Royal Bolton Hospital beats A&E waiting time targets - but readmissions a problem

The Bolton News: Royal Bolton Hospital beats A&E waiting time targets - but readmissions a problem Royal Bolton Hospital beats A&E waiting time targets - but readmissions a problem

THE Royal Bolton’s A&E department continues to perform well in the winter months — but the number of patients readmitted to hospital is still a problem.

The emergency department achieved its four hour waiting target again in January with 96.3 per cent of patients being seen on time.

But the number of patients being discharged then re-admitted — 12.2 per cent — to the Royal Bolton has breached its eight per cent target.

Andy Ennis, chief operating officer at the Bolton NHS Foundation Trust, told the board: “Our A&E performance remains good apart from a couple of days when we did have a slight blip.

“The good thing is that the department seems to recover quite quickly from the bad days.”

Mr Ennis went on to explain that the number of patients readmitted to hospital was lower than the regional average but improvements still needed to be made.

He added: “Regionally and nationally we are bench-marking reasonably well but it is an extremely tough target to hit.”

Jackie Bene, chief executive of the trust, said: “We must take note of the target because the length of stay and readmission is a marker of effectiveness.”

In December the trust — which runs the Royal Bolton Hospital — recorded its best month of the financial year with 98.2 per cent of patients being seen within four hours, making it one of the best performing in the country.

During the financial year 201/13, the Royal Bolton’s A&E unit saw a 4.7 per cent increase in attendance and saw 115,936 patients compared to 110,738 the previous year.

This is approximately 317 patients per day and makes it the second busiest in Greater Manchester.

Children under nine years of age made up 17.2 per cent of all attendances to the Bolton department — prompting a campaign from health commissioners to drive down numbers.

Comments (9)

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10:53am Sun 2 Mar 14

Andyroost says...

These figures could be massively improved if Doctors surgeries were run more effectively, I rang Peter House surgery last Wednesday to get an appointment for my wife who had suffered two days prior, I was asked is it pain or personal, I replied pain as her tablets were having no effect, she replied the soonest appointment available was Monday 5/6 days later, she endured this pain until Saturday night when it started to ease, to me this is unacceptable, most people would have gone to A&E in this case, Sort the Doctors surgeries out and A&E usage rates and efficiency figures will improve overnight, also start treating drink related visits as private healthcare as it's self inflicted, watch the improvements. Not rocket science.
These figures could be massively improved if Doctors surgeries were run more effectively, I rang Peter House surgery last Wednesday to get an appointment for my wife who had suffered two days prior, I was asked is it pain or personal, I replied pain as her tablets were having no effect, she replied the soonest appointment available was Monday 5/6 days later, she endured this pain until Saturday night when it started to ease, to me this is unacceptable, most people would have gone to A&E in this case, Sort the Doctors surgeries out and A&E usage rates and efficiency figures will improve overnight, also start treating drink related visits as private healthcare as it's self inflicted, watch the improvements. Not rocket science. Andyroost
  • Score: 23

11:37am Sun 2 Mar 14

oftbewildered2 says...

Andyroost wrote:
These figures could be massively improved if Doctors surgeries were run more effectively, I rang Peter House surgery last Wednesday to get an appointment for my wife who had suffered two days prior, I was asked is it pain or personal, I replied pain as her tablets were having no effect, she replied the soonest appointment available was Monday 5/6 days later, she endured this pain until Saturday night when it started to ease, to me this is unacceptable, most people would have gone to A&E in this case, Sort the Doctors surgeries out and A&E usage rates and efficiency figures will improve overnight, also start treating drink related visits as private healthcare as it's self inflicted, watch the improvements. Not rocket science.
whilst receptionists believe they are 'triaging' appointments - they are NOT qualified. knowledgeable or experienced enough to do this. I have had similar problems and whilst I had originally asked to speak to a doctor, it took four phone calls and the threat to call an ambulance and present myself to A&E for this to happen. Problem was then solved in two minutes flat.
[quote][p][bold]Andyroost[/bold] wrote: These figures could be massively improved if Doctors surgeries were run more effectively, I rang Peter House surgery last Wednesday to get an appointment for my wife who had suffered two days prior, I was asked is it pain or personal, I replied pain as her tablets were having no effect, she replied the soonest appointment available was Monday 5/6 days later, she endured this pain until Saturday night when it started to ease, to me this is unacceptable, most people would have gone to A&E in this case, Sort the Doctors surgeries out and A&E usage rates and efficiency figures will improve overnight, also start treating drink related visits as private healthcare as it's self inflicted, watch the improvements. Not rocket science.[/p][/quote]whilst receptionists believe they are 'triaging' appointments - they are NOT qualified. knowledgeable or experienced enough to do this. I have had similar problems and whilst I had originally asked to speak to a doctor, it took four phone calls and the threat to call an ambulance and present myself to A&E for this to happen. Problem was then solved in two minutes flat. oftbewildered2
  • Score: 20

