‘Cry of despair’ from service treating millions but under massive pressure

09 January 2020 – NHS Confederation

Responding to the latest performance figures from NHS England, Niall Dickson, Chief Executive of the NHS Confederation said:

“Our members predicted this would be the toughest winter on record, and they were right. These figures represent a cry of despair from a service that is delivering remarkable care to millions of patients, but is under enormous pressure. This is the result of an older, sicker population, more severe flu this winter, and years of under-investment in health and social care.

“Some patients are waiting too long, but we also need to recognise that more patients are being supported than ever – accident and emergency departments treated over 3 million more patients in 2019 than five years before. That is an increase of more than 14%.

“In the last year, ambulance services dealt with an extra 400,000 incidents compared to 2018. There were more ambulance journeys to emergency departments than ever – nearly 15,000 a day – and the number carrying patients with life threatening conditions rose by 10,000.

“What we are seeing in and around emergency departments is only the most visible part of a system trying to cope with unprecedented demand – many family doctors are simply not able to see patients as quickly or for as long as they need to be seen, community services are short-staffed, and social care services do not have the resources or the staff to manage and support patients in their own homes.

“As a result, more patients are calling ambulances, too many hospitals have no beds and too many patients cannot be discharged because they have no support at home.

“The NHS is doing well in spite of all this – planning is better, and on the front line, staff are doing everything they can to deliver safe, effective care.

“The Government has belatedly promised more investment and to train more doctors and nurses, but that will take time, as will efforts to build new services in the community that will relieve some of the current relentless pressure.

“We need all politicians to be honest about the state of play, and the challenges we face: it is far from being all doom and gloom, but we need sustained investment, more staff, and new types of service – all of that will take time.”

Full weekly data tables from NHS England are available here.

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