The Scottish government must heed the ‘alarms bells’ as new A&E data suggests another very challenging winter ahead.
That’s the call from The Royal College of Emergency Medicine (RCEM) Scotland as new data for Emergency Department performance in August reveals it was the worst August since records began in 2011, for patients experiencing extremely long waits.
The figures released yesterday (Tuesday 1 October) by Public Health Scotland, show that the number of patients waiting 12 hours or more in August was higher than in any January or February from 2012 to 2022, despite it being a month in summer when Emergency Department performance tends to improve.
More than a third of people (34.2%) waited over four hours, more than one in 10 (11.3%) waited eight hours or longer, while 4.65% of patients waited over 12 hours in a Scottish ED.
The data shows long waits have increased significantly since the 2010’s.
Since August 2017, for example, the numbers waiting four hours or more has increased by six times (6,743 to 39,096), eight hours or more by 37 times (347 to 12,954), and 12 hours or more by 127 times (42 to 5,312). This is despite attendance only decreasing by 0.7% in the same period.
Dr John-Paul Loughrey, RCEM Vice President for Scotland said: “It once was that the summer months provided some respite from the stresses experienced in Emergency Departments, but those days are long gone.
“Yet again the figures show the reality of the pressure we have been dealing with this summer, which is on a level with what we would have experienced during the busiest winter months just a few years ago. Overcrowding in our A&Es is now at winter crisis levels all year round.
“The alarm bells are sounding loudly as winter approaches, and the government must respond.
“Last week’s Winter Preparedness plan however gives me little hope that they will respond in the ways we have recommended. It lacks any specific measures to address the inevitable spikes in demand for Emergency Care which comes during the colder months, or the lack of capacity in the acute care system as a whole.
“Once again Scottish people seeking emergency care this winter are facing extreme waits and, for many, the indignity of so called ‘corridor care’. These are not just inconvenient, they are dangerous and potentially life threatening.
“The Scottish government must bolster its winter planning to ensure that people who need to be admitted to hospital from A&Es can be, without excessive waits, and that when they are well enough to leave there is the necessary social care in place for them to do so.
“Failure to do so puts us on course for a harmful and incredibly difficult winter which is not what we or our patients want or deserve.”
A graphical representation of the data can be found here.
The full data set can be found on the RCEM website.
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