Temperatures are plunging, but the NHS is in meltdown.
There’s massive and unprecedented demands on the service all over – ambulance services, A&Es, treatment centres stretched to the limit as if it’s New Year’s Eve.
It might be an ordinary week in the run up to Christmas, but more people are feeling the sudden cold and succumbing, more victims are being felled in norovirus attacks, and more people are drinking themselves silly – more arguments, more fights, more injuries, more accidents.
With 11,008 call outs last week, London Ambulance Service has raised its service status to critical.
The rest of the country was equally scary – West Midlands 3,550, North West 3,973, East of England 3,278.
Scarier still is that around 1 in every 10 call outs is alcohol related – a legacy of low prices that encourage drinking at home before a night out – straight into a drinking culture fuelled by festive season bonhomie and extended opening hours.
Many other calls are unnecessary, paramedics responding to patients who should have gone to their GP.
But many people can’t get to their GP. With many surgeries only open during business hours, waiting times for an ordinary appointment can be a week or more. Not good when you’re hurting and need attention NOW.
Going to A&E has the same problem. First priority is of course to more serious cases – but even for acute pain you can expect to be triaged to a standard 4-hour wait.
So it’s the ambulance crews who take the brunt – long 12-hour shifts with no let up from pressure.
The stress is amazing. Response time for a life-threatening emergency is supposed to be eight minutes. Not easy when traffic congestion alone could make journeys ten times longer.
A bottle-neck in many A&Es ramps up the pressure. They’re busy in there.
Backed up when they should be on the road, ambulances might queue four and five deep to reach a hospital bay – and during that time the patient is the crew’s responsibility – along with pressure to cope with still more incidents happening out there, round the clock…
Across the board the NHS is receiving £700 million to cope with this year’s pressure. It’s not enough and all of it should go to the ambulance service urgently.
Because in case you hadn’t noticed, life isn’t as easy as it once was. GPs no longer make house calls. And when you finally do get through to an appointment, five minutes consultation time is your lot – next please, there’s people waiting.
But call 999 and the ambulance service comes running. Which means that paramedics are way more than the frontline emergency teams they’re trained to be. And as the sharp edge of the NHS, their work takes the heat off right through the whole system , not least through overworked A&Es.
In safe hands
You see, to Tom, Dick or Harrys like us, getting sick or having an accident is a major drama. We’re scared, we don’t know what’s happening to us, we anticipate the worst.
Which is where the training of our paramedics is so amazing. And why they get called so often.
Theirs is the calm, confident voice of the professional. Reassuring. Soothing. You’re obviously in the hands of experts. You can relax.
You’re in your own home too. Not the daunting environment of a hospital. Familiar things surround you while practiced hands provide care. You’re going to be OK. No panic attacks. No nervous reactions. No complications.
If you’ve ever been cared for by an ambulance crew you’ll know the quiet sureness, the easy confidence – already three-quarters of the way to feeling better.
Meet your new GP
Which makes them our new GPs – and then some. And every year 1 in 20 of us will call urgently for their services.
Not for “take two aspirins and call me in the morning” either – but for serious needs like segment elevation myocardial infarction – a type of heart attack.
Anything in fact, from minor injuries to cardiac arrest, to multiple casualties from serious road accidents. How many GPs can handle that?
Our paramedics are still in the hot seat though. The NHS is a big place and £700 million doesn’t go very far in a country that needs expert care 24/7.
More ambulances, more crews, more systems to handle them, they’re urgent now.
Because come rain or shine, our paramedics are always there when we need them – no matter how tired, hungry or rushed of their feet they are.
And they deserve better than 10p in the pound for saving our lives.
Originally posted 2014-12-16 14:21:41.