The "I`ve got it" thread...

[JCMaloney]

Figures from yesterday Tuesday
32,276 people in Leicestershire have tested positive - up from 31,726 (increase 550).
15,311 (increase of 221) were within the Leicester City Council area.
16,965 (increase of 329) cases were reported in the County.
UHL reported 1 death. The death occurred on the 13th November.
Total number of UHL death's now stands 524.

Today's figures , Wednesday.
32,789 people in Leicestershire have tested positive - up from 32,276 (increase 513).
15,531 (increase of 220) were within the Leicester City Council area.
17,258 (increase of 293) cases were reported in the County.
UHL reported 1 death. The death occurred on the 16th November.
Total number of UHL death's now stands at 525.

 

[JCMaloney]

Late update.

Positive inpatients - 260.

ITU & HDU are filling up.

Non-urgent cases are being delayed although Cancer and urgent work is still going ahead.

 

[primmiemoo]

Fingers crossed you aren't heading into Hull territory, but it sounds as though you're coming close to the thick of it.

 

[Rowland]

The pandemic was over in June...we now have a death rate hovering around the five year average.

Do some research folks.

Just because you keep posting this doesn’t make it correct.

 

[Highland Mule]

Just because you keep posting this doesn’t make it correct.

Agree 100%. If he wants to make it correct he needs to add "FACT" at the end.

 

[kiwi pom]

Late update.

Positive inpatients - 260.

ITU & HDU are filling up.

Non-urgent cases are being delayed although Cancer and urgent work is still going ahead.

I'm curious to know how much your capacity has increased since the start of the pandemic?
I would imagine with the whole country being dependant on the NHS, considerable time, effort, money and planning has been spent in the last 6 months or so?

 

[Mouser]

I'm curious to know how much your capacity has increased since the start of the pandemic?
I would imagine with the whole country being dependant on the NHS, considerable time, effort, money and planning has been spent in the last 6 months or so?

In April our (NI) health minister said it was no bother to have 400 ventilated beds when the 108 icu capacity was nearly full. 6 months on they are in crisis because 99 beds are full. Useless wouldn't be in it

 

[JCMaloney]

I'm curious to know how much your capacity has increased since the start of the pandemic?
I would imagine with the whole country being dependant on the NHS, considerable time, effort, money and planning has been spent in the last 6 months or so?

The NHS system relies on flow..... people in = people out and it copes.
When people come in and stay and are infectious it blocks that flow and adds complications such as barrier nursing/isolation etc.
We have got a maximum of 1,978 beds across the Trust, less 150 or so Maternity that can`t be used for other reasons and some that are out of commission for service/maintenance/lack of staff etc.

 

[primmiemoo]

Like the sort of lambing when everything is prepared for a steady rate over the expected duration, and the whole bliddy lot of them lamb in one afternoon.

Only far, far more serious.

 

[Mouser]

The NHS system relies on flow..... people in = people out and it copes.
When people come in and stay and are infectious it blocks that flow and adds complications such as barrier nursing/isolation etc.
We have got a maximum of 1,978 beds across the Trust, less 150 or so Maternity that can`t be used for other reasons and some that are out of commission for service/maintenance/lack of staff etc.

So an increase of ??? in six months?

 

[JCMaloney]

So an increase of ??? in six months?

Can`t train a nurse or a doctor in 6 month`s.
If you haven`t got qualified staff then the number of beds is a moot point.
We have "fast tracked" a load of student nurses from De Montfort Uni in town to build up some numbers but they still have to have training & support.
We are also restricted on how much we can pay for agency staff, that is a national thing, because we were training nurses who then jumped ship to agencies and we were re-employing them at almost double the salary!
A newly qualified Band 5 nurse starts on £22k a year for "sh** & shifts" as they say.

