Tag: waiting times

Scottish government urged to heed A&E ‘alarm bells’

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. 

RCEM: Tackling A&E waiting times must be top priority for Scottish government

Curbing sky rocketing A&E waiting times must be the number one priority for the Scottish government with winter just around the corner.   

That is the call from The Royal College of Emergency Medicine (RCEM) Scotland as A&E performance data for July represented the worst July since records began in 2011 for extended wait times in Emergency Departments.  

Data released yesterday (Tuesday 3 September 2024) by Public Health Scotland shows in A&Es across Scotland in July, 5,593 patients waited 12 hours or longer before being seen, admitted, discharged, or transferred.

This is double the number of people who waited this long in July last year. 

The data also shows long waits have increased significantly since the 2010s.  

Since July 2017, for example, the numbers of people waiting four hours or more has increased by nearly seven times (5553 to 38,379), eight hours or more by 53 times (248 to 13,146), and 12 hours or more by 279 times (20 to 5,593). This was despite attendances only increasing by 0.9% in the same period. 

Delays in discharging patients is a key reason that doctors cannot admit patients into hospitals from their Emergency Departments, therefore causing long waits. In July, there were 61,165 days spent in hospital by people who were well enough to be discharged but unable to be due to a lack of social care provisions. This is equivalent to 167 years.  

Dr John-Paul Loughrey, RCEM Vice President for Scotland said: “The Scottish government must take heed and put measures in place to end long wait times in our Emergency Departments.   

“These staggering statistics are deeply worrying for the people of Scotland who are facing incredibly long and tiring waits despite it being summer. We have been dealing with ‘winter levels’ of pressure, which does not bode well as we start to head into the colder months. The first day of winter is just three months away, which will inevitably heap pressure on the health care system.   

“Continuing to focus on diverting patients away from A&E rather than addressing the capacity problems will not avert the coming crisis. These statistics aren’t just numbers. They are people who have come to our Emergency Departments needing emergency care. They deserve better. Our health care colleagues deserve better.” 

A graphical representation of the data can be found here.  

The full data set can be found on the RCEM website. 

Edinburgh patient forced to go private following year-long wait

Edinburgh resident John Rowan (68) has had to go private for hearing aids after waiting over a year for his regular hearing aid check, despite the Scottish Government setting a waiting time target of 18 weeks.

Mr Rowan’s hearing loss originated from contracting measles as a child and the legacy of contracting measles is now affecting his hearing in later life.

Despite being retired, Mr Rowan is heavily involved in the charity sector and until recently, sat on the board of a Scottish-wide charity and he volunteers with several others.

In May 2023, Mr Rowan self-referred himself for a new hearing test and was added to the waiting list. Despite assurances his appointment would be in May 2024, he was not invited to an appointment.

The further deterioration in his hearing has left him struggling to hear basic conversations.

Due to this, Mr Rowan took the decision to go private to receive hearing aids.

Labour MSP for Lothian, Sarah Boyack, has been pursuing this issue on Mr Rowan’s behalf.

However, the NHS confirmed to Ms Boyack in May 2024, that due to pressure there was no confirmation for when Mr Rowan would receive his appointment.

Only after Mr Rowan had paid out of pocket for his hearing aids did the NHS get back in touch to confirm an appointment for August 2024.

Mr Rowan said: “My hearing test was due in May, however, unfortunately it was pushed back with no date given to me for when I might be tested.

“Due to the ongoing delay, I had to resort to going private to ensure I got the hearing aids I desperately needed.

“My loss of hearing affects me in day-to-day life, as I struggle to listen to conversations which I need to hear in the roles that I do with the voluntary sector.

“I am incredibly concerned if more is not done to tackle these waiting times then my hearing will only deteriorate further.”

Sarah Boyack MSP added: “Mr Rowan’s case illustrates the dire state that the Scottish Government have left NHS Lothian in.

“These delays and missed targets dramatically affect patients’ lives.

“It is unacceptable that Mr Rowan is facing further deterioration of his hearing due to delays.

“The Scottish Government must address the crisis in NHS Lothian as an immediate priority.

“No one should be having to pay out of pocket simply to be able to hear conversations with friends and family.

“If they don’t I fear cases such as Mr Rowan’s will only become more common.”

RCEM responds to Liberal Democrats’ 12-hour A&E waits data

Responding to the Liberal Democrats’ data which it says shows the number of patients waiting 12 hours or more in A&E has risen 100-fold since 2019, Dr Adrian Boyle, President of the Royal College of Emergency Medicine, said: “We very much welcome the Liberal Democrats’ focus on this extremely important issue, and for responding to our request for more focus to be given by all pollical parties to the crisis happening right now in our A&E departments.

