Patient wastes vital Royal Bolton Hospital resources by visiting A&E FORTY times in a year

The Bolton News: Patient wastes vital Royal Bolton Hospital resources by visiting A&E FORTY times in just one year Patient wastes vital Royal Bolton Hospital resources by visiting A&E FORTY times in just one year

SCORES of problem patients visited the Royal Bolton Hospital’s A&E at least 10 times in just one year — including one who turned up at casualty more than FORTY TIMES.

Figures obtained by The Bolton News show that 120 people went to A&E at the Royal Bolton Hospital at least 10 times each in 2013.

And more than 830 people went at least five times in the same year.

Alcohol-related problems, mental health and chronic conditions are at the root of many repeat attenders, according to hospital chiefs.

Health bosses have now warned the “frequent fliers” are placing a huge amount of pressure on vital services.

Dr Barry Silvert, clinical director at Bolton Clinical Commissioning Group, said: “We know that some people choose to visit A&E on a frequent basis, often with more minor illnesses or injuries that could be better treated elsewhere. This adds to the pressure on this valuable service.

“A&E should only be used for serious and life threatening conditions and I strongly urge people in Bolton to leave this vital resource for those who really need it. There are other options, including a patient’s own GP, the GP out of hours service, and local pharmacies.”

The figures come after it was revealed patients visiting Bolton’s A&E with coughs, colds and even headlice are costing the NHS locally up to £850,000 a year.

A child with headlice, a request for a sicknote and problems with lower back pain were also some of the reasons people arrived at the Royal Bolton Hospital’s casualty department last year.

A spokesman for Bolton NHS Foundation Trust said: “We treat significant numbers of patients in A&E on a daily basis. There are some patients who attend A&E who could have been treated by their own GP, local pharmacist, or attended the GP Out of Hours Service and we encourage people to use these services when they are ill for minor illnesses and injuries.

“There are also a number of people who frequently attend at A&E for various reasons, some of those are for example, alcohol related, or mental health or chronic conditions, and we support patients to use alternative services for these longer term health matters. We also work with our partners across the health economy to improve these services to patients to avoid unnecessary attendances at A&E.”

The figures show a slight increase in the number of people attending at least 10 times a year.

The number of people attending between six and ten times a year has also been on the rise since 2009.

In 2011 and 2012 there was one patient who attended more than 50 times — a number not repeated last year.

The College of Emergency Medicine found 15 per cent of people who attend A&E departments across the UK — about 2.1 million people — could have been dealt with by an alternative to emergency care.

In Bolton, 15 per cent of all A&E attendances equates to about £850,000 of NHS money a year.

Health chiefs say more than 13,680 people who attended the Royal Bolton’s emergency department in 2013/14 could have been treated by a GP or pharmacist.

Comments (36)

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8:16am Fri 27 Jun 14

the need for austerity is a myth says...

Greater Manchester West Mental Health NHS Trust used to have a service specifically geared towards helping people with alcohol, drug or mental health problems who regularly attend A+E to access the specific services they need. This invaluable community resource, which saved the hospital millions in the long term, has recently been cut to make short-sighted, short-term savings.

How dare the cynical CCG claim to "work with our partners across the health economy ... to avoid unnecessary attendances at A+E"?

And why didn't anybody predict a rise in attendance at A+E when the Lever Chambers Walk in Centre was closed down (to make short-sighted, short-term savings)? Oh wait, everybody predicted it except the over paid pen pushers desperate to privatise our NHS services to line their own pockets.

On the 5th July their will be a 66th Birthday Party for the NHS at it's birthplace in Urmston, Trafford. Everyone is invited.
Greater Manchester West Mental Health NHS Trust used to have a service specifically geared towards helping people with alcohol, drug or mental health problems who regularly attend A+E to access the specific services they need. This invaluable community resource, which saved the hospital millions in the long term, has recently been cut to make short-sighted, short-term savings. How dare the cynical CCG claim to "work with our partners across the health economy ... to avoid unnecessary attendances at A+E"? And why didn't anybody predict a rise in attendance at A+E when the Lever Chambers Walk in Centre was closed down (to make short-sighted, short-term savings)? Oh wait, everybody predicted it except the over paid pen pushers desperate to privatise our NHS services to line their own pockets. On the 5th July their will be a 66th Birthday Party for the NHS at it's birthplace in Urmston, Trafford. Everyone is invited. the need for austerity is a myth
  • Score: 50

8:36am Fri 27 Jun 14

PAULBWFC27 says...

