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  1. #1
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    Ambulance Delays Time To Bring In The Army?

    Like many we have tried to access our Doctors and failed, so after using the 111 service ended up in A&E.

    The place is crowded but as you sit there for hours you realise there aren't that many people going through the walk-in area.

    The Ambulance patients are in a similar position they can wait for hours with them.

    With 90% of GP's working part-time* unless they choose to help their colleagues with a return to across the board full time working we are stuck.
    Some GP's clearly work very much longer and are under immense pressure.

    The Army medics are trained to shift patients quickly and bed availability is restricted by staffing.

    Ormskirk has empty beds.

    https://www.southportandormskirk.nhs...port-hospital/




    *
    https://www.pulsetoday.co.uk/news/wo...kload%20survey.





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  3. #2
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    How are military personnel going to be any quicker booking in patients at A&E Depts which is tying up ambulance staff for hours and a main cause of Ambulance shortages.

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  5. #3
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    Quote Originally Posted by Little Londoner View Post
    How are military personnel going to be any quicker booking in patients at A&E Depts which is tying up ambulance staff for hours and a main cause of Ambulance shortages.



    Well they are being used at other hospitals and of course their training teaches them how to move people through the triage system somewhat quicker.

    They have trained medics, Doctors,Nurses and others.

    We have empty wards in the trust.

    If you have the misfortune to go to A&E you realise there isn't that many of you it's just 4-8 hours waiting.

    Assessing these people quickly and treating the "walking wounded" promptly clears the waiting rooms which at the moment seem set up to incubate covid.

    When you are seen, it's let's say leisurely.


    All GP's working full time and many wouldn't be there in the first place.

  6. #4
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    Quote Originally Posted by local View Post
    Well they are being used at other hospitals and of course their training teaches them how to move people through the triage system somewhat quicker.

    They have trained medics, Doctors,Nurses and others.

    We have empty wards in the trust.

    If you have the misfortune to go to A&E you realise there isn't that many of you it's just 4-8 hours waiting.

    Assessing these people quickly and treating the "walking wounded" promptly clears the waiting rooms which at the moment seem set up to incubate covid.

    When you are seen, it's let's say leisurely.


    All GP's working full time and many wouldn't be there in the first place.

    What makes you think we have empty wards?

    I ended up in ICU with my Son last week.

    blue lighted to the hospital, stood in the corridor about 5 minutes and yes there where plenty of people in said corridor. Into an ICU room. Fantastic care from everyone we where involved in. Couldn't have asked for better care.
    One thing that didn't happen was once he was stabilized we didn't go to a ward to be monitored. Instead spent 18hrs in an ICU room.

    This was due to a lack of beds. Now I don't know if that physical beds, or lack of staff to use those beds. But there certainly isn't any spare capacity.

    People should stop using A&E as a walk in centre and the situation would vastly improve.


    So while you are slagging off this epic service just remember just like a swan, Just because everything look calm and collective on the surface, Don't assume there isn't something frantic going on unseen.

  7. #5
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    Quote Originally Posted by local View Post
    Well they are being used at other hospitals and of course their training teaches them how to move people through the triage system somewhat quicker.

    They have trained medics, Doctors,Nurses and others.

    We have empty wards in the trust.

    If you have the misfortune to go to A&E you realise there isn't that many of you it's just 4-8 hours waiting.

    Assessing these people quickly and treating the "walking wounded" promptly clears the waiting rooms which at the moment seem set up to incubate covid.

    When you are seen, it's let's say leisurely.


    All GP's working full time and many wouldn't be there in the first place.
    A & E gets clogged up because people have difficulty booking a GP appointments, Er Indoors tried last week to book a Telephone Appointment last week after receiving a letter with test results telling her to see the GP to discuss - 35th in the cue so went into the surgery later and told the earliest Telephone Appointment was a week on Monday, she was then told after the letter was read that the results were normal and there was no need for an appointment.

    The 111 service too often tends to tell people to go to A & E

    More GP's working longer hours might be encouraged if the Government rescinded the limit on pensions, many GP's now have more than one part time job setting up their own companies (no Pay all Dividends providing Consultancy Services to Companies and Occupational Health as well as working in the growing Private Health Sector.

    Many Army Medics are Territorials who work in the NHS so utilising them would be counter productive.

  8. #6
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    Quote Originally Posted by Alikado View Post
    A & E gets clogged up because people have difficulty booking a GP appointments, Er Indoors tried last week to book a Telephone Appointment last week after receiving a letter with test results telling her to see the GP to discuss - 35th in the cue so went into the surgery later and told the earliest Telephone Appointment was a week on Monday, she was then told after the letter was read that the results were normal and there was no need for an appointment.

    The 111 service too often tends to tell people to go to A & E

    More GP's working longer hours might be encouraged if the Government rescinded the limit on pensions, many GP's now have more than one part time job setting up their own companies (no Pay all Dividends providing Consultancy Services to Companies and Occupational Health as well as working in the growing Private Health Sector.

    Many Army Medics are Territorials who work in the NHS so utilising them would be counter productive.


    I would be encouraged by seeing my colleagues under stress and people suffering I wouldn't be nit-picking over my pension.

    Yes, you rightly point out the work of some territorials.

  9. #7
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    Quote Originally Posted by Ceam View Post
    What makes you think we have empty wards?

    I ended up in ICU with my Son last week.

    blue lighted to the hospital, stood in the corridor about 5 minutes and yes there where plenty of people in said corridor. Into an ICU room. Fantastic care from everyone we where involved in. Couldn't have asked for better care.
    One thing that didn't happen was once he was stabilized we didn't go to a ward to be monitored. Instead spent 18hrs in an ICU room.

    This was due to a lack of beds. Now I don't know if that physical beds, or lack of staff to use those beds. But there certainly isn't any spare capacity.

