{"id":42754,"date":"2023-01-05T21:08:29","date_gmt":"2023-01-05T10:08:29","guid":{"rendered":"https:\/\/www.tomgrimshaw.com\/tomsblog\/?p=42754"},"modified":"2023-01-05T21:08:29","modified_gmt":"2023-01-05T10:08:29","slug":"a-uk-accident-and-emergency-doctor-speaks-out","status":"publish","type":"post","link":"https:\/\/www.tomgrimshaw.com\/tomsblog\/?p=42754","title":{"rendered":"A UK Accident and Emergency Doctor Speaks Out"},"content":{"rendered":"<div>\n<div class=\"\" dir=\"auto\">\n<div id=\"jsc_c_28f\" class=\"x1iorvi4 x1pi30zi xjkvuk6 x1swvt13\" data-ad-comet-preview=\"message\" data-ad-preview=\"message\">\n<div class=\"x78zum5 xdt5ytf xz62fqu x16ldp7u\">\n<div class=\"xu06os2 x1ok221b\">\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xdj266r x126k92a\">\n<div dir=\"auto\">Honestly so proud of this doctor for sharing this&#8230;.eye opener ..the government want private care and i feel its all a plan to depopulate and bring in private care<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\"><\/div>\n<div dir=\"auto\">Posted anonymously by an A&amp;E doctor:<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">I&#8217;m writing this because I\u2019m angry. Actually more than that, I\u2019m fu*king livid.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">I\u2019m an A&amp;E reg with 9+ years experience in A&amp;E both here and overseas. This morning was the first time EVER that I cried in my car after a shift.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">I was on nights over this New Years period, but New Year was not the issue, every shift is like this now.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">Where 5 years ago we had 50 patients in the department on handover at night, we now have 180. It used to be around 20 patients to see with a 1-2 hour wait for clinician, it\u2019s now 60-70 with a 10 hour wait.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">People used to lose their minds if patients were coming up to 4 hour breaches. Last night 60% of the patients in A&amp;E had been there for more than 12 hours, some for more than 40. Many I saw the night before, still in the same place when I came on.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">No triage or obs after 2 hours of arrival, no bloods or ECGs or gas for 4 hours. Regularly finding people in the waiting room after 4 hours with initial gases showing hyperkalamia or severe acidosis or hypoglycaemia.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">87 year olds coming in after falls sitting on chairs for 18 hours. Other elderly patients lying in their own urine for hours because there\u2019s no staff, or even room to change them into something dry. As the reg in charge of the shift, Ive had (on multiple occasions) to help the sole nurse in the area change patients by holding a sheet around the bed because we have to do it in the middle of a corridor. People lying on the floor because there\u2019s no chairs left, trolleys parked literally wherever we can put them.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">Things have been getting even worse for the last 3 months. 5 weeks I came home raging to my wife that people are sitting in their own piss for hours and it\u2019s so inhumane. Now we\u2019ve got to the point where people are actually dying. People who\u2019ve been in A&amp;E for 2-3 days,<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">The media and public might blame the A&amp;E nurses and doctors for this, but honestly what the fu*k are we meant to do with 180 people in a department built for 50. With 8 nurses rather than the MINIMUM staffing of 12. 1 or 2 nurses per area, giving meds, doing obs, trying to provide basic cares to 25-30 people, an absolute impossibility. And there\u2019s less nurses every week, because honestly why would you put yourself through this day after day?<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">Resus patients are quickly assessed and stepped down to make room for the next pre-alert, going to the area with those same poor nurses, already overstretched, now inheriting an severely unwell patient.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">We need to accept the truth, the NHS isn\u2019t breaking, it\u2019s broken. And the same bastards who broke it are doing reality TV shows and writing books about how they saved the NHS whilst refusing to increase nursing pay. We try and shovel shit with spoons whilst they pour it in with dump trucks<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">The NHS as we knew it is dead, and it breaks my heart, because it\u2019s a beautiful system. It shouldn\u2019t be like this, and those of us who have been around for longer than 5 years know it wasn\u2019t always like this.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">The public have no idea, they don\u2019t really know how dangerous this all is. When they come in they\u2019re horrified, but most of the population don\u2019t know how bad it is. This could be their mum on a trolley for 17 hours, or their wife or son or daughter.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">I genuinely feel it\u2019s now our responsibility to speak out. We don\u2019t for fear that it will make our hospital look bad or harm our careers. But it\u2019s not a hospital problem, it\u2019s a national problem, and it\u2019s a problem brought about by the politics of the people in power.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">We need to shine a light on what they\u2019ve done, make the public so angry that they demand a change. Massive recruitment of nurses through a proper wage\/paid uni\/free parking\/free Nando\u2019s if that\u2019s what it takes would be a start.<\/div>\n<\/div>\n<div class=\"x11i5rnm xat24cr x1mh8g0r x1vvkbs xtlvy1s x126k92a\">\n<div dir=\"auto\">If anyone has any idea how we could coordinate some kind of campaign to show the state of emergency departments in the UK right now please write a response, because I can\u2019t work in this much longer, and more importantly I\u2019m not sure the patients can survive it.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Honestly so proud of this doctor for sharing this&#8230;.eye opener ..the government want private care and i feel its all a plan to depopulate and bring in private care Posted anonymously by an A&amp;E doctor: I&#8217;m writing this because I\u2019m angry. Actually more than that, I\u2019m fu*king livid. I\u2019m an A&amp;E reg with 9+ years &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.tomgrimshaw.com\/tomsblog\/?p=42754\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;A UK Accident and Emergency Doctor Speaks Out&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[],"class_list":["post-42754","post","type-post","status-publish","format-standard","hentry","category-general-interest"],"_links":{"self":[{"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/posts\/42754","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=42754"}],"version-history":[{"count":1,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/posts\/42754\/revisions"}],"predecessor-version":[{"id":42755,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=\/wp\/v2\/posts\/42754\/revisions\/42755"}],"wp:attachment":[{"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=42754"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=42754"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tomgrimshaw.com\/tomsblog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=42754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}