5:15pm Sun 2 Mar 14

davidjb says...

the biggest problem with our hospital and NHS services in this area is the receptionists. my partner was ringing about her pregnancy and was directed through 7 numbers by the main receiver and ended up at vehicle transport, they just seem to press a random number so that the problem goes away. the most helpful receptionists seem to be the ones your in a queue for as it shows that they're doing their job not just pressed extension numbers then getting back to their chat about their lives
the biggest problem with our hospital and NHS services in this area is the receptionists. my partner was ringing about her pregnancy and was directed through 7 numbers by the main receiver and ended up at vehicle transport, they just seem to press a random number so that the problem goes away. the most helpful receptionists seem to be the ones your in a queue for as it shows that they're doing their job not just pressed extension numbers then getting back to their chat about their lives davidjb
  • Score: 4

10:56pm Sun 2 Mar 14

BWFC71 says...

Another big problem has been the merging of all the doctors practices into super medical centres with less staff, and less doctors thus increasing the waiting times and lessening the surgery times and then the outsourcing of the evening/night/weeken
d/public holiday hours to private medical companies who are there to make a profit only and keep costs down as much as possible!!!!
Another big problem has been the merging of all the doctors practices into super medical centres with less staff, and less doctors thus increasing the waiting times and lessening the surgery times and then the outsourcing of the evening/night/weeken d/public holiday hours to private medical companies who are there to make a profit only and keep costs down as much as possible!!!! BWFC71
  • Score: 0

12:42pm Mon 3 Mar 14

Hollieanne says...

Doctors are now able to avoid evening and weekend working thanks to the contract that Labour negotiated with them. This, along with a rise in population, has allowed a massive backlog.
Doctors are now able to avoid evening and weekend working thanks to the contract that Labour negotiated with them. This, along with a rise in population, has allowed a massive backlog. Hollieanne
  • Score: 3

2:34pm Mon 3 Mar 14

Puffin-Billy says...

"...........the length of stay and readmission is a marker of effectiveness.”

The number of times a patient is readmitted to hospital is an indication that Bolton NHS is underfunded , is understaffed, and is at breaking strain because clinicians are so busy following targets, that they can't concentrate on getting their patients better.

Who'd have thought it.......the length of stay a patient has in hospital affects their recovery rate !!!!!!!!!!!

We are "bench-marking" ? What the hell is that supposed to mean ?

More corporate bulls8 on behalf of those who are intent on privatisiing the NHS.

Andy Ennis would have us believe that "...Healthier Together is the Greater Manchester-wide review of health care provision similar to that which resulted in the development of our Maternity Services under the Making It Better programme. "

Let's have an end to the lies and corporate bulls8.

Jeremy Hunt has called the NHS a ’60 year mistake’.
He means it, and he is trying to eradicate the NHS.

That is why "invitation only" meetings between GPs and MPs who are in the private health care business, are taking place in Portcullis House at the expense of the taxpayer.

That is why Earl Howe, a former banker, introduced clause 119. Which Jeremy Hunt is determined will be enforced so he can shut hospitals without any consultation.

That is why Earl Howe, when speaking at a forum hosted by healthcare market researchers Laing and Busisson prior to the Health bill being passed into Act, told the audience

‘‘...........The opening up of the NHS creates genuine opportunities for those of you who can offer high quality, convenient services that compete favourably with current NHS care… There will be big opportunities for the private sector’.

He went onto say: “This clause would clarify that the statutory obligations of commissioners to involve and consult patients and the public in planning and making services changes do not apply in respect of the trust special administration regime”.

