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COMMENT
CSJ THE CLINICAL SERVICES JOURNAL Editor
Louise Frampton
louiseframpton@stepcomms.com
Technical Editor Kate Woodhead Business Manager
Dean Walford
deanwalford@stepcomms.com
Sales Executive Holly Goldring
hollygoldring@stepcomms.com
Journal Administration
Katy Cockle
katycockle@stepcomms.com
Design Steven Dillon Publisher
Geoff King
geoffking@stepcomms.com
Publishing Director Trevor Moon
trevormoon@stepcomms.com
THE CLINICAL SERVICES JOURNAL is published in January, February, March, April, May, June, August, September, October and November by Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR, UK. Tel: +44 (0)1892 779999 Fax: +44 (0)1892 616177 Email:
info@clinicalservicesjournal.com Web:
www.clinicalservicesjournal.com
Building resilience and supporting wellbeing
At the time of writing this, the country is celebrating some good news on the roll out of the COVID-19 vaccination programme. The NHS vaccination programme, the biggest in NHS history, has got off to a good start with more than three million people receiving the life-saving jab (by 17 January), including more than a third of those aged 80 or over. Over 1,000 GP-led services and more than 250 hospitals have started to offer coronavirus vaccinations – with high street pharmacies stores also joining the programme, along with community spaces such as rugby grounds, racecourses, food courts and even a cathedral. National newspapers have described ‘the Dunkirk spirit’ that surrounds this huge effort, with “everyone from out-of-work actors and office workers to students and retired nurses” answering the call for volunteers. (Guardian 19 Jan 2020).
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The Government has also just announced that people in England in their 70s, and those listed as clinically extremely vulnerable, will now receive their jabs. Finally, there is light at the end of a very dark tunnel, and the National mood is one of optimism and relief. However, the battle is far from over and the mood, behind closed doors, is very different indeed. The Royal College of Nurses has warned that ICUs are struggling to deliver safe levels of staff for patients, with capacity reaching critical levels for many hospitals. Furthermore, the latest NHS Urgent and Emergency Care Daily Situation Report and monthly hospital activity data, paint a challenging picture of the state of care. Siva Anandaciva, chief analyst at The King’s Fund, commented “Staff are exhausted, wards are overflowing, and patients face long waits for routine and emergency care, with many procedures being cancelled or postponed. Despite staff doing their best under incredibly difficult circumstances, waits for routine care have rapidly ballooned, with 192,000 people waiting over a year for care compared to just 1,400 this time last year. “But this is only part of the problem. Last week, more than 3,700 patients had to wait 12 hours or more in A&E before
FEBRUARY 2021
being admitted to hospital – the highest number since current records began, and even urgent operations are being cancelled in some parts of the country. GPs are seeing high numbers of patients at a time when they are also working flat out to deliver a monumental vaccination programme. “Staff are going the extra mile, putting themselves under mental and physical strain. Vaccines will provide some relief but one of the lessons that must be learned is that the goodwill and hard work of frontline staff is not enough to overcome long-standing staff shortages and reduce waiting times which were rising well before the pandemic struck.
Staff are exhausted, wards are overflowing, and patients face long waits for routine and emergency care
Once the pandemic is under control, there is an urgent need for the Government to deliver on its manifesto commitments by publishing a long-term plan to grow and support the healthcare workforce backed by the money.” Going forward, we must invest in building resilience and strengthening the workforce, not just in terms of numbers, but also in how we support the welbeing of staff on the frontline of care. In the aftermath of coronavirus, the full impact of working under these pressures will become painfully apparent. With this in mind, CSJ continues to highlight the resources and coping strategies that can help support healthcare staff, as they face unimaginable stress, fatigue and trauma. Kate Woodhead shares her insights on page 15.
Louise Frampton l Editor
louiseframpton@stepcomms.com
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