“These figures, and our own research, clearly evidence the shameful and shocking reality of poorly patients who need to be cared for on hospital wards having to wait many hour hours, ever days, often on trolleys in corridors because there is not enough capacity in the system.

“There simply are not enough beds to admit people to, often because the people in those beds are medically well enough to go home but can’t because of inadequate or delayed social care support.

“It is not just a matter of inconvenience or lack of dignity – which is bad enough. The longer people’s in-patient admission is delayed, the greater the risk the risk to their life. 

“There is no one quick fix, but the problems are fixable. RCEM is ready to work with whoever forms the next Government to begin the process of resuscitating our health system and ending these unacceptable and dangerous long waits.”

#ResuscitateEmergencyCare

Scottish Children’s Services Coalition: 137 children wait over a year for mental health treatment

New figures show 137 children waiting more for a year for mental health treatment  

The Scottish Children’s Services Coalition (SCSC), an alliance of leading providers of specialist care and education to vulnerable children and young people, is calling for the Scottish Government to renew its focus on tackling the child mental health emergency.

The SCSC has also warned that the Scottish Government is in in danger of missing its Programme for Government commitment to Increase direct investment into mental health by the end of the parliamentary term, noting that only 75p in every £100 is spent on specialist child and adolescent mental health services (CAMHS).

While health is a devolved matter, it has also noted that the General Election provides an ideal opportunity to talk about this crucial matter in Scotland.

The call comes as the latest waiting time figures from Public Health Scotland, published on 4th June, indicate that 137 children and young people had been waiting over a year for treatment from CAMHS in the quarter ending March 2024.

The figures also show that a total of 5,557 children and young people were still stuck on waiting lists to start treatment at the end of that quarter.

In addition, just 86.0 per cent of patients with mental health problems were seen within 18 weeks from referral to treatment at CAMHS. This falls short of the Scottish Government’s waiting time target of 90 per cent being seen within 18 weeks.

This comes against the background of an increasing level of violent incidents in the classroom, a result in part due to the current mental health emergency, exacerbated by the long shadow of the Covid lockdown and cost-of-living crisis.

Even before the Covid-19 pandemic, cases of poor mental health in children and young people were at unprecedented levels, with under-resourced services struggling to keep pace with growing demand, leaving an increasing number of vulnerable individuals unable to access support.

The Scottish Government in its NHS Recovery Plan 2021-2026 committed to Increase direct investment into mental health by the end of the parliamentary term in 2026, ensuring that 10 per cent of the frontline NHS budget is invested in mental health, with 1 per cent directed specifically to children and young people through CAMHS.2

However, it should be noted that despite greatly increased demand, only 0.75% of the total frontline NHS budget was spent on CAMHS in the 2022/23 financial year, amounting to £114.799 million (real terms), just 75p in every £100 of the NHS budget.

The mental health budget overall amounts to only 8.53% of total frontline NHS expenditure, a decrease of 0.59% from 9.12% in the past decade (2011/12).3

The SCSC is calling the Scottish Government to refocus on the treatment of mental health issues, prioritising spending and avoiding a potential lost generation of children and young people with mental health problems.

A spokesperson for the SCSC commented: “The latest figures, highlighting that 137 children and young people have been waiting over a year for treatment from mental health services, is extremely alarming.

“We are facing a mental health emergency, and many of our children and young people are at breaking point, with stress and anxiety reaching alarming levels. Despite this, too many are waiting too long for treatment, and if the Scottish Government is to reach its financial commitment to spend 1 per cent of the frontline NHS budget on CAMHS, it will need to radically increase investment.

“While health is a devolved matter, this General Election provides an opportunity to talk about it, and we would urge the Scottish Government to refocus its efforts on delivering services that adequately address the needs of our children and young people.”

RCEM: New First Minister must address A&E ‘danger zone’

A&Es in Scotland are under “constant strain” amid extended wait times and delays to patient discharge.

This is the response from The Royal College of Emergency Medicine (RCEM) as new Scottish National Party leader John Swinney lists the NHS as being among his “focus” points in power.

RCEM has called for the incoming First Minister, which is expected to be Mr Swinney as the only candidate, to address hospital discharge delays and extended A&E wait times.

Monthly performance data released yesterday by Public Health Scotland reveals the true scale of the challenge, with the number of people waiting twelve hours or more at A&Es in Scotland having grown by 6260% since 2017.

The data, which covers March, shows slight improvement since February. However, it was the worst March since records began in 2011 for patients being seen within four hours of arriving at A&E.

