient safety and care at risk, a new poll of NHS
leaders by the NHS Confederation revealed.
NHS leaders in England warned that the service has reached a "tipping point" with nearly 88 per cent saying "the demands on their organisation are unsustainable."
The survey, published ahead of the monthly performance figures for the NHS England, covered leaders across hospitals, ambulance services, mental health providers, community services, primary care and integrated care systems.
It highlighted primary care, urgent and emergency care as greatest areas of concern, with record levels of demand on A&E departments and increasing bed occupancy
rates.
Britain on Tuesday (January 4) faced warnings of an impending hospital crisis due to staff shortages caused by a wave of Omicron infections, as the country
returned to work after Christmas.
However, Britain's vaccine minister said hospitalised Covid-19 patients were showing less severe symptoms than before, adding that there was no need for further
restrictions at this stage.
Prime minister Boris Johnson resisted imposing stringent lockdown measures in England ahead of New Year as Omicron fuelled a spike in cases to record highs.
While hospitalisations are rising they have not tracked the trajectory of daily cases, possibly reflecting the impact of vaccines and booster shots, the likely lower severity of Omicron and the time lag in people going into hospital.
"At the moment, if you look at the people who have been hospitalised, they are going in with less severe conditions than before," minister for Vaccines and Public Health Maggie Throup told Sky News, adding that the "Plan B" Johnson brought in in December was working.
"The numbers that are in hospital beds is about half what it was a year ago - and that just shows the power of the vaccine."
The government has earmarked £200 million to enhance NHS resilience and expedite patient care during the upcoming winter season. This extra amount will
bolster the health service during its busiest period, while protecting elective care so we can keep cutting waiting lists, Prime Minister Rishi Sunak has said.
On August 13, the Prime Minister and Health and Social Care Secretary met with clinical leaders and NHS Chiefs to strategise and refine planning for urgent and
emergency care, while prioritising the preservation of waiting list targets for the upcoming winter season.
"Patients can be reassured that I will always back the NHS, so that those who most need help and support will get the care they need," Sunak said. "Winter is
the most challenging time for the health service, which is why we've been planning for it all year - with huge government investment to fund new ambulances, beds
and virtual wards."
"This £200 million investment, assured by the Department of Health and Social Care as new and additional funding, should aid NHS leaders in their preparations and
mitigation for what will be a seriously difficult winter period," said Matthew Taylor, Chief Executive of NHS Confederation. "The priority now is swift allocation
of funding to local systems for optimal utilisation."
There is no doubt that the pandemic has changed the way healthcare professionals work within the primary care setting. The advent of Covid-19 meant that we all
had to rapidly modify the way we supported and met the needs of patients, some of whom saw the services they usually took for granted, virtually cease overnight.
There are around 15 million people in England living with long-term health conditions including asthma. These people have the greatest healthcare needs of the whole
population with 50 per cent of all GP appointments and 70 per cent of all bed days taken by this cohort of patients, and their treatment and care absorbing 70 per
cent of acute and primary care budgets in England.
This situation isn't going to improve any time soon. In the past, most people had a single condition, today multi-morbidity is becoming the norm. At the start of the
pandemic, the Royal College of General Practice and British Medical Association issued guidance to practices on prioritising workload. This included the importance
of maintaining long-term condition reviews in asthma, COPD and diabetes, along with appropriate transition of at-risk warfarin patients. These reviews were deemed as
essential workstreams for patients considered to be at high risk.
Traditionally, the unique skills set of a pharmacist has meant that we have played a major role in supporting these patients. I work with a team of over 90 clinical
pharmacists who, in partnership with individual practices, PCNs, CCGs and STPs, help with the long-term management of people with chronic conditions. But the onset
of Covid-19 meant that we now had to plug a potential gap in service provision, and quickly.
If you are one of the unlucky few who require serious knee surgery, you will likely want to do everything possible to ensure a successful recovery. Knee
surgeries can be difficult and frustrating, but with the right attitude and approach, you can make the process much easier on yourself. In this blog post, we will
discuss six tips for recovering from serious knee surgery. Follow these tips and you will be on your way to a successful recovery!
1) FOLLOW YOUR DOCTOR'S ORDERS
This may seem like an obvious tip, but it is important to follow your doctor's orders after knee surgery. Your doctor knows what is best for you and your recovery,
so make sure to listen to their advice. Also, you can find useful information on the St Vincent's Private Hospitals website regarding your specific type of surgery.
It is important to get well informed about your surgery so that you can be prepared for the recovery process. For example, if you are having a partial knee
replacement, you will want to know what activities you should avoid during your recovery. Or, if you are having a full knee replacement, you will want to know what
kind of rehabilitation exercises you should be doing.
2) GET PLENTY OF REST
Your body needs time to heal after surgery, so make sure to get plenty of rest. This doesn't mean that you have to stay in bed all day, but you should avoid any
strenuous activity. Take naps when you feel tired and give your body the time it needs to recover.
Erection problems are common conditions that can affect adult men of any age. General awareness about erection problems has grown in recent years, and men's
partners and society at-large generally view it as a common condition. Indeed, 75% of men and their partners agree that they are a normal part of life for a man.
But despite progress to normalise the condition, the research points to the fact that men still feel responsible for erection problems.
The survey's key findings underscore the multi-faceted social pressure men feel to perform socially, professionally, emotionally, and sexually. 90% of men feel
expected to provide financial support, 80%+ feel they should be in control of their feelings, and 92% think it is expected of them to perform in bed.
Despite erection problems being commonplace, expectations about sexual performance complicate the situation and make a major impact on the lives of those it affects.
When men are confronted with erection problems, 60% expressed feeling disappointed. This disappointment, combined with the difficulty that 1 in 3 men have spoken
about it, has a strong impact on well-being. 36% of men feel their mental health has been impacted by erection problems and leads to a feeling of guilt, and 74% of
men feel responsible for difficulties in achieving or maintaining an erection.
Frontline doctors have sounded the alarm over the rising pressure on emergency departments in hospitals across the country as winter virus cases
are "creeping up".
An average of 234 people were in hospital with flu every day last week, a 53 per cent increase compared to the week before, according to new NHS data.
Hospital norovirus cases increased by 15 per cent last week, with an average 406 people hospitalised each day, a 28 per cent increase from the same week last year.
Measures to stop the spread of norovirus to other patients led to the closure of an average of 92 beds were closed each day last week.
Healthcare staff across England are facing increasing winter pressures amid junior doctor's strikes, as thousands of hospital beds are being occupied by
patients with flu, norovirus and Covid-19.
The number of flu patients in hospital has increased by almost two thirds in a week, according to the latest weekly update from the National health Service (NHS).
New NHS figures published on Thursday showed an average of 648 patients were hospitalised with flu per day this week before the industrial action, up from 402
last week. This lasts number is four times the figure reported at the end of last month (160 per in the week ending 26 November).
England is set to reopen temporary field hospitals to contain a possible overspill of inpatients due to a surge in coronavirus cases, the national health service said Thursday.
Fuelled by the highly contagious Omicron variant, daily cases have ballooned, standing at more than 183,000 on Wednesday.
NHS England said it would start building the structures in the grounds of eight hospitals in cities including London, Bristol and Leeds from this week, with each
designed to house around 100 extra patients.
"Given the high level of Covid-19 infections and increasing hospital admissions, the NHS is now on a war footing," National medical director Stephen Powis said.
The extra beds are designed for patients who are recovering from illnesses, including those who no longer have Covid, to free up space and staff to treat large numbers of virus cases.