Just released by NHS England, under pressure from the RCEM, after years of publishing data underplaying the extent of 12 hour delays in A&E, this now reveals the data from the time the patient arrives in the A&E, as opposed to time from a decision to admit as was case under old measure.:
Of all the total attendances in February 2023, 126,000 waited more than 12 hours from arrival
https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2023/04/ECDS-Supplementary-Analysis-Statistical-commentary-Feb-2023.pdf
at A&E (10.6%)
From Public Health Scotland for the same period using the counting procedure only now used by NHS England:
4,751 (4.4%) patients spent more than 12 hours in an A&E department.
https://www.publichealthscotland.scot/publications/ae-activity-and-waiting-times/ae-activity-and-waiting-times-month-ending-28-february-2023/
England has 10 times the population so, all things being equal, might be expected to have had 48 000 waiting more than 12 hours. It had 126 000, nearly 3 times more.
A twitter thread fully explaining the NHS England cover-up:
But, but…. those ferries, the A9 and the missing money (that’s got sfa all to do with the public at large but is grist to the SNPbad unionist mill).
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Shocking statistics for NHS England. We are lucky to have a great health service in Scotland but it has faced a number of challenges. Brexit, Covid-19, high energy costs, rampant inflation, pay disputes and a fixed budget come to mind. But, is it just a coincidence this information is coming out now when their are local council elections in England? Still, the information will be useful for both Humza Yousaf and Stephen Flynn with regard to television news and newspapers catastrophising the Scottish A&E statistics, which are published weekly. I hope they get the opportunity to put the next set of Scottish A&E figures into context at their next appearance at FMQT and PMQT
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‘I hope they get the opportunity to put the next set of Scottish A&E figures into context at their next appearance at FMQT and PMQT.’
I hope so too but SNP ministers and MPs have made limited use in the past of comparisons with statistics for England and for Wales favourable to Scotland – whether on the NHS or other public services.
There seems to be a reluctance to use such comparisons and then to link the results to the SG’s limited policy levers and fixed budget. This would/should provide context and perspective for voters in Scotland i.e. despite the limitations of devolution, Scotland’s public services are usually better relative to the rUK!
I can only think the apparent reluctance is due to: (a) the perceived difficulty in getting media coverage for such messages; (b) concerns about communicating such ‘logic’ if many voters have short attention spans; (c) concerns around exhibiting a lack of ambition (‘the rUK sets too low a bar’); and/or (d) concerns of being charged with whataboutery by opposition politicians and their media allies.
Also, there may be little point in using such comparisons just every now and then: to be effective in lodging these in voters’ consciousness, the messaging needs to be firm, clear, consistent and delivered often. It needs to be accompanied by, complemented by rebuttals. But without the means of effective mass communication channels much effort may be expended for limited impact.
Also to the point: ‘ is it just a coincidence this information is coming out now’.
The monthly publication of >12 waits in A&E in England measured from time of arrival have finally been issued after a lengthy period of lobbying for this change by the Royal College of Emergency Medicine (RCEM). It brings NHS England into line with NHS Scotland.
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The focus should be on the way the BBC report English and Scottish figures. It would only require a matching % figure using the same methodology. Do we know what the difference would be?
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At least some YouTubers are making sure to point out this applies to England and Wales…people like Peter Stefanovic, I have pointed out to some when they cover articles on such matters, they need to make sure which part of the UK it applies to.
So inlike the propaganda by the main media so called, people have the facts at least.
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Slightly O/T but relevant to the issue of relative NHS performances in Scotland v England: My GP gave me one of those “no date or time walk-in” cards to get a X-ray. I went this afternoon and total time spent in the hospital was 15 minutes comprising c 3minutes waiting after check-in, c3 minutes in Radiology getting the X-Ray and c9 minutes walking from and to the carpark. I took a book to read in case of a long wait and read just one page. Fantastic service!
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The RCEM are to be congratulated on finally getting this pushed through, it always was an anomaly open to abuse.
It will doubtless annoy the likes of Gulhane, Baillie and Summers, who will not be making comparison of England v Scotland stats any time soon.
I’ve always been deeply uncomfortable with the political/media presentation of such stats, they are essentially a local management tool, and only they know the context.
eg – Taken over a month for all the England Trusts, the headline figure of 126,000 waiting 12 hours looks alarming – Yet I’d bet that the bulk of that figure is related to “accidents” with drink or drugs involved, much more prevalent in England than Scotland.
– Monitoring the patient whilst they recover well enough for treatment will be a regular feature at A&Es with peaks on the weekends…
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