In March, one in three people attending Scottish Emergency Departments waited four hours or more to be seen, one in eight waited eight hours or more, and one in 20 waited 12 hours or more.

There was a total of 58,646 days spent in hospital by people who were well enough to be discharged, but unable to leave due to inadequate social care.

Dr JP Loughrey, The Royal College of Emergency Medicine’s Vice President for Scotland said: “The constant strain on staff and patients is causing an immense amount of damage. They are stuck in the danger zone of a long-wait pressure gauge without enough support to relieve this alarming situation.

“Any modest improvements on February’s figures are not enough. Scotland’s new First Minister must commit to bringing about positive change by putting the nation’s healthcare at the top of their priorities.

“The College’s campaign to #ResuscitateEmergencyCare and its 2024 Manifesto recommendations can support the Scottish Government and other key policy makers in making tangible changes to help improve the dire situation we are in.

“Delays to patients discharge from hospital is one key area to improve upon as this blocker mean Emergency Department doctors cannot admit patients, causing unacceptably long waits that are continually getting worse.

“Delays in ambulance handovers, hospital discharges and a lack of social care provisions continue to take a toll on hardworking staff who are at their limit.

Dr Loughrey added: “The College would like to congratulate John Swinney on his appointment as SNP leader. We look forward to working together to improve Emergency Care in Scotland.”

A graphic illustration of the data can be found here. The full data set can be found here.

Worried and Waiting: Record waiting times for children in NHS Lothian

NHS Lothian has the longest patients waiting times for treatment, with 69.1% of total patients waiting over 12 weeks. 2382 out of 3448 paediatric patients in NHS Lothian waited over 12 weeks for treatment.

In NHS Highland 48.9% of patients were waiting over 12 weeks at that time. This is in comparison to NHS Greater Glasgow and Clyde where over 12 week waits made up only 19.2%, and NHS Grampian which stood at 12.9%.

The report by the Royal College of Paediatrics and Child Health, Worried and waiting: A review of paediatric waiting times in Scotland 2024, stated that –

‘It is worrying that children and young people are waiting longer than 12 weeks to be seen in paediatrics. However, what is the most concerning is that in September 2023, 13 out of 14 health boards in Scotland were experiencing very high waits over 12 weeks, with only NHS Western Isles achieving the national standard rate.‘

Lothian MSP, Miles Briggs, said: “It is extremely concerning that young people in Lothian are waiting over 12 weeks for treatment.

“Over two thirds of young people are now waiting over the 12 week waiting target which is unacceptable.

“SNP mismanagement of our NHS means that hundreds of children are not being seen a quickly as they should be, nowhere more so than in NHS Lothian.

“We urgently need to see our health service properly run. 

“It is also important that NHS Lothian receives funding parity with other health boards.

“This tired SNP Government has had no answers for years.”

Worried-and-waiting-review-waiting-times-Scotland-2024Download

A&E waiting times hit all time high in Scotland

‘UNDERFUNDED, OVERCROWDED and, at times, UNSAFE’


New data released yesterday (5 March 2024) for Scotland reveals January was the worst month on record for people waiting to be seen in A&E.

The figures published by Public Health Scotland show that, in January 2024:

  • 41,161 (38%) patients waited over four hours in major Emergency Departments, a 21% increase compared to last January (33,962) 
  • 17,077 (16%) of patients waited eight hours or more in Emergency Departments, almost 13 times higher than in January 2016 (1,338) 
  • 8,402 (8%) of patients waited twelve hours or more in Emergency Departments, the largest amount for any January since records began and 36 times higher than in January 2016 (232). 

There were 1,866 beds occupied due to delayed discharges, an increase of 53 compared to December 2023. 

Dr JP Loughrey, Royal College of Emergency Medicine Vice President for Scotland said: “This is beyond exasperating. Most people attend A&E in desperate need – to be seen by a medical professional quickly and with dignity.

“Already struggling, patients are having to endure overcrowded waiting rooms and corridors – for hours. If admission is required, they must wait for a bed – for hours.

“This latest data makes for grim reading, and it is incredibly demoralising for my colleagues to be working under such strenuous circumstances.

“They are working all out to put patients first whilst also having to carry the burden of working in an underfunded, overcrowded, and at times unsafe emergency care system. We need intervention from the Government and policy makers to ensure we never reach this nadir again.”

The data also reports:

In January 2024, there were 108,427 attendances at major Emergency Departments in Scotland. This is marginal decrease of 0.25% compared to the previous month. 

