A Deepening Crisis

This winter is already far worse than last winter, says RCEM President

The latest data from The Royal College of Emergency Medicine’s Winter Flow Project 2021/22 show that since the beginning of October 2021 there have been 56,096 patients delayed by 12 hours or more from time of arrival in Emergency Departments.

In comparison, last year’s Winter Flow Project 2020/21 didn’t record over 50,000 12 hour stays from time of arrival in Emergency Departments until February Week 3.

Data also show that in December 2021 Week 2, four-hour performance fell to 56.3%, the lowest ever recorded.

Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “The data show a deepening crisis. We’ve now reached 50,000 12-hour delays, a figure we didn’t reach until February last winter.

 “It is hard to communicate the enormous strain NHS staff are under and how deeply the pressures affect patient care. The latest Winter Flow Project report details some of the harrowing conditions patients find themselves in and conditions in which staff are delivering care. This winter is already far worse than last winter, with the coming weeks set to take us deeper into crisis.

“Trusts are already doing all they can, opening every last bed where safely possible. The government must ensure adequate support is given to social care, as difficulties in discharging patients following their treatment has knock-on effects throughout the system and causes exit block in Emergency Departments, ambulances handover delays, and prevents ambulance crews from returning to the community and responding to emergencies.

“The public must be cautious and sensible over the Christmas period and take care of themselves and those around them. Using facemasks, washing hands, avoiding spending long periods of time in very crowded places, getting tested if you develop Covid symptoms, and getting boosted – all these practices will make a real difference in the coming weeks.”

Hospitality prayers answered: UK Government doubles Covid support funding … maybe?

The UK Government last night doubled the amount of additional funding available for the governments in Scotland, Wales and Northern Ireland to tackle Covid – but First Minister Nicola Sturgeon is querying the Treasury’s announcement. 

The Treasury says this means the Devolved Administrations can now spend an additional £860 million, increased from the initial £430 million announced earlier last week.

Chancellor Rishi Sunak confirmed the increased funding following discussions with the Devolved Administrations. This will continue to ensure the Devolved Administrations can take the Covid precautions they feel are necessary to keep people safe.

The additional amounts now being provided to each government on top of their Autumn Budget 2021 funding (my italics – Ed.) are:

  • Scottish Government – £440 million
  • Welsh Government – £270 million
  • Northern Ireland Executive – £150 million

These amounts will continue to be kept under review.

These are additional amounts on top of the combined £77.6 billion confirmed for this year at the Autumn Budget 2021. It means that the Devolved Administrations have the certainty they requested to spend additional funding now rather than waiting for Supplementary Estimates in the new year.

Chancellor Rishi Sunak said: “Following discussions with the Devolved Administrations, we are now doubling the additional funding available.

“We will continue to listen to and work with the Devolved Administrations in the face of this serious health crisis to ensure we’re getting the booster to people all over the UK and that people in Scotland, Wales and Northern Ireland are supported.”

However First Minister Nicola Sturgeon continued to query the additional funding in a series of tweets last night.

The First Minister tweeted: “: “Before we get spin on ‘doubling’, the £220m announced last week was NOT new or additional (it was actually £48m less than we had been expecting). Seeking confirmation if this new £220m is additional (tho if so £48m will just make up last w/k loss) & if it has to be repaid to the extent it is new/additional, @scotgov will make sure it goes in full to helping business and the overall Covid effort.”

She added in another tweet: “As infections soar and businesses suffer, we still need much more urgency in action/support from UK Gov – so that devolved gov hands not tied. To that end, it was disappointing and frustrating that neither the PM nor the Chancellor attended this evening’s COBRA.