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Monday mornings see double the A&E attendances
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A&E departments in England see double the amount of attendances on a Monday morning.
Departments across England collectively deal with about 4,000 cases per hour between 10am and 12pm on a Monday, compared to the typical hourly average of 2,000, according to the Health and Social Care Information Centre (HSCIC).
A recent report, ‘Accident and Emergency Attendances in England’, shows 17.6 million attendances were recorded in 2011-12 by major A&E departments, single specialty A&E departments, walk- in centres and minor injury units in England, which is up from the 16.2 million recorded in 2010-11. According to the data, departments in the London strategic health authority dealt with the most attendances of any in England. The report also shows that in 2011-12, more than two-thirds of attendances were self-referrals (64.7%), 10% were via the emergency services and only 5.1% were from a GP. Of the A&E visits, a fifth (20.7%) saw the patient admitted to hospital.
Dr Mark Newbold, chair of the NHS Confederation’s Hospitals
Forum, said a two-fold increase in A&E attendance on a Monday morning is a “clear sign of a system not working at its best” and that all parts of the NHS had to work together to respond to urgent demands: “Significant and unnecessary variations in pressure on one part of the health system are felt right through the NHS. All parts of the service feel the shock waves. “We must reshape how all parts of the NHS respond to urgent or unplanned demands on services if we are to deliver the best care, improve clinical outcomes and, ultimately, save more lives.” He reminded: “Urgent illness, trauma and accidents don’t take a break over weekends and bank holidays, nor do they respect a nine-to-five working day. It is essential that we look at all options for urgent and emergency care, and how it joins up with community and primary care, so patients know their health service will respond appropriately.” The NHS Confederation is working with the Royal College of Physicians to review urgent care in future.
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