Tag: patients

Over two-thirds of patients in Scotland say recent NHS changes do NOT benefit them

  • Almost half of respondents desire more same-day appointments (49%)
  • Almost two-thirds (61%) would like to see prioritisation systems to help with hospital backlogs
  • Almost one in five (19%) have seen benefits from the addition of more over-the-phone appointments

Recent research has shown a deepening public concern about NHS services, as only 10% of people in Britain believe ministers are tackling the NHS’s many problems in the right way.

With this in mind and following rising waiting times and growing pressure on the NHS from strike action, healthcare management consultancy, Acumentice, surveyed 1,000 UK adults to explore the public’s opinion of the current healthcare system and how it could be improved in the future.²

Over two-thirds (68%) of patients in Scotland do not believe that any recent NHS changes have benefitted them personally. In particular, text availability with doctors for advice appears to have been the least popular initiative in the region, with no respondents acknowledging the benefit.

In contrast, the survey suggests the most impactful NHS offering for Scotland was the addition of more over-the-phone appointments, with almost one in five (19%) professing they have seen the most advantage to their care from this out of all recent NHS changes.

When questioned about which changes Scotland would like to see from the NHS to improve their experience, the most popular suggestions were: the ability to book appointments online and/or in the NHS app (54%), more same-day appointments (49%) and the option to book double appointments for multiple concerns (41%). 

In addition, over 6 in 10 (61%) respondents felt that using prioritisation systems to ensure that patients with the most urgent needs are seen first would help the backlog of patients waiting for hospital treatment. 

Looking at average perception across the whole of the UK, the survey suggests people desire an updated approach to accessing NHS health services to improve service and efficiency, with a remarkable half of respondents (50%) saying that none of the recent changes already made by the NHS has benefitted them.

Respondents from Wales, in particular (68%), found the least benefit from recent initiatives, while Yorkshire and the Humber were the areas least critical of recent changes (38%). 

Nationally, when asked what they would like to see implemented by the NHS to improve experience, the biggest priority across the UK was A&E waiting times, with nearly half of the respondents (47%) looking for shorter waiting times, followed by an increase in same-day appointment availability (46%) and more flexibility when booking future appointments over the phone (44%).

Interestingly, more than one in four (27%) respondents would like to see the introduction of fines and consequences for cancelled or no-show appointments in a bid to improve the availability of bookings.

Stephen Hall, Director of Consulting Services at Acumentice and former Executive Director for Performance and Planning across Kingston Hospital NHS Foundation Trust and Hounslow and Richmond Community Healthcare NHS Trust, commented on the findings: “This research indicates that, despite recent changes to the NHS, people in the UK believe it has not been successful and have little faith in the future.

“They feel that the approach to NHS care has not changed much in the past and that there is a need for more investment in digital innovation and data-driven healthcare.

“The outcome is that there is undoubtedly scope for a serious debate regarding access to data and analytics within the NHS as it undergoes a period of significant change. It’s also hugely important that digital transformation support plays an increasing role in ensuring these programmes deliver the benefits they should.”

You can find the full study here: https://acumentice.com/the-future-of-healthcare-survey-through-the-public-eye/ 

RCEM Scotland: Performance deteriorates further as four-hour target falls to record low

The latest Emergency Department performance figures for Scotland published by the Scottish Government yesterday for July 2021 show that performance has deteriorated once again with four-hour performance reaching its lowest since records began, and the number of patients delayed in major Emergency Departments continues to rise steeply.

In July 2021 there were 114,392 attendances to major Emergency Departments across Scotland. This is a three per cent decrease compared to June 2021, an 18% increase when compared to July 2020.

Four-hour performance reached its lowest since records began, having deteriorated for the third consecutive month. 79.5% of attendances to major Emergency Departments in Scotland were seen within four hours. 23,493 patients were delayed by four-hours or more in a major Emergency Department, this is the highest figure since records began.

This is equal to more than one in five patients delayed by four hours or more in a major Emergency Department. The number of patients delayed by four-hours or more reached its highest ever figure having increased for the fifth consecutive month.

In July 2021, 755 patients spent 12-hours or more in a major Emergency Department, this is the highest figure since February 2020. This is nearly a 50% increase on the previous month, June 2021. It is a 3,000% increase compared to July 2020 and it is a 200% increase compared to July 2019. The number of patients delayed by 12-hours or more increased for its third consecutive month.

Data also show that 3,477 patients spent eight hours or more in a major Emergency Department. This is the second highest figure since records began. It is an increase of 50% compared to the previous month, June 2021.

It is an increase of over 1,000% compared to July 2020, and it is an increase of 200% compared to July 2019. The number of patients delayed by eight-hours or more increased for its third consecutive month.

Dr John Thomson, Vice President of the Royal College of Emergency Medicine, said: “These figures show an ongoing deterioration in performance. Current pressures are equal to or worse than normal winter pressures – but these figures are for July.

“Among staff there is serious concern and low morale, winter is fast approaching and quite simply there is low confidence that our hospitals and staff are going to be able to cope.

