Patient life is at risk of long delays for vital NHS care, the investigator warned after the death of a 93-year-old woman who had waited 10 hours for an ambulance and two more to enter A & E.
Lack of emergency relief, staff shortages and the difficulty of getting a quick A & E care have contributed to "multiple" deaths and can claim more lives, according to John Gittings. He outlined his fears in a formal legal alert stating in detail a number of recurrent shortcomings in the care he sent to the NHS after investigating the death of Gladys Williams. She fell and broke her spine in Rexs in Wales in April last year, but after 12 hours and six minutes after the first call of 999, A & E's team started their treatment.
Gittins was so worried about the omissions of his care revealed during the investigation that he had issued a strongly worded PFDN that lists several "issues of concern" and orders the bosses the NHS to take urgent changes to reduce the risk of the same thing happening again.
Questions about the delay of the ambulance, admission to them [an] The emergency department, the availability of resources, the flow of patients, and the multifactorial problems associated with such cases have been reported to me many times since previous investigations, "he said.
Although he has issued other reports to the WAS and Betsi Cadwaladr's Health Council, "these problems seem to continue," despite the improvements they have made.
"I remain extremely concerned that as a result, patients' lives are at risk," he added in a statement that became public only on January 18, although the investigation was held last September. Such extreme pressure on the health service is so regular and year-round that it can no longer be called "winter pressure," he said.
The Patients' Association said the investigator's findings were "extremely important. Delays of many, many hours are totally unacceptable and will put patient lives at risk, "says Lucy Watson, chairman.
"We are deeply concerned that people with life-threatening medical needs face these unacceptably long waiting times. Long waiting for people who are fragile is more likely to undermine their future well-being. It can not be acceptable that the services of the National Health Service have reached a low level as much as this, "she said.
Claire Bevan, Director of Quality and Breastfeeding for the Confidence of the Welsh Emergency Medical Service, said she had worked with the Health Council and Councils to address the concerns Gittins had raised. "In response to the report, we have proposed a joint plan for the development of alternative community pathways for patients. We have especially focused on managing patients closer to home, reducing the demand for emergency services and helping to keep our emergency ambulances more readily available to respond to life-threatening and serious community incidents.
"As a result of our joint work, we are currently seeing the positive impact of these improvements on our healthcare service."
WAS has also fired after it became clear that it took nearly two days to get an ambulance of 86-year-old Dementia patient Mary Duffy after she broke her leg at her home in Swansea last Sunday. The WAS staff did not arrive until 17:30 on Tuesday. While she was waiting, WS told her not to eat, drink or take pains, said her son Tim.
My mother screamed in pain. I'm worried about the wait she was supposed to endure, though it's not all about paramedics, hospital staff or home staff at all.
"All of them were brilliant, but the system was to blame," he told Wales Online.
A separate poll last week heard 78-year-old John Gudson, who had a heart attack, kidney disease and type 2 diabetes, fell to his home in Kayser, Norfolk last June and lay on the floor for five hours. before an ambulance arrives.
An ambulance ambassador in England, who does not want to be named, says: "Sometimes long delays occur because there is a mismatch between supply and demand. Ambulance services are a limited resource. There are so many vehicles and staff and they can not control, for example, how many drunkards are to be taken to a hospital. "