-----quote-----
1. Unqualified receptionists carried out initial checks on patients arriving
at the accident and emergency department
2. Heart monitors were turned off in the emergency assessment unit because
nurses did not know how to use them
3. There were not enough nurses to provide proper care
4. The trust's management board did not routinely discuss the quality of
care
5. Patients were "dumped" into a ward near A&E without nursing care so the
four-hour A&E waiting time could be met
6. There was often no experienced surgeon in the hospital during the night
-----end quote -----
By no means unique to Staffs. Items 3-6 seem almost normal currently
3. ...or if there are enough they are not doing so (3 out of 4 last
discharges locally arrived home with pressure sores)
4. There is an almost complete absence of clinical outcome data recorded by
the NHS, with the exception of cardiology and oncology. I would love to know
who was getting good results for say knee replacement, but if I can't find
out as a GP "informed" consent and "choice" is meaningless. It's a totally
wasted driver for quality, improvement and value.
5. Admitting to avoid breach of 4 hour rule seems endemic, pretty much all 1
day stay PBR admission billing is tantamount to fraud IMO.
6. In some district general hospitals proximal to here an with an open A&E
dept it is backed by a hospital with no acute surgery, no paed ITU, no 24
hour cardiac cath lab, no 24 hour brain scan, no eye cas, and the shortest
transfer to the above is 30+ minutes if you are lucky.
If the hospital trust was doing 4. they would surely consider that 6. was
likely to be resulting in unnecessary deaths caused by the minimum 1 hour
delay introduced by going to the DGH before onward referral.
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