“The number of patients delayed in Emergency Departments has risen steeply for three consecutive months, the pressures on this trajectory could lead the health service into a crisis.

“It is unacceptable that patients are delayed for so long, in one Emergency Department a patient was delayed by 48 hours – these are dangerously long waits that are likely to adversely affect patient outcomes.

“We have a duty to keep patients safe and treat them quickly and effectively. The current challenges are hindering our ability to achieve that, and for both patients and staff alike it is incredibly difficult.

“The entire health service is under severe strain. Our primary care colleagues are facing record demand, the elective care waiting lists continue to grow, all departments and specialties are facing these unprecedented challenges.

“Yet, while demand is high, the numbers of patients are not the challenge – the challenges stem from capacity issues, across-the-board workforce shortages, and the limitations and deterioration of hospitals and equipment – resourcing has not met demand for some time.

“It would be irresponsible to look on these consistently decreasing monthly performance figures and not recognise the potentially looming crisis fast approaching this winter. Now is the time for an appropriate response.

“We need the Scottish Government to take action, to develop and communicate a joined-up plan on how the health service is going to manage ongoing demand and prepare the workforce, hospitals and Emergency Departments for the upcoming winter.”

Remember: Essential visits only at NHS Lothian sites

NHS Lothian announced last week that visiting across sites will be suspended unless for essential visits only. The decision is designed to help protect patients and staff by limiting the spread of coronavirus (COVID-19)

Fiona Ireland, Deputy Director of Nursing, NHS Lothian said: “Across Lothian, Scotland and the UK, we are seeing rising levels of COVID-19 within the community.

“We have taken the difficult decision to suspend visiting across our sites to help minimise the risk of transmission, to protect patients, our staff and the wider community, and to manage the increasing pressure on our acute and community sites.”

Where possible, ward staff have been contacting relatives, who had previously been identified as designated visitors, to advise them of the new arrangements and to provide more information.

Under the current guidance, some essential visits are still permitted; for example patients receiving end-of-life care, for patients with mental health issues including dementia, for inpatients in our children’s services and those accompanying partners during childbirth. Visiting arrangements for these groups should only take place following discussions with senior charge nurses or midwives.

Ms Ireland added: “I understand that not being able to visit family members while they are in hospital may be upsetting, but I would like to assure the public that this decision has not been taken lightly.

“With higher levels of COVID-19 cases within the community, there is an increased risk that visitors could inadvertently bring COVID-19 into our hospital sites, especially if they are not showing any symptoms.

“This decision will help manage the increasing risks of COVID-19 transmission and protect the safety of your loved ones, our staff and the wider community. I would urge our patients and families to help us by respecting this difficult decision.”

To stay up to date with the latest coronavirus (COVID-19) advice, visit NHS Inform: https://www.nhsinform.scot/illnesses-and-conditions/infections-and-poisoning/coronavirus-covid-19

NHS Lothian understands that the public may have questions in relation to this decision, so have prepared some FAQs:

Why can’t I visit?

Cases of COVID-19 within the community have been rising. With more people potentially exposed to the virus, there is a real risk that visitors to our sites may be infectious, but not displaying any symptoms.

By suspending visiting, we hope to limit the spread of COVID-19 and in doing so help to protect those individuals, including your loved ones, who may be more at risk.

What is classified as an essential visit?

As per the Scottish Government guidance, essential visits include the following –

  • For patients receiving end of life care
  • For patients with mental health issues including dementia
  • For patients with learning disabilities
  • For patients with autism
  • For birthing partners
  • For children

    Can I get personal items like clothes, nightclothes, toiletries to my loved one?

    If you are in hospital, we understand how important it is to have personal items such as clothes and your own toiletries. If relatives need to bring personal items to their loved ones, they can still do this, but are expected to leave the items with the ward staff and not enter the ward.

    If I want to give my loved one a phone or an iPad to communicate with me can I hand this in?

    Yes, but like handing in clothes or toiletries you will be expected to leave the items with the ward staff and not enter the ward.

    What if my child is in an adult ward, can I visit them?

    If your child (up to the age of 18) happens to be in an adult ward, the nurse in charge will be able to advise when to visit and any constraints that may be placed around the visit. We would remind families, that if they have any symptoms of coronavirus (COVID-19) such as a high temperature and/or a new persistent cough, they should remain at home. Similarly if you have been identified as a close contact of someone who has tested positive for coronavirus (COVID-19) you should remain at home for the required isolation period, which is currently 14 days.

    My partner is due to give birth, will I still be able to attend? 

    At present, birth partners are permitted to attend, however we ask that this is limited to just one person. The midwife in charge will be able to advise. We would remind birth partners, that if they have any symptoms of coronavirus (COVID-19), such as a high temperature and/or a new persistent cough, they should remain at home. 

    Similarly if you have been identified as a close contact of someone who has tested positive for coronavirus (COVID-19) you should remain at home for the required isolation period, which is currently 14 days