A+E waiting times.

The waiting time in A&E are stupid,..what gets me..if a little kid comes in they're straight through to see someone ahead of everyone whose waiting (which i understand its a kid and that's good) but in this case,If the kid can go straight through and see someone why do we have to wait 4 hours.

Because kids are cared for by paediatric trained staff and therefore are in a different queue. They legally have to be cared for by paediatric staff (although for some reason mental health services are allowed to ignore this for some strange illogical reasons) because general trained adult staff would have insufficient knowledge about how their anatomy/physiology differs and what acceptable parameters would be along with the necessary skills to effectively communicate with a child and their family. Add into that you have kids get ill faster than adults.
 
The waiting time in A&E are stupid,..what gets me..if a little kid comes in they're straight through to see someone ahead of everyone whose waiting

What you don't realise mate is young people and kids compensate and compensate when they are unwell, then all of the sudden drop off the cliff next minute and are having big problems. Kids are often a different ball game in A&E to treating adults.
 
Combination primary care and A&E centres where non-urgent stuff is booked in appointments and diverted from A&E. Turn up to the front desk with a cold, triaged to primary care, next appointment 6 hours time - please leave and return at your allotted time.

Keeps the department from being cluttered up with people waiting.

Sadly because the NHS is daftly organised A&E won't like this much, because as they're seeing less dross some of their funding will be diverted to primary care.

That's essentially what 111 is for, except very few people obviously use it.

GF rang up 111 a few months ago on a Saturday. They booked her into a minor injuries clinic and she was soon as she got there.
 
111 is under used (especially by people with limited English) and as its largely non clinical people doing the triage will send more people to ED. Better off binning it and plowing the money into a one stop shop setup.
 
The older one was much better imo but hey the newer one is cheaper even if it doesn't do what it's supposed to. Well individual staff members are cheaper.
 
Yep. Nhs direct was waaay better, but far from perfect. You wouldn't believe the generated letters we get from 111, but all they do is follow a flow chart so what can you expect
 
I loved NHS Direct...but I don't think it was used enough to warrant the costs. Perhaps better education and awareness was what should have been implemented rather than replacing it with a script.
 
Yep. Nhs direct was waaay better, but far from perfect. You wouldn't believe the generated letters we get from 111, but all they do is follow a flow chart so what can you expect

It's the wrong way of doing things. Many moons ago I was tutored by a wonderfully gifted chap who explained something rather simple that you do have to get into your head: "You don't fit patients into protocols and algorithms you fit protocols and algorithms around patients."

It seems rather obvious but how often is it done.
 
Yep. Nhs direct was waaay better, but far from perfect. You wouldn't believe the generated letters we get from 111, but all they do is follow a flow chart so what can you expect

111 is the bane of my working life...:(
 
111 is under used (especially by people with limited English) and as its largely non clinical people doing the triage will send more people to ED. Better off binning it and plowing the money into a one stop shop setup.

I have never managed to call 111 and not be told to go to A&E. As you point out it is non clinical staff you speak to who work from a checklist.

Call up them and say you have some sort of chest infection for example and they naturally ask if you are having trouble breathing. As you have some sort of cough then naturally the answer is yes which means on their check list you need to go to A&E.

Getting an appointment with a GP is also a nightmare. Call up and get told the earliest appointment is in two weeks and when you say you are feeling too ill to wait two weeks they suggest you go to A&E.
 
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