C CITY DESK
The Board of Ashford and St. Peter’s NHS Foundation Trust, met
yesterday, 25/4/13, which means a little burst of transparency; here’s an
extract from the newly published minutes of the 28/3/13 meeting. I’ve added a
few comments of my own;
“The
Deputy Chief Executive confirmed that the Trust did not expect to meet the four
hour waiting time target with an expected performance against the 95% target of
92-92.5%.”
That’s what I worked out from the NHS ‘Weekly Sitrep’s”, here’s the
blather and excuses;
“This
failure had been driven by acuity with an increase in majors patients, the lack
of investment and instability within the local health economy to meet winter
pressures and the increase in complex discharges with the number of people
waiting to be discharged averaging at 40-50 in Quarter one through to quarter
three but 80-90, and peaking at 103, in quarter four. The national context was
presenting a similar picture with Monitor recently publishing a report which
identified that 36% of acute trusts had missed the waiting time target at
quarter three, a quarter which ASPH had achieved, and current figures
indicating that 27 of the 37 trusts in the South of England would not achieve
the quarter four target.”
This next passage reflects the new set up at A and E,
effectively a form of triage. That’s the way they used to do things, in the old
days, let’s hope things get better;
“The Deputy
Chief Executive confirmed to the Board the progress which had been made despite
the forecast failure of quarter four. The IST had confirmed in December 2012
that the new model of care in the emergency department had been implemented
with actions complete.”
New staff! More on this another day – looks like a rumour I
heard, that my favourite consultant has gone, was true.
“Clinical
engagement was also far improved from the prior year with strong candidates
having been appointed to substantive positions within A&E. In 2013/14 the
actions implemented would continue to be embedded to ensure the improvements
made were sustainable.”
Not our fault;
“Peter
Taylor, Non-Executive Director sought assurance that there was confidence that
performance would be back on track in 2013/14. The Deputy Chief Executive
assured the Board that the model of care worked and the right team was now in
place to deliver this however risks remained predominantly due to elements of
the pathway which were out of control of the Trust. The level of complex
discharges had reduced to 70 in the current week which was a positive sign for
the performance of quarter one.”
The Board NOTED the report.
Here are the figures, it was
better that week;
Type 1 Type 2
31st March
97.3 97.7
But then afterwards it all went south again;
7th April 93.7 94.4
14th April 83.5 86.2
Remember, these are the percentages of A and E patients seen
in 4 hours or less, the target being 95 %.
By the way; “This
failure had been driven by acuity” - I think this bureaucratic B/S means
that he thinks the failure to see the patients in time was caused because there
were too many patients.
I’m sure what he really meant to say is that it was caused by
there being too few staff:
UGIMME
10 !
10 consultants at A and E, for you and me.
Neil Harris
(a don’t stop till you drop production)
Home: helpmesortoutstpeters.blogspot.comContact: neilwithpromisestokeep
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