Hancock doing injections.

JP1

Member
Livestock Farmer
Unfortunately it is fact.

Hospitals are jammed with folk bed-blocking on an average work day. The UK doesn't have the hospital bed numbers you might think. The social care sector has far more beds. People need to get out of hospital the second they are medically fit to go. I can't even begin to list the reasons why this is the case but the main one is that hospitals are generally full of ill people and it is a top place to catch something.
Wrong

The first thing that should ave happened was an embargo on hopsital attendances from care homes unless a dire emergency. This didn't happen

Second, no patient should leave a hospital without Covid testing

Third there should have been clear guidance on isolation procedures for patients returning to care homes

The FIRST guidance issued by DoH was 27 March therefore Hancock's earlier parliamentary assurances were a tissue of lies and only to save his neck







I also detest the term bed blocker
 

Charlie Gill

Member
Location
Kent
There was a worldwide shortage of PPE. It was obvious that the people dealing with known covid cases face to face were the people you would give the PPE to first. There is an argument that the UK should have maintained manufacturing capacity for these kinds of items but I don't see anyone on TFF volunteering their kids to a career in mask manufacturing. Besides that is a systemic issue and it was far too late to do anything about it once the pandemic arrived.
I don't disagree. My suggestion was based on hindsight, for something that could be of benefit next time.

It is interesting though that the care sector claim that they weren’t asked to be involved with operation cygnus.

There are questions as to whether other recommendations were followed in full. Care sector executives told the Guardian that they were unaware of having been asked to contribute to any methodology for assessing care home capacity.


Maybe they'll remove the redactions in 75 years :unsure:
 
Unfortunately it is fact.

Hospitals are jammed with folk bed-blocking on an average work day. The UK doesn't have the hospital bed numbers you might think. The social care sector has far more beds. People need to get out of hospital the second they are medically fit to go. I can't even begin to list the reasons why this is the case but the main one is that hospitals are generally full of ill people and it is a top place to catch something.

I would agree that hospital is no place for anyone medically fit for discharge. But I have first hand experience, more than once, of the rigidity of the NHS discharge system. It’s rubbish.

Doctors do discharges mid morning, after the morning’s ablution and breakfast run. So around 11 am.
Then the patients’. drugs requirement hit the pharmacy. All at once.
You’re lucky to get beyond the exit by 3pm. Which me@ns if ambulance transport is needed they can’t leave, as they wouldn’t get back within shift.
So patient tries again the next day, or the next….

After my later mum was incarcerated fir three extra days and two nights, I phoned the CEO. Mum got sprung, but with no drugs, which panicked the care home where her room awaited her (at my cost).
I had a panicked call from the home re no drugs, so I said use the ‘script from last week‘ and I would chase it up in the morning.
But at 8pm, they rang me to say ‘You’ll never guess…. ‘ A taxi had arrived with mum’s new drugs on board, all the way from the hospital to the care home.

when my shoulder was operated on, after a nasty dislocation, I was cleared for discharge at 11.30. But not allowed to leave the ward. The codeine based pain relief arrived at 4 pm. Almost six hours after the discharge. My chauffeur was not happy.

There has to be a better way.
 
Wrong

The first thing that should ave happened was an embargo on hopsital attendances from care homes unless a dire emergency. This didn't happen

Second, no patient should leave a hospital without Covid testing

Third there should have been clear guidance on isolation procedures for patients returning to care homes

The FIRST guidance issued by DoH was 27 March therefore Hancock's earlier parliamentary assurances were a tissue of lies and only to save his neck







I also detest the term bed blocker

Bed blocking is a fact of life. I have seen it first hand. Happens all the time. Visit your nearest community hospital and ask them the average length of stay.

'An embargo on hospital attendances'- this is unrealistic. Care services send people into acute hospitals all the time and for good reason- folk fall over and break their hip, they get a stomach/ chest bug or a UTI. They become delirious, or suffer a stroke etc. These kinds of things are well outside the scope of care provided for in these places. If the nursing team in a community hospital suspected any of these things were in play they too would phone an ambulance and get the person sent into acute care without delay. What you are in fact asking for with this is for care home staff to risk their professional registration and patient safety. The nurses working in care homes are only trained up to a point. You can't expect them to try to manage with people who might be acutely ill in a care home setting. You must realise the monitoring equipment and protocols in these places are very basic and there isn't always an on-call doctor 10 minutes down the road.

I also think you are being unrealistic regarding covid testing in hospital. In the early stages of the pandemic the demand for tests would have been through the roof, and PCR is a slow and laborious process at the best of times. It's not the kind of thing you could scale up in any path lab instantly. Then you are on the to as then unknown subject of whether someone is still infectious if they are positive by PCR- I'm not even sure the science as it stands now can tell us the answer to this and as I keep saying- there is no bed space in the NHS for thousands of people to simply sit around and wait until they get a negative PCR test.

