Dozens of patients wait 12 hours for a bed at Derby A&E

More than 40 people waited more than 12 hours for a hospital bed in Derbyshire A&E in September – a symptom of widespread pressure on the county’s healthcare system.

Prior to the pandemic, it was highly unusual for a patient to become a “12 hour trolley break” and have to wait more than 12 hours for a hospital bed after being classified as requiring care.

During the pandemic, the number of people who had to wait more than 12 hours for a bed was seen as a symptom of how much pressure is on Derbyshire’s NHS.

The latest picture from our hospitals shows that this pressure is increasing. The number of 12-hour trolley violations each month means there are problems across the healthcare system that are causing the backlog.

There is no single solution and no organization is responsible for the problem. The subject comes back to demand and capacity.

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Data from the Derby and Derbyshire Clinical Commissioning Group shows there were 39 12-hour trolley violations at the Royal Derby Hospital in September alone. This is more than the hospital would normally see in a full year, but is especially high outside of winter.

It’s also another increase from the already high figure in July, when the hospital waited 18 patients for more than 12 hours to be in bed.

Chesterfield Royal Hospital also recorded two 12-hour trolley violations in September, after recording zero two months earlier, in July – as would normally be expected.

Of Derby’s 39 violations, eight are believed to be due to mental health bed availability, while 31 were due to capacity issues, CCG papers said.

Both of Chesterfield’s violations were related to the availability of mental health beds.

The Royal Derby reportedly had an average of 541 Type 1 (high priority) visitors to its A&E every day, with the number of visitors across the network 11 percent higher than before the pandemic – compared between September 2021 and September 2019.

It is also said that the ICU pressure is affecting the entire region, with Derby taking care of transfers from Nottingham.

This is said to affect Derby’s capacity as these patients “are more likely not to be relocated because of the need to maintain the safety and quality of care” – making the problems worse.

The number of visitors to the children’s emergency room in Derby is also increasing “rapidly”, according to the CCG report, an average of 143 per day until September, compared to 100 per day in September 2019.

At Chesterfield Royal, the report said, there continued to be “heavily delayed layoffs” for patients in need of social care assistance “because of the capacity for them in the county.”

It is said that there were at times two wards with people who are medically fit for discharge but remained in hospital beds – “reducing the beds available for those in the emergency room who need them”.

The heads of both county hospital trusts have apologized for the ongoing problems and are asking patients to seriously consider whether their illness can be treated outside of A&E, which is intended for life-threatening medical purposes. This includes contacting NHS 111 or visiting an urgent treatment center or minor injury department.

Berenice Groves, Assistant Manager and Chief Operating Officer of Chesterfield Royal said: “As has been reported across the NHS and social welfare across the country, our services have come under increasing pressure in the last few months as we move into winter.

“My colleagues, both within the Trust and externally at neighboring organizations, have continued to work extremely hard to cope with the rise in sicker patients in need of admission, ensuring that patients are sent to the most appropriate as early as possible Service and help patients return to their own lives. ”Orders.

“We are very sorry that some of these patients had extended stays in the emergency room while waiting for a bed, but we always made sure they were comfortable and received prompt treatment.

“Together with all partners in the health and care system, we have developed a plan to reduce the presence in our emergency rooms and also to discharge patients more quickly and safely so that the next emergency can be admitted more quickly.”

“We recognize that social welfare capacity remains a challenge due to the skilled workforce available, which is no different from the national picture in Derbyshire and will not happen overnight.

“We turn to families to support us in the meantime, either by helping with care in the household of their relatives or with placement in residential or care facilities.

“We’d also like to encourage people to help us by calling NHS 111 first for advice on non-life-threatening concerns before going to the emergency room.”

Gavin Boyle, Chief Executive of the Royal Derby said: “Emergency services have come under increasing pressure in recent months as winter approaches and demand for our A&E and other front-line services remains extremely high.

“My colleagues continue to work extremely hard to meet this demand and meet an increase in sicker patients in need of admission.

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“I am sorry that some patients who went to the emergency room at Royal Derby Hospital had to wait longer than we would have liked.

“Together with all partners in the health and care system, we have developed a plan to reduce the presence in our emergency rooms and also to discharge patients more quickly and safely so that the next emergency can be admitted more quickly.”

“I cannot emphasize enough the importance of our A&E departments remaining free to give priority to our sickest patients.

“You can help us with this by first using the NHS 111 service, seeking advice on non-life threatening matters, and also visiting an emergency community treatment center or our minor injury department in Tamworth or Lichfield where they can assist you Treatment and advice for minor injuries or illnesses. “

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