Accident and emergency performance figures improve at QA Hospital The letters were sent by the leads of the Portsmouth, Fareham and Gosport, and South Eastern Hampshire Clinical Commissioning Groups (CCGs) last month.
But the green shoots of recovery are starting to show, since Mr Strang put new ideas in place in October. This includes increasing the number of beds available in the hospital, holding more daily meetings to identify which patients can be discharged, extending care given by the medical assessment unit and introducing a phone line that GPs can call to get a second opinion before sending a patient to A the figures show kate spade summer purses that immediately after the changes were put in place, there was an improvement in waiting times in the emergency department. 'There are things we have put in place that have already helped,' he said. 'It's pulled us into the top third best performing trusts compared to others of a similar size to us.' And the work has been welcomed by Councillor Will Purvis, who is a member of the hospital trust's board of governors. He said: 'We are aware of the pressures on A and the work taking place to help ease the pressure. We saw the changes had made things better, but winter pressure has caused a spike again. 'The staff do an amazing job considering the pressures they are under and the difficult circumstances during winter.' The trust works on a six week average and work out how many patients are likely to come through the door each day. Throughout the day these figures are monitored, and ward managers go out and try to find spaces. Mr Strang said: 'Teams go out into the wards and see who can be discharged, and that creates space. 'If there are no spaces in the hospital, then the patients kate spade factory bags have to stay in the emergency department, and that's when you start to get the queues. 'Throughout the year, we have about 275 people come through the emergency department a week, and we are pushed. 'During winter, that increases to about 310, and makes it even more difficult. 'We felt winter hit us at the start of kate spade discount dresses December. 'Usually there are about 65 patients a day, but in the winter it goes up to 80 plus patients, and a quarter of them will be those with respiratory or cardiac problems.' Mr Strang believes one of the biggest things that cheap kate spade bags will help meet targets, is addressing patient flow within the entire hospital. 'The ED is not separate from the rest of the hospital, and it all needs to work together,' he said. 'Patients that go into resuscitation or the major beds will get seen too, as their problems are life threatening. 'About 55 per cent of the cases that come in are for minors, and it's usually these patients that can face long waits. 'We have to keep the flow going all the time. If we've got someone that needs to come in and be admitted, then we also need to make sure people are being discharged quickly as well. 'It's not as simple as adding more beds. The first reason is because we don't have enough space, and the second reason is that would only work for a short term. 'Even if you control the tap, which is the flow of people coming in, you still need to make sure the sink is unblocked, ie the number of people being discharged. 'It's not about how big your ED is, but how quickly you can move people along so beds become available.' Last month, Portsmouth patient watchdog group Healthwatch visited the department. Manager Steven Taylor said: 'The pressures on the emergency department are not just about the demand it's also about other parts of the hospital working to support admissions. 'And most importantly discharge arrangements which mean more patients can't come in because they are full. 'The four hour wait time is a really good tool to use, but it's more than just a measure of when patients are seen, it's about a lot more and it shouldn't be the only thing we look for.
'Pressure on the department, especially at peaks times, means they can't cope.' He added: 'There needs to be more coordination between GPs and the out of hours services to take some of the demand off.'.
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