  • 62% of patients were seen within four hours at major (Type 1) Emergency Departments. This is the worst four-hour performance for any January since records began.
  • This is a decrease of 0.5 percentage points compared to December last year and a decrease of 3.2 percentage points compared to January 2023. 
  • 41,161 (38%) patients waited over four hours in major Emergency Departments. This is a 1% increase compared to December last year (40,763) and a 21% increase compared to January 2023 (33,962). 
  • The number of patients waiting more than four hours has increased by more than three times compared to January 2016 (9,808). 
  • 17,077 (16%) patients waited eight hours or more in Emergency Departments. 
  • The proportion waiting this long has increased by 2% compared to the previous month, December 2023 and has increased by 2.3% compared to the previous year, January 2023. 
  • The numbers waiting more than eight hours is almost 13 times those in January 2016 (1,338). 
  • 8,402 (8%) of patients waited twelve hours or more in Emergency Departments  
  • This is the largest amount for any January since records began. 
  • The proportion waiting this long has increased by almost 1% compared to December last year and has increased by more than 1% compared to January 2023. 
  • The numbers waiting more than 12 hours is 36 times those in January 2016 (232). 
  • There were 1,866 beds occupied due to delayed discharges, an increase of 53 compared to December 2023. 

Patients are being left waiting by SNP failure at Edinburgh Royal Infirmary, says Boyack

Lothian Labour MSP, Sarah Boyack, has criticised the Scottish Government’s failure to address woeful waiting times at Edinburgh Royal Infirmary.

The latest figures published by Public Health Scotland, show that only 46% of A&E Patients at the Royal Infirmary, are seen within 4 hours. This is compared to 62% across the whole of NHS Lothian Health Board, and 68% across the whole of Scotland.

The number of patients seen within 4 hours, has plummeted almost 10% since July – falling from 55%.

The Royal Infirmary figures are well short of the Scottish Government’s target of 95% of people seen and discharged within 4 hours of arrival in A&E.

Commenting on the statistics, Sarah Boyack said: “The latest A&E wait time figures illustrate that patients at Edinburgh’s largest hospital are left waiting by the SNP/Green Government.

“Royal Infirmary staff work incredibly hard to deliver services for patients, but the Scottish Government has not provided the resources to ensure local hospitals can deliver the care and treatment local residents deserve.

“Edinburgh residents need the Scottish Government to step up its game and provide the Royal Infirmary with the support it needs reduce waiting times rapidly.”

RCEM Scotland: Huge increases in extreme A&E waits ‘dangerous and shameful’

More than TEN TIMES as many people waited over 12 hours in Scottish A&Es in August 2023 than in August 2019 – an increase branded ‘dangerous and shameful’ by the Royal College of Emergency Medicine.

The figure has been calculated using data published yesterday (3 October 2023) by Public Health Scotland and reveals how many people visited a major Emergency Department in Scotland in August 2023.

When compared with August 2019 (pre-pandemic) they show the number of people waiting:  

  • more than four hours is up from 14,372 to 39,147 
  • more than eight-hours is up from 1,395 to 10,793
  • more than 12-hours is up from 352 to 3,847.

The data for August 2023 shows:

  • 116,673 people visited a major Emergency Department in Scotland – almost 6,000 more than the previous month (110,854).
  • 67.90% of patients were seen within four-hours at major Emergency Departments.
    • This is a decrease of 1.7% from the previous month.
  • 37,415 patients waited more than four-hours in major Emergency Departments, which is a 9.8% increase from the previous month and an 5.3% decrease from August 2022.
  • 10,793 (9%) patients waited eight-hours or more in an Emergency Department
    • This is an increase of 2% from the previous month. But a 1.9% decrease compared with August 2022.
  • 3,847 (3%) patients waited more than 12-hours before being seen, admitted, discharged, or transferred
    • This figure has increased 0.9% from the previous month, but decreased by 1% compared with August 2022.
  • There were 1,797 beds occupied due to delayed discharges, the most for any August on record. 

Visualisations for the data are available here.

Responding to the figures, Dr John-Paul Loughrey, RCEM Vice President for Scotland, said: “When you compare figures month-on-month you only get a snapshot of what is happening, but when you take a longer view it reveals the bigger, much more concerning picture.

“To think that in just three years we have seen the percentage of people experiencing extreme waits increasing so significantly is shocking.

“But worse than that it is shameful, and it is dangerous. We know long waits increase the risk of people dying.

“The system is stretched to beyond capacity. Nobody wants to be in this situation – not patients and certainly not clinicians. And this should not be blamed on the pandemic – it is symptomatic of a much wider issue.

“In the short term, we need decisive and urgent action from the Scottish Government to avert what is looking like an inevitable winter A&E crisis, but we also need and effective long-term strategy to reverse this unacceptable situation.”