Earl Howe has recently been threatened with expulsion from his advisory position at the Royal College of Physicians for having ‘mis-sold’ the health reforms.




"Healthier Together" is NOT " Making it better" . It is a confidence trick - a scam.

It is making the NHS worse.

it is putting the NHS under strain from the £20 Billion of cuts imposed on

it by Mckinsey, to make way for privatisation , and marketisation.

And it is Monitor's job (David Wakefield at Bolton NHS ) to enforce

competition and make way for privatisation.


Stop the lies - Stop the privatisation of the NHS.
"...........the length of stay and readmission is a marker of effectiveness.” The number of times a patient is readmitted to hospital is an indication that Bolton NHS is underfunded , is understaffed, and is at breaking strain because clinicians are so busy following targets, that they can't concentrate on getting their patients better. Who'd have thought it.......the length of stay a patient has in hospital affects their recovery rate !!!!!!!!!!! We are "bench-marking" ? What the hell is that supposed to mean ? More corporate bulls8 on behalf of those who are intent on privatisiing the NHS. Andy Ennis would have us believe that "...Healthier Together is the Greater Manchester-wide review of health care provision similar to that which resulted in the development of our Maternity Services under the Making It Better programme. " Let's have an end to the lies and corporate bulls8. Jeremy Hunt has called the NHS a ’60 year mistake’. He means it, and he is trying to eradicate the NHS. That is why "invitation only" meetings between GPs and MPs who are in the private health care business, are taking place in Portcullis House at the expense of the taxpayer. That is why Earl Howe, a former banker, introduced clause 119. Which Jeremy Hunt is determined will be enforced so he can shut hospitals without any consultation. That is why Earl Howe, when speaking at a forum hosted by healthcare market researchers Laing and Busisson prior to the Health bill being passed into Act, told the audience ‘‘...........The opening up of the NHS creates genuine opportunities for those of you who can offer high quality, convenient services that compete favourably with current NHS care… There will be big opportunities for the private sector’. He went onto say: “This clause would clarify that the statutory obligations of commissioners to involve and consult patients and the public in planning and making services changes do not apply in respect of the trust special administration regime”. Earl Howe has recently been threatened with expulsion from his advisory position at the Royal College of Physicians for having ‘mis-sold’ the health reforms. "Healthier Together" is NOT " Making it better" . It is a confidence trick - a scam. It is making the NHS worse. it is putting the NHS under strain from the £20 Billion of cuts imposed on it by Mckinsey, to make way for privatisation , and marketisation. And it is Monitor's job (David Wakefield at Bolton NHS ) to enforce competition and make way for privatisation. Stop the lies - Stop the privatisation of the NHS. Puffin-Billy
  • Score: 3

2:37pm Mon 3 Mar 14

Puffin-Billy says...

There are none so blind as those who will not see!

http://socialinvesti
gations.blogspot.co.
uk/2012/07/health-mi
nister-and-lansleys-
special.html
There are none so blind as those who will not see! http://socialinvesti gations.blogspot.co. uk/2012/07/health-mi nister-and-lansleys- special.html Puffin-Billy
  • Score: 0

2:53pm Mon 3 Mar 14

Puffin-Billy says...

Need I say more........?
225 parliamentarians have recent or present financial private healthcare connections
145 Lords have recent or present financial connections to companies or individuals involved in healthcare
124 Peers benefit from the financial services sector
1 in 4 Conservative Peers have recent or present financial connections to companies or individuals involved in healthcare
1 in 6 Labour Peers have recent or present financial connections to companies or individuals involved in healthcare
1 in 6 Crossbench Peers have recent or present financial connections to companies or individuals involved in healthcare
1 in 10 Liberal Democrat Peers have recent or present financial connections to companies or individuals involved in healthcare
75 MPs have recent or present financial links to companies or individuals involved in private healthcare
81% of these are Conservative
4 Key members of the Associate Parliamentary Health Group have parliamentarians with financial connections to companies or individuals involved in healthcare
4 Patrons of the pro-reform think tank 2020health have Peers with private healthcare links
Nearly 40% of the most powerful individuals in healthcare are from companies with links to Lords and MPs.
4 MPs and 1 Lord have worked for Huntsworth Health, run by a Peer who gave money to Cameron’s leadership campaign
25 of the Finalists in the HealthInvestors Awards 2012 have parliamentarians connected to them
2 companies, DACBeachcroft, Cumberlege Connections, which have Lords as a partner and as an owner respectively, moved themselves into a position to make money from the reforms as the Lords voted on the bill, and before the bill became Act
5 organisations link to Baroness Cumberlege: Her company, Cumberlege Connections, Associate Parliamentary Health Group, 2020health, Huntsworth plc, MJM, healthcare solutions
19 Lords and MPs have financial links to Pharmaceutical giant GlaxoSmithKline
9 Lords and MPs have received payment from a company run by Baroness Cumberlege, called Cumberlege Connections, which is a healthcare training and political networking company
1 – the amount of times the BBC challenged Andrew Lansley in the last three years on his donation received to fund his private office when shadow health minister from John Nash the chairman of Care UK. Mr Nash was made a Lord.