    People should stop using A&E as a walk in centre and the situation would vastly improve.


    So while you are slagging off this epic service just remember just like a swan, Just because everything look calm and collective on the surface, Don't assume there isn't something frantic going on unseen.



    The latest CQC report has S&O Trust requiring improvement.

    https://www.cqc.org.uk/location/RVY0...ection-summary



    I have the benefit of having relatives working there and went last week, the "Swan" has problems.


    Great that you were seen so quickly but many others aren't.

    The empty beds are predominantly in Ormskirk.

  10. #8
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    Quote Originally Posted by local View Post
    Well they are being used at other hospitals and of course their training teaches them how to move people through the triage system somewhat quicker.
    Both UK paramedics and their military counterparts are highly skilled professionals trained for very different situations. If the issue was overload because of mass casualties from an incident, then you might have a point.

    However (and I worked with the A&E team at a large general hospital last year) the overwhelming majority of presentations at A&E are medical rather than trauma, around 30% were mental health issues. Over 50% were over 55. In other words, nothing like the warzone triage that army medics have to deal with.

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  12. #9
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    Quote Originally Posted by local View Post
    Well they are being used at other hospitals and of course their training teaches them how to move people through the triage system somewhat quicker.

    They have trained medics, Doctors,Nurses and others.

    We have empty wards in the trust.

    If you have the misfortune to go to A&E you realise there isn't that many of you it's just 4-8 hours waiting.

    Assessing these people quickly and treating the "walking wounded" promptly clears the waiting rooms which at the moment seem set up to incubate covid.

    When you are seen, it's let's say leisurely.


    All GP's working full time and many wouldn't be there in the first place.
    Pre Covid March 2019 my wife was admitted to observation ward with a bleed on the brain after a fall. 4 days later she was sent home at 3.30 pm by 7pm she was on her way BACK in an Ambulance at 3.30am she was discharged with some anti biotics no further scans he even admitted he didn't know where the infection was. A staff nurse complained about her being sent home to no effect. A few hours later a physio and a nurse came to assess her for her care needs they immediately went back to Hospital spoke with a doctor he said she had to come back via 999. another 13 hours she was admitted and spent 5 weeks before being transferred to a nursing home. In those 5 days we spent 36 hours at A&E. Unfortunately I do not have the same opinion as Ceam it was nothing short of disgraceful.

  13. #10
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    Quote Originally Posted by local View Post
    The latest CQC report has S&O Trust requiring improvement.

    https://www.cqc.org.uk/location/RVY0...ection-summary



    I have the benefit of having relatives working there and went last week, the "Swan" has problems.


    Great that you were seen so quickly but many others aren't.

    The empty beds are predominantly in Ormskirk.

    Beds in Ormskirk aren't a lot of good to A&E is Southport.

    Many others aren't because people don't use it as A&E, they use it as a drop in centre. If you are there for 8 hrs quite frankly you shouldn't be there in the first place.

  14. #11
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    Quote Originally Posted by Ceam View Post
    Beds in Ormskirk aren't a lot of good to A&E is Southport.

    Many others aren't because people don't use it as A&E, they use it as a drop in centre. If you are there for 8 hrs quite frankly you shouldn't be there in the first place.


    Yes they are because patients awaiting discharge and blocking beds in Southport can be transferred to them.

    People use A&E sometimes "wrongly" because so many GP's have gone part-time around 90%.

    I think your understanding of the A&E system is flawed, people are waiting longer than 8 hours with strokes, breaks and heart attacks not something for your pharmacist.

  15. #12
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    Quote Originally Posted by Albion102 View Post
    Both UK paramedics and their military counterparts are highly skilled professionals trained for very different situations. If the issue was overload because of mass casualties from an incident, then you might have a point.

    However (and I worked with the A&E team at a large general hospital last year) the overwhelming majority of presentations at A&E are medical rather than trauma, around 30% were mental health issues. Over 50% were over 55. In other words, nothing like the warzone triage that army medics have to deal with.


    Well the first problem is your thinking that Army Medics only deal with Trauma.
    Military medics deal with all aspects of service peoples health.

    They have to there isn't anyone else in many cases.

    Mental Health is of course a big issue in the forces, they do not cover everything and they would be able to get assistance as Junior Doctors do.

    Even left to cover what you assume to be their area of expertise ,getting trauma cases promptly dealt with, means a reduced work load for the existing staff.

  16. #13
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    Quote Originally Posted by Ceam View Post
    Beds in Ormskirk aren't a lot of good to A&E is Southport.

    Many others aren't because people don't use it as A&E, they use it as a drop in centre. If you are there for 8 hrs quite frankly you shouldn't be there in the first place.
    Many people end up in A&E unnecessarily because they are referred there by 111, when ringing them they assume that there is a Minor Injuries / Walk in Centre attached to the hospital when you tell them there isn't one they tell you to go to A&E, it happened to 'er indoors, she was seen within 2 hours but most of the other dozen waiting when we arrived where still there when we left.

  17. #14
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    Quote Originally Posted by Alikado View Post
    Many people end up in A&E unnecessarily because they are referred there by 111, when ringing them they assume that there is a Minor Injuries / Walk in Centre attached to the hospital when you tell them there isn't one they tell you to go to A&E, it happened to 'er indoors, she was seen within 2 hours but most of the other dozen waiting when we arrived where still there when we left.


    Where else do you go to get stitched,plastered,foreign objects removed etc


    Just leaving those procedures (even if only 40%) to Army Medics would lighten the load and reduce the covid spread risk.


    There aren't that many patients seen in our A&E they are just there for hours and hours so it looks busier than it is.

  18. #15
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    Army medics would do great job , but they cannot sort the admission mess within the hospitals, thats where the problem is .

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