You are MORE THAN TWICE as likely to spend more than 12 hours waiting in A&E in NHS England than in NHS Scotland

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Headlined in the Telegraph yesterday and some time before NHS England will release even their November figures, here’s what the Royal College of Emergency Medicine (RCEM) reported:

RCEM data shows that in the first week of December over 5,000 patients waited for longer than 12 hours in the Emergency Departments of 50 Trusts and Boards across the UK. The sample of trusts and boards from across the UK is the equivalent to a third of the acute bed base in England.

https://www.rcem.ac.uk/RCEM/News/News_2019/Latest_RCEM_data_shows_true_scale_of_the_number_of_patients_waiting_longer_than_12_hours_in_A_E.aspx

In Scotland, 184 patients waited more than 12 hours in the week ending 24th November. The NHS Scotland December Week 1 data are not yet available, but a comparison seems reasonable, especially given the milder weather in early December compared to that in late November.

https://www.isdscotland.org/Health-Topics/Emergency-Care/Publications/2019-12-03/Summary-Weekly/index.asp

The population of England at 56 million is 10.4 times that of Scotland at 5.4 million so, all things being equal, there should have been 1 913 patients having to wait more than 12 hours in England, yet the actual figure was more than 5 000, more than twice as high.

However, the situation may be even worse. In addition to the incomplete data for NHS England the recording of admissions is different from that in Scotland with the effect of reducing the English figures and making them look less bad than they are. President of the Royal College of Emergency Medicine, Dr Katherine Henderson said:

The key difference in the data is the way in which it is reported. Our data measures the number of patients waiting over 12 hours from the moment they arrive at an ED, whereas NHS England (unlike Wales, Scotland and Northern Ireland) start the clock at the point at which a decision to admit is made – meaning that a patient could already have been waiting hours before this. The way in which it has historically been reported does our patients a disservice and hides the true scale of the problem of corridor care. These figures are truly shocking and are terrible for patients and staff alike. Many patients are now getting often life changing news while stranded on a trolley in a corridor. This cannot be right, and we must strive to put an end to ‘corridor care’.

https://www.rcem.ac.uk/RCEM/News/News_2019/Latest_RCEM_data_shows_true_scale_of_the_number_of_patients_waiting_longer_than_12_hours_in_A_E.aspx

Published by johnrobertson834

Retired Professor of Media Politics Not-for-profit independent political analysis

6 thoughts on “You are MORE THAN TWICE as likely to spend more than 12 hours waiting in A&E in NHS England than in NHS Scotland

  1. Stories you wont/don’t get on Repressing Scotland. Its only SNP NHS which is Bad. Its only SNP NHS where the BEEB want a Minister to carry the can—-wee boy lying on the floor–its the hospital to blame.

    Boris now talking about the licence fee—just like Cameron did, to put the frighteners on, and unnerve the BBC management into keeping the BBC as a Tory stooge broadcaster—is THIS about Andrew Neil? Who is about as right wing as Boris is, but still has an BAD “Jock” attitude.

    Liked by 1 person

  2. Useful stat noticed in a SCER piece which identifies the massively larger GDP percentage spent on healthcare in USA compared to UK – and the noticeably poorer outcomes USA spending is achieving in terms of life expectancy. Scotland MUST protect herself from the Johnsonian/City of London project of Americanised Health Services. Link and snippet below:

    https://www.centreonconstitutionalchange.ac.uk/news-and-opinion/collapse-wto-court

    In the US, health spending accounted for 17.9% of GDP in 2017: the equivalent share for the UK was 9.6%. Extra spending does not buy extra years of life: life expectancy in the UK is 81.0 while in the US it is 78.7 years.

    Liked by 1 person

  3. The RCEM’s Winter Flow Project report for December 2019 records that its data comes from 50 health trusts/boards and states: “Our data include all four countries of the UK though the majority of participating sites lie within England. It is just a sample of Trusts/Boards, albeit a large and representative one.”

    Notably, its 2018/19 Final Report repeats this: “Our data include all four countries of the UK though the majority of participating sites lie within England. It is just a sample of Trusts/Boards, albeit a large and representative one.”

    But the latter report goes on to explain that of the 54 locations that contributed data to this phase of its project only one, yes just ONE, of the 54 contributing locations was in Scotland. A representative sample? Really? I’ve asked the RCEM if this size of sample for Scotland remains the same in its December 2019.

    Source: https://rcem.ac.uk/docs/RCEM_Winter_Flow_Project_Final_Report_2019.pdf

    Liked by 1 person

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