All were able to vote on the Health and Social Care bill (now Act), despite having a prejudicial interest, which would not have been allowed at local council level
Need I say more........? 225 parliamentarians have recent or present financial private healthcare connections 145 Lords have recent or present financial connections to companies or individuals involved in healthcare 124 Peers benefit from the financial services sector 1 in 4 Conservative Peers have recent or present financial connections to companies or individuals involved in healthcare 1 in 6 Labour Peers have recent or present financial connections to companies or individuals involved in healthcare 1 in 6 Crossbench Peers have recent or present financial connections to companies or individuals involved in healthcare 1 in 10 Liberal Democrat Peers have recent or present financial connections to companies or individuals involved in healthcare 75 MPs have recent or present financial links to companies or individuals involved in private healthcare 81% of these are Conservative 4 Key members of the Associate Parliamentary Health Group have parliamentarians with financial connections to companies or individuals involved in healthcare 4 Patrons of the pro-reform think tank 2020health have Peers with private healthcare links Nearly 40% of the most powerful individuals in healthcare are from companies with links to Lords and MPs. 4 MPs and 1 Lord have worked for Huntsworth Health, run by a Peer who gave money to Cameron’s leadership campaign 25 of the Finalists in the HealthInvestors Awards 2012 have parliamentarians connected to them 2 companies, DACBeachcroft, Cumberlege Connections, which have Lords as a partner and as an owner respectively, moved themselves into a position to make money from the reforms as the Lords voted on the bill, and before the bill became Act 5 organisations link to Baroness Cumberlege: Her company, Cumberlege Connections, Associate Parliamentary Health Group, 2020health, Huntsworth plc, MJM, healthcare solutions 19 Lords and MPs have financial links to Pharmaceutical giant GlaxoSmithKline 9 Lords and MPs have received payment from a company run by Baroness Cumberlege, called Cumberlege Connections, which is a healthcare training and political networking company 1 – the amount of times the BBC challenged Andrew Lansley in the last three years on his donation received to fund his private office when shadow health minister from John Nash the chairman of Care UK. Mr Nash was made a Lord. All were able to vote on the Health and Social Care bill (now Act), despite having a prejudicial interest, which would not have been allowed at local council level Puffin-Billy
  • Score: 3

3:04pm Mon 3 Mar 14

Puffin-Billy says...

BWFC71 wrote:
Another big problem has been the merging of all the doctors practices into super medical centres with less staff, and less doctors thus increasing the waiting times and lessening the surgery times and then the outsourcing of the evening/night/weeken

d/public holiday hours to private medical companies who are there to make a profit only and keep costs down as much as possible!!!!
Trouble is so many GPs have financial interests in private health.

Anything that puts a strain on NHS facilities has to be in their interests.

Here is one such GP business:

https://www.ssphealt
h.com/nhs-patient-re
gistration/
[quote][p][bold]BWFC71[/bold] wrote: Another big problem has been the merging of all the doctors practices into super medical centres with less staff, and less doctors thus increasing the waiting times and lessening the surgery times and then the outsourcing of the evening/night/weeken d/public holiday hours to private medical companies who are there to make a profit only and keep costs down as much as possible!!!![/p][/quote]Trouble is so many GPs have financial interests in private health. Anything that puts a strain on NHS facilities has to be in their interests. Here is one such GP business: https://www.ssphealt h.com/nhs-patient-re gistration/ Puffin-Billy
  • Score: 2

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