Well make more doctors available then !!!
Well make more doctors available then !!! PAULBWFC27
  • Score: 14

8:40am Fri 27 Jun 14

PAULBWFC27 says...

Lower back pain can be serious !
Lower back pain can be serious ! PAULBWFC27
  • Score: 16

8:48am Fri 27 Jun 14

filthy6 says...

PAULBWFC27 wrote:
Lower back pain can be serious !
Think the point is, it's not an emergency
[quote][p][bold]PAULBWFC27[/bold] wrote: Lower back pain can be serious ![/p][/quote]Think the point is, it's not an emergency filthy6
  • Score: 5

9:04am Fri 27 Jun 14

Where'swally says...

the need for austerity is a myth wrote:
Greater Manchester West Mental Health NHS Trust used to have a service specifically geared towards helping people with alcohol, drug or mental health problems who regularly attend A+E to access the specific services they need. This invaluable community resource, which saved the hospital millions in the long term, has recently been cut to make short-sighted, short-term savings.

How dare the cynical CCG claim to "work with our partners across the health economy ... to avoid unnecessary attendances at A+E"?

And why didn't anybody predict a rise in attendance at A+E when the Lever Chambers Walk in Centre was closed down (to make short-sighted, short-term savings)? Oh wait, everybody predicted it except the over paid pen pushers desperate to privatise our NHS services to line their own pockets.

On the 5th July their will be a 66th Birthday Party for the NHS at it's birthplace in Urmston, Trafford. Everyone is invited.
THE NEED FOR THE RIGHTEOUS ONE IS A MYTH...
[quote][p][bold]the need for austerity is a myth[/bold] wrote: Greater Manchester West Mental Health NHS Trust used to have a service specifically geared towards helping people with alcohol, drug or mental health problems who regularly attend A+E to access the specific services they need. This invaluable community resource, which saved the hospital millions in the long term, has recently been cut to make short-sighted, short-term savings. How dare the cynical CCG claim to "work with our partners across the health economy ... to avoid unnecessary attendances at A+E"? And why didn't anybody predict a rise in attendance at A+E when the Lever Chambers Walk in Centre was closed down (to make short-sighted, short-term savings)? Oh wait, everybody predicted it except the over paid pen pushers desperate to privatise our NHS services to line their own pockets. On the 5th July their will be a 66th Birthday Party for the NHS at it's birthplace in Urmston, Trafford. Everyone is invited.[/p][/quote]THE NEED FOR THE RIGHTEOUS ONE IS A MYTH... Where'swally
  • Score: -10

9:23am Fri 27 Jun 14

catsden says...

I suggest IF IT IS NOT AN EMERGENCY MAKE THEM PAY, THEY WOULD SOON STOP GOING, THEY MUST BE COMPLETLY STUPID TO GO TO
A & E WITH A COLD OR COUGH, NO WONDER THE NHS IS SUFFERING WITH MORONS LIKE THAT
I suggest IF IT IS NOT AN EMERGENCY MAKE THEM PAY, THEY WOULD SOON STOP GOING, THEY MUST BE COMPLETLY STUPID TO GO TO A & E WITH A COLD OR COUGH, NO WONDER THE NHS IS SUFFERING WITH MORONS LIKE THAT catsden
  • Score: 21

9:28am Fri 27 Jun 14

catsden says...

filthy6 wrote:
PAULBWFC27 wrote:
Lower back pain can be serious !
Think the point is, it's not an emergency
Not serious to visit A & E, unless they can't walk, thousands of people have lower back pain, but they don't go running off to A & E lower back pain is not an emergency
[quote][p][bold]filthy6[/bold] wrote: [quote][p][bold]PAULBWFC27[/bold] wrote: Lower back pain can be serious ![/p][/quote]Think the point is, it's not an emergency[/p][/quote]Not serious to visit A & E, unless they can't walk, thousands of people have lower back pain, but they don't go running off to A & E lower back pain is not an emergency catsden
  • Score: 10

9:32am Fri 27 Jun 14

catsden says...

