Patienten verstopfen die Notaufnahme mit Schluckauf, Halsschmerzen und Beschwerden
https://www.bbc.co.uk/news/articles/c74xqn2zg1eo
Von Tartan_Samurai
Patienten verstopfen die Notaufnahme mit Schluckauf, Halsschmerzen und Beschwerden
https://www.bbc.co.uk/news/articles/c74xqn2zg1eo
Von Tartan_Samurai
15 Kommentare
As it always has been due to (a) people being undereducated and (b) a lack of access to other, more appropriate services like GPs.
This is not news as it’s been a constant thing since I first started nursing in A&E 30 years ago.
Spent all night in there tonight with a blocked stoma. Thankfully it sorted itself out once I saw the on-call surgeon, but that’s 9 hours with a pretty severe gastric blockage. The amount of people in there with coughs, grazes, and other incredibly minor things is astounding
And then there is me who kind of probably broke my toe a month ago and decided not to go.
I honestly can’t fathom how a person reaches adulthood in this country and thinks going to A&E with a sore throat is reasonable.
Will happen if practice’s SOP is fobbing people off with the tried and tested ‘unfortunately the earliest one of our GPs can see you is next week…if it becomes worse, please go A&E’.
They well know people aren’t gonna wait a fkn fortnight, with a crook wrist or knee, to see a GP for meds when those (with adequate advice) can be sought through Accident and Emergency.
So…it cuts down on the number of appointments those doctors have to deal with.
2% of visits. Let’s not pretend that this is the reason A&Es don’t function. Struggles with capacity signal a problem in the process and our primary care system is on its knees. I can’t attend a minor injury unit or GP emergency appointment without waiting on the phone for hours and then be told I have an appointment tomorrow (or Monday if it happens to be weekend).
Not only that, the way our services are designed and named make knowing right place, right time, right person extremely difficult. The NHS is very bad at consistent naming conventions and wayfinding.
Most areas would benefit from a walkin centre for less severe things. I remember when my mum was taken to A&E from her care home a few years ago. She was waiting on a trolly to be seen while in front of her was a guy in his early 20s with a cut to his head. He did it playing football but decided to go out drinking for several hours first before coming to A&E. There was another girl in her pyjamas a similar scenario but the injury was from the night before. Both walkins with no severe symptoms so could have just been patched up by any medic. In some areas you’ll also hardly here English spoken as they use that instead of a doctor’s.
Lucky down my way they have 3 urgent care centre’s
They can deal with everything up to broken bones and stitches.
Had my hand stitched after a run in with some barb wire about a year back one person in front of me.
Now AE? Took my elderly mother after a fall 2 weeks back took 10 hours to find the issue.
People checking in with urine infections, “cold feet”
Sue me but minor things like this should be refused to be treated in a&e.
I remember when I was about to be sent home with a „niggle“ it was a DVT and three blood clots in my lungs. Come on now.
I visited A&E recently with a couple of broken toes. While I was sat there (10am) it was incredibly full and the wait time was 3 hours to be seen.
A chap to my right had fallen from his bike and grazed his knee (he thought it could get infected). A lady to my left had been bit by her cat (she said she read cats can leave their teeth in people when biting them) and a girl in front of me had „pulled a muscle“ in her leg.
I suppose in all these cases they didn’t need A&E treatment, just triaging towards their GP but instead took up 3 seats and sat there for 3 hours.
I’m fairly sure if there was a nurse on front desk it would be far better, who can actually see what the issue is and act accordingly.
The NHS’s 111 line will frequently advise you to go to A&E for things that definitely aren’t „life-threatening“.
There are lots of complaints that are grey areas where the person themselves isn’t qualified to know if it’s „life-threatening“ or not, and they happen outside of GP hours.
In fairness, my gran had AWFUL niggles for almost two years, nearly killed her.
Went to Salibury A and E, with sever stomach pain, wasn’t put in A and E I was put into triage, a nurse put a canula into the back of my hand all the while talking and turning round so canula was moving in my hand. I sat and waited over 10 hours, and I signed myself out in the end. Found out a couple of months later that I had a stomach ulcer that was causing all my pain. It was a distressing visit, and I now use Bath RUH instead. Bath us so much better than Salisbury, Salisbury us like a war zone.
This would nit be the case if:
1. GPs we’re open on weekends and evenings. Many people can’t afford to take time off work to attend an appointment.
2. GPs had not shifted to making people use online portals to book appointments etc. Many people are dyslexic, tech illiterate, lack Internet access or can’t remember their log in details etc. This leads to many people just going to A&E because it is simpler.
3. People were taught more about basic illnesses and disease symptoms and therefore knew what they could ask for at the pharmacy instead.
4. Doctors listened to their patients. Many a time I’ve been in incredible pain due to my chronic health issue and GPs don’t really understand it and Many gynecologist don’t either and give bad advice or ignore what I tell them I have tried /researched and want to try. Resulting in me thinking if I went to A&E everytime I was in too much pain maybe they would take me more seriously.
5. Waiting times for operations / seeing a specialist where not so long. I’ve been waiting 24months to have a operation. And a few time I’ve wondered if I went to A&E frequently maybe they would prioritise my operation sooner.
The last few times I have had to go to A&E its clear that there are quite a few people who are using it instead of a GP.
My local hospital has put in place changes that mean you get to see a doctor very quickly which is great. But that is just for an initial assessment. You then end up back in the queue that is clogged up with people who have no need to be there.
The last time I was in the girl sat next to me was chatting on her phone to someone. She was complaining that she had been there for hours and was saying she had a sore throat and headache and all she wanted was some paracetamol and to go home.