Thursday, 30 May 2013

More Welsh Health Targets Missed.

The publication today of Accident and Emergency waiting times for the Welsh Health Boards show a further deterioration in performance with more people having to wait longer to be seen at Emergency Care Facilities in Wales:
"The 95 per cent target for patients spending less than 4 hours and the 99 per cent target for spending less than 8 hours were not met in any of the last 13 months." 
There were a total of 81,761 attendances at "All Hospital Emergency Care Facilities" in Wales in April 2013, an increase of 11% or 8051 patients on the numbers in January 2013.

The percentage of those who had to wait longer than 4 hours from arrival to 'admission, transfer or discharge' was 14.1% or 11,528 patients, a total of 4,500 patients or 5.5% had to wait longer than 8 hours.

In North Wales the pattern is similar with a higher proportions of patients having to wait longer than 4 and 8 hours in April 2013 than in January 2013. There were 18,249 attendances at all Betsi Cadwaladr UHB Emergency Care Facilities in April which is up 13.8% on the January 2013 number. 14.3% or 2627 patients had to wait longer than 4 hours in April 2013 whilst 4.8% or 876 patients had to wait longer than 8 hours.
The respective proportions in January 2013 were 11.4 and 3.6%.

We need research into these figures to determine causes of increases in attendance, is it because of seasonal and environmental causes or are there infrastructural causes like the reduction in acute beds in DGH's, closure of small hospitals causing bed blocking or the unavailability of appointments with GP's?

It would also be useful to ascertain the final destination of the 4,500 who had to wait longer than 8 hours; was it admission, transfer or discharge?

Plenty of questions here for Mark Drakeford, lets hope he has the answers!

1 comment:

G Horton-Jones said...

You are right in that A and E now no longer means accident and emergency --it is simply a point at which medical treatment at placebo and above level can be accessed

For the young single parent there is no family support and experience to draw upon.

This is also true for the elderly with no family support

Clubbing drinks and drugs add to the problem in a world where all have rights and few exercise responsibilty or any degree of self control

Ambulances are now so well staffed and equipped that even critical patients can be held in a stable condition for considerable periods of time

The public expect instant solutions which defy the laws of nature. Ambulances have to meet response times which clearly are unattainble and all anticipate airborne transport for minor injury if they venture more than 300 metres off road

Doctors are expected to be a mix of Kildare and house with infinite equipment and resources to hand 27/7

How about some real world honesty in the debate