Ambulance waiting times.

This Daily Telegraph article is based on BBC News research into ambulance waiting times – hanging around outside Accident and Emergency when they should be handing over their patients and driving off to the next job.

There are two results from this – ambulances aren’t available while they wait and so when there are emergencies ambulances from much further away have to be called in. Delay with emergencies costs lives.

Secondly, this waiting time postpones the A and E ‘4 hour clock’ from running, so 30 minutes stuck outside is quite useful.

There are a whole list of other ruses hospitals are using to ‘bend time’– a ‘triage’ room where patients are held before they are booked in and a ‘ward’ (another room) where patients are sent to get them out of A and E and stop the clock running.

Accident and Emergency departments are often too busy to admit patients with some made to wait outside in ambulances for up to six hours, an investigation reveals

NHS guidance recommends that patients should wait in ambulances for no longer than 15 minutes and delays of more than 30 minutes in England can lead to fines.

By News agencies

 09 Dec 2013

Some patients are being forced to wait in ambulances outside hospitals for hours because accident and emergency departments are too busy to take them, according to research.

In one case, a patient in Wales was made to wait more than six hours before being admitted, while another in England was delayed for more than five hours, the BBC found.

 

NHS guidance recommends that patients should wait in ambulances for no longer than 15 minutes and delays of more than 30 minutes in England can lead to fines.

Paramedics are only allowed to hand patients over to hospitals when staff there can take charge of them.

The figures were released to the BBC under the Freedom of Information Act after it asked all UK ambulance services for their longest waits for the 12 weeks from August to October.

 

The longest delay, of a patient waiting for six hours and 22 minutes, occurred in Wales. Each weekly maximum wait there for the period was more than three hours.

In the east of England one patient was forced to wait five hours and 51 minutes, while Scotland had the best record, with none of the weekly maximum waits longer than two hours.

Northern Ireland and the Isle of Wight failed to provide data, the BBC said.

Dr Clifford Mann, president of the College of Emergency Medicine, said the figures were ''alarming''.

He told the BBC: ''There's always going to be a small number of patients whose transfer is delayed, but not to the extent of these figures - which are approaching three, four - sometimes six hours.

''And remember, these figures relate to the three months up until October. They don't include the really pressured time of the winter and so it's unlikely these figures are going to improve - and that must be a cause for concern.''

 

Barbara Hakin, deputy chief executive of NHS England, said there were 4,476 delays of more than 30 minutes in handing patients on from ambulances last week, down by nearly 1,000 on the same week in 2012.

But she conceded that ambulance services were under pressure.

She said: ''NHS England recognises it is essential ambulances are back on the road as soon as possible after taking patients to A&E, though we know it is sometimes in the best interests of patients' safety that they remain in the ambulance after they have arrived at the hospital.''

Ms Hakin said NHS England has allocated an extra £14 million for extra staff and equipment over the winter months.

Neil Harris

(a don’t stop till you drop production)

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