I agree clear guidance should have been issued to care homes but I would venture nearly every such place in the country is well aware (or certainly should be) of infection control procedures- it's mandatory training for anyone working in clinical areas within the NHS. Isolating patients to their own rooms (good luck with that) and trying to feed them individually would have been an absolute nightmare as many people I know who have worked in care have admitted to having to look after 10-15 patients on their own. This happens day in, day out. And in any event, it has been demonstrated that people self isolating within hotels in individual rooms were all readily being infected by the virus despite having no contact with each other- it was airborne.
 
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I would agree that hospital is no place for anyone medically fit for discharge. But I have first hand experience, more than once, of the rigidity of the NHS discharge system. It’s rubbish.

Doctors do discharges mid morning, after the morning’s ablution and breakfast run. So around 11 am.
Then the patients’. drugs requirement hit the pharmacy. All at once.
You’re lucky to get beyond the exit by 3pm. Which me@ns if ambulance transport is needed they can’t leave, as they wouldn’t get back within shift.
So patient tries again the next day, or the next….

After my later mum was incarcerated fir three extra days and two nights, I phoned the CEO. Mum got sprung, but with no drugs, which panicked the care home where her room awaited her (at my cost).
I had a panicked call from the home re no drugs, so I said use the ‘script from last week‘ and I would chase it up in the morning.
But at 8pm, they rang me to say ‘You’ll never guess…. ‘ A taxi had arrived with mum’s new drugs on board, all the way from the hospital to the care home.

when my shoulder was operated on, after a nasty dislocation, I was cleared for discharge at 11.30. But not allowed to leave the ward. The codeine based pain relief arrived at 4 pm. Almost six hours after the discharge. My chauffeur was not happy.

There has to be a better way.

There is one thing the NHS has no surplus off and which it spends very freely, the time of it's patients. You will not get any argument from me there.

I have no doubt that a lot of what various NHS organisations do is driven not by the patients it serves by actually by the producer's requirements or considerations. I don't know how this will ever be changed. There is a lot of legal thinking involved which you have neatly highlighted and which I will outline below.

Regarding people being discharged and not allowed to leave the ward- I'll happily agree that people should be allowed to walk out as soon as they please but you'll have to accept the inevitable cases where someone's loved one wonders off, falls over, bangs their head and dies in the loo or something on some out of the way place maybe on a Friday evening and isn't found until Monday morning. A lot of spaces in a hospital are not staffed 24/7 and even at night the majority of wards are on minimum staffing to the point that communal areas are a ghost town. It's much better if people wait in the ward discharging them or in a designated space where they can wait for their loved ones. As with many things the NHS does, the driving force is in safety as opposed to a sign on the dotted line here and then you can't sue us.
 
My point in mum’s case, was the oft heard accusation of ‘bed blocking’ and buck passing to social care. Neither of which applied. The sister on mum’s prolonged visit had three more patients in the same situation.
I asked to go to a staffed departure area to free up the bed. That was refused.
 

Exfarmer

Member
Location
Bury St Edmunds
Hancock should be sacked but not I believe in what happened in the first weeks of Covid. The whole health. system believed it was on the edge of collapse and there was no efficient tests for Covid.
They needed the high dependency beds freed up urgently and yes mistakes were made , but that is judging in hindsight which is so, so easy.
Hancock should be sacked for his actions during the epidemic , not just having by putting his bit of fluff on the pay role, at a very handsome salary but even more so awarding contracts top some very dubious friends and acquaintances for very large sums. His latest escapades are bringing parliament and all democracy into disrepute and is sufficient alone to justify his dismissal , although I believe there is little his fellow parliamentarians can do.
The real sinner in the safety equipment masks etc. is the present Chancellor , who sadly I rather like, under whose watch the NHS abandoned its rotation of stocks ensuring that our critical stocks of such garb became degraded to being totally unusable, tens of millions of pounds worth rotted away to mush with a use by date nearly ten years old!
 
1) Given the fact Hancock is leaving politics and his new woman is leaving with him.
2) The fact they will both be going through a divorce.
3) They were both involved heavily in the procurement processes during Covid for all the services, products and vaccines.

I would say they are loaded and are looking for a smooth way out to spend their "Earnings". I recon there is a big bank account stacked high with UK tax payers money.

If they didn't have that money available I doubt they would have risked their marriage and jobs.
 

Exfarmer

Member
Location
Bury St Edmunds
1) Given the fact Hancock is leaving politics and his new woman is leaving with him.
2) The fact they will both be going through a divorce.
3) They were both involved heavily in the procurement processes during Covid for all the services, products and vaccines.

I would say they are loaded and are looking for a smooth way out to spend their "Earnings". I recon there is a big bank account stacked high with UK tax payers money.

If they didn't have that money available I doubt they would have risked their marriage and jobs.
If eithrr have profited from the system they would certainly be liable to have their collars felt
 

essex man

Member
Location
colchester

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