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I must say I have been dismayed by the reaction to my posting which was intended to inspire others. I stand by the factual accuracy of what I said. Although it is clearly reasonable to disagree with a posting, the nature of some of the follow on has not been suitably measured for the list in my opinion. WEST is Winter Emergency Services Team or similar. Sorry Danny, but these guys have effected a massive change in how our hospital is run. Dismiss them if you wish but I think they are our friends! Unlike CHI, they appear to instruct trusts on what they must do by when. I think they report to/take orders from the top and certainly arrived here last December well briefed, and with the power to force change. Trolley waits of over 12 h have practitcally disappeared and the ED is almost empty every morning. Clearly there is lots to do but the change has been dramatic which is why I posted it. Hopefully delaying ambulance handovers will be consigned to history shortly too. John, we have to delay handover rather than overfill because we are in a temporary department with no corridor - when we are full, we are full. There are sound reasons for not overfilling anyway of course thouigh it does cause problems in the community. Steve --- John PASKINS <[log in to unmask]> wrote: > I am not so sure that this should be a private chat. > I was a it suprised that > an A/E department was holding up the 999 service. I > would like to hear more. > What is WEST? > > JP > > >>> A S Lockey 03/07/02 09:33am >>> > Maybe this INDIVIDUAL discussion should be conducted > away from a GENERAL > discussion arena? Matt - I suggest you go and talk > to Steve directly with > regards to your concerns. This would be far more > appropriate than airing > them for all to "hear". > > -----Original Message----- > From: Accident and Emergency Academic List > [mailto:[log in to unmask]]On Behalf Of matt > baskerville > Sent: 07 March 2002 07:11 > To: [log in to unmask] > Subject: Re: trolley waits > > Steve, > I appriciate what you are saying about > the fact that things are > getting better at RUH but the fact of the matter > that delays at RUH and > patients been kept waiting on the ambulance trolleys > in the a/e department > NOT on the back of the ambulances as the locum from > sussex said ties up the > ambulance at RUH therefore reducing the number of > ambulances avalable in > wiltshire and seeing that there is only one > ambulance say in chippenham at > night and that is at RUH waiting to unloaded and the > nearest ambulance is in > swindon 25 mins down the M4 doesnt help the person > having a MI in > chippenham. > Hospitals such as PMH SDH do not overfill that i am > aware of to avoid > delaying ambulances. RUH coveres a wide catchment > area and has alot of > patients to deal with i just think that even waiting > for a hour on a > ambulance trolley from the patients point of view is > unaceptable. > Dont want to sound like im moaning but patient care > seems to getting > forgotten in light of all these goverment response > times,waiting times etc > etc > Matt __________________________________________________ Do You Yahoo!? Try FREE Yahoo! Mail - the world's greatest free email! http://mail.yahoo.com/