 

[Mouser]

Can`t train a nurse or a doctor in 6 month`s.
If you haven`t got qualified staff then the number of beds is a moot point.
We have "fast tracked" a load of student nurses from De Montfort Uni in town to build up some numbers but they still have to have training & support.
We are also restricted on how much we can pay for agency staff, that is a national thing, because we were training nurses who then jumped ship to agencies and we were re-employing them at almost double the salary!
A newly qualified Band 5 nurse starts on £22k a year for "sh** & shifts" as they say.

Hate that word 'can't' They could easily have trained medical students in 6 months to look after covid/ ventilator/ respiratory patients for the winter emergency. Might not be perfect or ideal but it would be doable and mean we were actually prepared for the worst. Instead we close the country down when the hospitals (that are full and under pressure every winter) are full and under pressure.

 

[Highland Mule]

Hate that word 'can't' They could easily have trained medical students in 6 months to look after covid/ ventilator/ respiratory patients for the winter emergency. Might not be perfect or ideal but it would be doable and mean we were actually prepared for the worst. Instead we close the country down when the hospitals (that are full and under pressure every winter) are full and under pressure.

Fascinating. What's your medical training? Specifically interested in your ITU/ HDU experience.

 

[Rowland]

Hate that word 'can't' They could easily have trained medical students in 6 months to look after covid/ ventilator/ respiratory patients for the winter emergency. Might not be perfect or ideal but it would be doable and mean we were actually prepared for the worst. Instead we close the country down when the hospitals (that are full and under pressure every winter) are full and under pressure.

If you read JC’s post that’s exactly what has happened!
Nurses have been pulled from out patient clinics retired nurses have been asked to go back to work.

 

[Mouser]

If you read JC’s post that’s exactly what has happened!
Nurses have been pulled from out patient clinics retired nurses have been asked to go back to work.

Which he says equals zero extra beds! Not really a response to "the biggest threat to our nation since the war" is it?

 

[Mouser]

Fascinating. What's your medical training? Specifically interested in your ITU/ HDU experience.

None, my opinion is based on my knowledge of how clever people learn and adapt and the views of a couple of GP friends.

 

[Rowland]

Which he says equals zero extra beds! Not really a response to "the biggest threat to our nation since the war" is it?

In many hospitals the beds are there just no staff for them .
reasonably new hospital at Bishop Auckland has loads of closed wards for starters
Then there’s the nightingale hospitals plenty of beds in them but I’m not sure where they will get the staff to run them

 

[JCMaloney]

Hate that word 'can't' They could easily have trained medical students in 6 months to look after covid/ ventilator/ respiratory patients for the winter emergency. Might not be perfect or ideal but it would be doable and mean we were actually prepared for the worst. Instead we close the country down when the hospitals (that are full and under pressure every winter) are full and under pressure.

Aye, and when Granny dies because the med student was inadequately skilled to respond to her problem, and there was nobody around who was, we`ll settle out of court with the "compo lawyer" and that is why the NHS is now risk averse. Bringing back Crown Immunity would solve that!

The theory behind lockdown is not just to stop people getting ill it is to reduce the transmission rate and allow the health service to "catch" the wave of sick folk just as we are doing right now.
That has a knock on effect for other poorly folk and how that is dealt with is part of what we are learning, so the Nightingale at Manchester isn`t going to be used for high dependency care, it will used for recovering patients rather than keeping them in "proper" hospital or throwing them back into care homes.
Its not perfect, its a big problem but it is being solved slowly and the NHS (generally) remains open for business.

 

[Mouser]

In many hospitals the beds are there just no staff for them .
reasonably new hospital at Bishop Auckland has loads of closed wards for starters
Then there’s the nightingale hospitals plenty of beds in them but I’m not sure where they will get the staff to run them

I agree, we're both making the same point but I'm asking why there's not enough staff and you're asking how could there be enough staff.

 

[bobk]

I agree, we're both making the same point but I'm asking why there's not enough staff and you're asking how could there be enough staff.

In our local hospital 700 staff are off .