Thursday, May 29, 2008

NHS hospitals lose 32,000 beds in a decade

More than 30,000 hospital beds have been lost since Labour came to power, with record cuts in NHS wards last year

The cutbacks mean increasing numbers of hospitals are going on "black alert" - which involves closing their doors to new patients because they are full. Patients' groups described the loss of the beds, at a time when overcrowded wards have seen soaring rates of killer infections, as "a national scandal". The reduction contradicts a pledge from Tony Blair at the turn of the century that there would be 7,000 more NHS beds by 2010. New figures, seen by The Telegraph, show that the number of health service beds fell more than 8,000 last year, as the NHS began a reorganisation process which will mean the closure of dozens of hospitals.

More than 40 per cent of maternity units turned away women in labour last year because they had no room. Meanwhile, ambulances have been forced to queue outside overstretched hospitals, treating patients in car parks just yards from accident and emergency departments. The new statistics, revealed in response to a parliamentary question by Ed Vaizey, the Conservative MP, show that almost 32,000 NHS hospital beds went between 1997, when Labour took office, and 2007.

More than 8,400 beds were cut in the year ending March 2007, the largest fall in 14 years. One in six beds has been closed over the decade. There are now 167,019 beds in NHS wards, compared with 198,848 in 1997. The figures emerged as health authorities are drawing up plans which will see the likely closure of dozens of district general hospitals. The East of England health authority has admitted that two accident and emergency departments and a maternity unit could close.

Andrew Lansley, the shadow health secretary, said the Government's financial mismanagement had forced hospitals to make cuts which could risk lives. "These bed cuts were financially driven: the sharp rise in the numbers closed happened at a time when the health service was under desperate pressure to clear a massive deficit."

Katherine Murphy, from the Patients' Association, said: "This is a national scandal. More than 30,000 beds have been lost at a time when demand is increasing."

In the same decade that the beds were cut, death rates from the infections MRSA and Clostridium difficile rose five-fold. Investigations into the biggest C. diff outbreak in Britain, which killed 90 patients at hospitals run by Maidstone and Tunbridge Wells trust in 2005 and 2006, found that overcrowding amid pressure to meet hospital waiting targets was a factor behind the infection's spread.

More than 2,000 maternity beds have been lost since 1997. Research by the Conservatives found that last year, 42 per cent of maternity units had refused to accept women in labour on at least one occasion. Sue MacDonald, from the Royal College of Midwives, said: "We feel the cuts have gone too far." Norman Lamb, the Liberal Democrat health spokesman, met officials recently after pressures on his local hospital, the Norfolk and Norwich, forced it to declare an emergency "black alert," closing to new admissions, with 10 ambulances "stacked" outside, treating patients.

The Department of Health said bed numbers had fallen because hospitals were more efficient, with patients staying for shorter periods, while services were treating more people with chronic conditions in their own homes.

Source






Toddler's surgery cancelled three times in a row by Australian public hospital

A two-year-old girl with cerebral palsy who requires surgery to stop vomiting six times a day has had her surgery cancelled three times, her father has said. The last cancellation, yesterday, happened after the girl and her parents were forced to wait at Sydney Children's Hospital, Randwick, from 10am until 3.45pm, said the girl's father, Nick Thomas.

The toddler, Zara , was told last year she needed corrective surgery to fix a reflux problem, Mr Thomas said. "We were told last year that she needed it because she's been in hospital twice with pneumonia," he told Radio 2UE. "When she vomits ... she can't move [her] head around [and it] ends up back in her lungs, [causing] pneumonia."

After meeting with doctors in January this year, Mr Thomas was told there was a three-month waiting list for the surgery, which was booked for April 22. But the hospital cancelled the surgery because the doctor was away, Mr Thomas said. "They rescheduled and rung us two days before she was meant to go in and cancelled again," he said. Yesterday was the third time the surgery was cancelled, but only after Zara had to wait at the hospital most of the day, Mr Thomas said.

"We got there at 10am, we had to stop her feeding at 7am, and we didn't take any milk with us thinking she was going to have the operation. "They came in at 3.45pm yesterday afternoon and they said they didn't have enough time to do the surgery. "They want us to come back on Thursday and they can't promise it."

Mr Thomas said the hospital staff told him they had complained to the Health Minister Reba Meagher that they needed more theatre time. The minister's office has been contacted for comment. "We're a first world country, this shouldn't happen," Mr Thomas said. "You go there and see all the kids and it's not fair [that] they have to wait."

A doctor at the hospital said Zara's surgery was postponed because more critical cases had arisen. "The hospital sincerely regrets the distress caused by the rescheduling of her previous surgeries," Michael Brydon, director of clinical operations Sydney Children's Hospital, Randwick, said. "The surgeon was required to operate on more seriously ill patients that he deemed to have a higher clinical need than Zara. As is always urgent critical or emergency care must take priority,'' Dr Brydon said. Surgery for Zara had now been scheduled for tomorrow, he said.

Mr Thomas said he did not have private health insurance. But the head of one of Australia's biggest health insurance funds contacted 2UE after hearing Mr Thomas's call, and pledged to cover the full cost of Zara's treatment, the radio station said. The fund did not wish to be named. "I don't know what to say ... that's great, that's awesome," Mr Thomas said, after 2UE called him to inform him of the fund's promise.

Source

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