A&E crisis: London ambulances will only wait 45 minutes before leaving patients in…

3 January 2023, 14:47 | Up to date: 3 January 2023, 15:19

Patients will be left in corridors after 45 minutes.

Sufferers will likely be left in corridors after 45 minutes.


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London ambulances will solely wait 45 minutes earlier than leaving sufferers in hospital corridors to be taken care of by employees, a leaked e-mail has revealed.

The e-mail, seen by ITV, reveals plans to sort out delayed handovers, the place sufferers are caught in ambulances outdoors hospitals for hours or face lengthy waits for A&E employees to finish a handover.

It’s understood to be from NHS England’s pressing and emergency care lead for London and was despatched to hospital managers.

The observe stated the present “operational challenges” within the NHS are “very vital” and “it is a troublesome time for everybody”.

Ambulance trusts throughout the nation have been struggling to reply to 999 calls on time, with delays handing sufferers to A&E enjoying a serious position.

Strikes from frontline employees have added to rising stress on the well being service, with paramedics, nurses and midwives amongst these strolling out over disputes over pay and work situations.

Learn extra: Vital incidents declared at NHS hospital and ambulance trusts throughout England amid file A&E demand

Learn extra: Affected person ‘compelled to attend 99 hours for mattress’ as hospitals come below excessive stress

EXCL: One more signal of the stress within the NHS, as leaked e-mail says from immediately London Ambulance Service crews will solely wait 45 minutes at hospitals earlier than handing over sufferers.

Will imply extra ready on trolleys in corridors with hospital employees stretched much more thinly. pic.twitter.com/KexpUP71XP

— Paul Model (@PaulBrandITV) January 3, 2023

The e-mail says: “From January third we’re asking that any sufferers ready for 45 minutes for handover… are handed over instantly to ED (emergency division) employees permitting the ambulance clinicians to depart and reply to the following affected person ready in the neighborhood.

“If the affected person is clinically secure the ambulance clinicians will make sure the affected person is on a hospital trolley or wheelchair/chair and method the nurse in command of the emergency division to inform them that the affected person is being left within the care of the hospital and handover the affected person.”

The e-mail added that if the affected person will not be clinically secure, ambulance crews will stick with the affected person till handover is achieved however added that the scientific duty for the affected person lies with the hospital.

Ambulances have been left queuing for hours waiting to drop patients off at A&E

Ambulances have been left queuing for hours ready to drop sufferers off at A&E.


A spokesperson for the NHS in London stated:  “The NHS is experiencing file demand for pressing and emergency care. We’re working throughout London to hurry up ambulance handovers at hospitals – the place it’s clinically protected to take action – so ambulance crews can get to extra people who find themselves unwell in the neighborhood.

“That is one in every of some ways we’re strengthening the NHS response this winter, together with extra beds, additional 111 and 999 name handlers, extra ambulance clinicians and increasing the usage of 24/7 management centres throughout the capital for pressing and emergency care.”

Downing Road earlier stated that the Authorities is doing “every part potential” to extend the variety of beds accessible.

The Prime Minister’s official spokesman stated: “The NHS is already maximising its variety of beds, so the equal of seven,000 further beds, plus funding for discharges and rising digital wards. That is all to unencumber capability.

“Once more, that is all due to the additional funding, the billions of additional kilos we have put in.

“We’re doing every part potential to extend the variety of beds.”

Labour’s shadow minister for psychological well being and A&E physician – Rosena Allin-Khan – instructed LBC the well being service is at breaking level.

“The workforce disaster that we’re dealing with, with over 100,000 vacancies throughout the NHS, is a results of employees feeling as if they can not go on any longer with one arm tied behind their backs,” she stated.

“It’s leaving our most weak much more weak and on shifts you are feeling as if you’re unable to offer the care that you just’ve been educated to ship.”

A patient is brought in on a trolley with a police escort

A affected person is introduced in on a trolley with a police escort.


NHS palliative care physician Rachel Clarke stated on Twitter the plan was unsafe.

She wrote: “This is not protected. This is not an answer. There aren’t the ED beds, the ED docs, the ED nurses, the ED areas. Or is the proposal right here merely to pile up extra sufferers in ED corridors?”

Liberal Democrat well being spokeswoman Daisy Cooper stated: “This transfer reveals the surprising actuality of the NHS disaster and is but additional proof {that a} main incident should now be declared throughout London.

“The Well being Secretary should act now to avoid wasting the capital’s hospitals from being overwhelmed.

“Corridors and ready rooms are already full with sufferers dealing with extreme ache. The Authorities can’t wait any longer to behave.

“London’s NHS is collapsing earlier than our eyes. Ministers have spent months arrogantly dismissing or ignoring all warnings from senior well being leaders and MPs.

“That is now a life-and-death state of affairs for Londoners. The Authorities must recall Parliament instantly, declare a serious incident and above all else, cross a plan to get the nation out of this well being disaster earlier than extra folks die.”


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