A&E departments 'absolutely full to bursting' with flu blamed for making 'bad situation even worse', top medic says
Dr Ian Higginson from the Royal College of Emergency Medicine told Paste BN the situation is "pretty grim" for NHS acute care, and has warned of patients in corridors, queuing ambulances, along with the risk of staff and bed shortages.
Wednesday 25 December 2024 09:04, UK
Around half of accident and emergency departments, polled by the Royal College of Emergency Medicine, have said they are "full to bursting" this Christmas.
Dr Ian Higginson, its vice-president, told Paste BN' Gareth Barlow on Christmas Eve that the situation for the NHS in the UK is "pretty grim" at the moment.
The group, representing emergency doctors, put a call-out to senior managers on Friday night. Dr Higginson said half responded and "all but two of them said that the emergency departments were absolutely full to bursting".
"Normally just before Christmas, we'd expect a bit of a lull. So I'm afraid things are looking pretty difficult out there for our patients and for our staff," he added.
The NHS has warned that hospitals are under severe pressure because of winter flu cases and a so-called quad-demic, combining respiratory infections with norovirus.
Commenting on the challenges facing the NHS, Dr Higginson said: "We simply don't have enough beds in our hospitals for patients who are admitted as emergencies.
"We don't have enough staff for those beds and we don't have any headroom at all. So if something like flu hits as it has done, it makes a bad situation even worse."
England 'about 10,000 beds short'
Dr Higginson added he believes the answer is "strategic solutions and strategic investment".
He said: "In England alone, we reckon we're about 10,000 beds short in our hospitals to deal with the predictable, urgent and emergency care... the equivalent of approximately two wards in every hospital."
Recently the RCEM also attacked the "nonsensical" guidance on how to treat patients in corridors - describing it as "out of touch" and "normalising the dangerous".
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Dr Higginson said recent pressures mean "we've got patients all the way through our corridors because we can't admit them to hospital when they need to".
He added: "It may be that their ambulance is outside in car parks because those patients can't get into our emergency departments."
And he argued that social care is "in a really difficult place at the moment" - needing investment to prevent older patients from remaining in hospital longer than they need to.
"When they're ready to leave hospital, they get stuck in hospital, and that contributes to that shortage of beds even more," he said.
Since its election victory in July, the Labour government has acknowledged the NHS needs investment with the Prime Minister Sir Keir Starmer saying it is "broken".
In October, Chancellor Rachel Reeves announced a £22.6bn increase in day-to-day spending on the NHS in her budget.
Commenting on rising pressures within the NHS, Wes Streeting, the health secretary, said: "We inherited an NHS that is broken but not beaten, and staff are already working hard to tackle an increase in admissions this winter."
"For too long, an annual winter crisis has become the norm. We will deliver long-term reforms through our 10-year health plan that will create a health service that will be there for all of us all year round," he added.