Accident &Emergency attendances in the week leading up to Christmas Day rose by almost 20 per cent compared to the same period last year. Across Scotland, 26,569 people visited A&E in the week ending 24th December, up almost 20% or over 4,000 attendances on the same week last year. NHS 24 also reported their busiest period in the service’s fifteen year history. Continue reading Full to bursting: Health services struggle to cope with 20% rise in numbers over Christmas
Health Secretary Shona Robison has praised NHS and community staff dealing with significant extra demand during the Christmas period. Continue reading Health Secretary praises NHS staff
NHS Lothian is creating an innovative partnership with Scottish Government to help boost performance and improve patient care across the health board. The partnership, which will also work with the Edinburgh Integrated Board, is creating a Whole System Dynamic Review and Targeted Analysis at the Royal Infirmary of Edinburgh to help tackle delayed discharge and waiting times.
The move comes as health boards across Scotland begin to suffer extreme winter pressures. Earlier this week NHS Lothian recorded the worst performance for A&E waiting time targets since the publication of weekly figures began almost three years ago.
The collapse in its figures follows last month’s admission by NHS Lothian that acute hospitals had been under-reporting waiting times. The latest weekly figures show just 77.3% of patients were dealt with within the four-hour target.
In an attempt to address this the new partnership, which will also work with the Edinburgh Integrated Board, is creating a Whole System Dynamic Review and Targeted Analysis, at the Royal Infirmary of Edinburgh, to help tackle delayed discharge and waiting times.
Jim Crombie, Deputy Chief Executive, NHS Lothian, said: “Like a number of other health boards, NHS Lothian is experiencing significant winter pressures across our whole healthcare system. There are a number of contributing factors, including the increasing complexity of cases presenting at emergency departments and significant numbers of delayed discharges.
“This new way of working will allow us to zoom in on processes and procedures, not just in the Emergency Department, but across the acute care system to help improve patient flow through our hospitals.”
The group will provide enhanced support and resources to analyse systems across the board in a bid to improve the patient journey through the hospital.
A set of Whole System Indicators will be created to help boost and measure performance and attainment.
Mr Crombie also reminded patients of the need to ensure they seek the right care, in the right place, at the right time for them. He added: “It could be that self care at home or a consultation with a pharmacist or GP is best when you are feeling under the weather or for many common illnesses.
“As the winter chills bite, so do the numbers of slips, trips and falls. But it is important to remember that these kind of injuries can be treated at the Minor Injuries Unit at the Western General Hospital, rather than a lifesaving emergency department.”
A £4.5m fund to help reduce both waiting times for assessments and delayed discharges in the capital has been approved by the Edinburgh Integration Joint Board (EIJB). The one-off allocation will support the work of the newly established assessment and review board to help alleviate the most urgent pressures and will also improve business processes.
Continue reading £4.5 million boost to tackle pressure on city’s health and social care
Reporting practices surrounding emergency department waiting times are to be ‘re-modelled’ across NHS Lothian following an internal review. An investigation, launched following a whistleblower’s revelations about the under-reporting of waiting times at St John’s in Livingston, has found that ALL emergency care hospitals across the region have misrepresented waiting times. Continue reading Dodgy data 2: NHS Lothian to ‘re-model’
Health Secretary Shona Robison has ordered an independent review into concerns around A&E waiting times practices and staff pressure at St John’s Hospital. Continue reading Dodgy data? Internal inquiry into emergency waiting times figures
The most recent data for NHS Scotland reveals that 96.6% of patients in NHS Lothian’s emergency departments were seen, admitted or discharged within four hours – beating the 95% target. Continue reading NHS Lothian hits four-hour A & E target
The most recent data for NHS Scotland reveals that 96.5% of patients in NHS Lothian’s emergency departments were seen, admitted or discharged within four hours – beating the 95% target. Scottish hospitals have now had the best performing emergency departments in the UK for more than two years.
Ben Macpherson, SNP MSP for Edinburgh Northern and Leith, has welcomed the latest figures. He said: “Scotland has had the best performing emergency departments in the UK for more than two years – which is testament to the hard work of our NHS and social care workers.
“It is extremely encouraging that Emergency Departments in NHS Lothian are frequently meeting the four hour waiting times target, with the latest figures published showing that 96.5% of patients are being seen within four hours.
“We will always value the vital work done by our NHS staff – and we should always celebrate their success and continue to support their efforts.”
Alison Johnstone MSP, Health spokesperson for the Scottish Greens, has urged Scottish Ministers to focus on staffing after figures showed a further drop in the number of patients being seen within four hours of arriving at hospital emergency departments.
The Scottish Government target is that 95 per cent of patients are seen within four hours. Yesterday’s figures show that in December only 92.6 per cent were seen within that time, the latest month-on-month fall from a peak of 95.8 in July.
The Health Secretary says Scotland’s A&E departments are outperforming other areas of the UK.
Alison Johnstone, Health spokesperson for the Scottish Greens and MSP for Lothian, said: “Rather than comparing our hospitals to those south of the border, the Health Secretary should be striving to deliver the kind of health service Scotland wants. The seasonal drop in performance at A&E shows that not enough planning and investment went into the system in advance, and responsibility lies squarely with the Health Secretary.
“Greater effort is needed in recruitment and retention of staff, not just in A&E but in our GP surgeries and in social care, so that we minimise the need to visit and stay in hospital where possible.”
Alison Johnstone MSP, Health spokesperson for the Scottish Greens,has welcomed a review of NHS staffing as figures showed a big increase in the number of people waiting to seen at Accident & Emergency departments. Continue reading Johnstone welcomes A & E staffing review