They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money
They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money catsden
  • Score: 6

9:40am Fri 27 Jun 14

Lynne54 says...

My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out. Lynne54
  • Score: 12

9:47am Fri 27 Jun 14

TheOneTrueWord says...

Oh this article really grates on my nerves. People with mental health problems are often told to attend A&E when they are in desperate need. Where is the new RAID team located that people with mental health problems are told to go to if they need urgent support and help… Oh yes A&E!

One of my friends was spoken to extremely rudely by a nurse in A&E two days ago when she approached them for help with continuing mental health difficulties, I am rather glad I was NOT there to witness what this nurse said, which was absolutely disgusting and certainly a volition of NMC rules and regulations. Sadly my friend does not have it in her to complain, scared of repercussions.

If those with mental health problems need help and support and they cannot get it from there social worker or CPN then they will turn to A&E, or perhaps Dr Barry Silvert would prefer for them to go to the nearest bridge… Let’s remember the teenage girl recently who attended A&E for support with mental health problems, who was told by a nurse there that ‘she was having a bad day’ 48 hours later she killed herself…

Dr Silvert, people would not go running to A&E for help and support with mental health problems if you didn’t cut services and bombard staff with too many patients that they can’t cope. AND it is only going to get worse when you close the mental health wards in Bolton, a whole lot worse and you only have yourself to blame!
Oh this article really grates on my nerves. People with mental health problems are often told to attend A&E when they are in desperate need. Where is the new RAID team located that people with mental health problems are told to go to if they need urgent support and help… Oh yes A&E! One of my friends was spoken to extremely rudely by a nurse in A&E two days ago when she approached them for help with continuing mental health difficulties, I am rather glad I was NOT there to witness what this nurse said, which was absolutely disgusting and certainly a volition of NMC rules and regulations. Sadly my friend does not have it in her to complain, scared of repercussions. If those with mental health problems need help and support and they cannot get it from there social worker or CPN then they will turn to A&E, or perhaps Dr Barry Silvert would prefer for them to go to the nearest bridge… Let’s remember the teenage girl recently who attended A&E for support with mental health problems, who was told by a nurse there that ‘she was having a bad day’ 48 hours later she killed herself… Dr Silvert, people would not go running to A&E for help and support with mental health problems if you didn’t cut services and bombard staff with too many patients that they can’t cope. AND it is only going to get worse when you close the mental health wards in Bolton, a whole lot worse and you only have yourself to blame! TheOneTrueWord
  • Score: 2

9:48am Fri 27 Jun 14

TheOneTrueWord says...

catsden wrote:
They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money
Idiot!
[quote][p][bold]catsden[/bold] wrote: They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money[/p][/quote]Idiot! TheOneTrueWord
  • Score: -2

9:51am Fri 27 Jun 14

TheOneTrueWord says...

‘or attended the GP Out of Hours Service’

Is that the GP out of hours service that is absolutely manic at the weekend, so much so patients who need to be seen in an emergency have a call with an overworked nurse and GP and are then are often prescribed a prescription without being seen… a bit of a risk that isn’t it!

How many people needed to be seen last week by the GP out of hour’s service, and how many were actually seen at Watermeetings?
‘or attended the GP Out of Hours Service’ Is that the GP out of hours service that is absolutely manic at the weekend, so much so patients who need to be seen in an emergency have a call with an overworked nurse and GP and are then are often prescribed a prescription without being seen… a bit of a risk that isn’t it! How many people needed to be seen last week by the GP out of hour’s service, and how many were actually seen at Watermeetings? TheOneTrueWord
  • Score: 6

9:53am Fri 27 Jun 14

TheOneTrueWord says...

filthy6 wrote:
PAULBWFC27 wrote:
Lower back pain can be serious !
Think the point is, it's not an emergency
Actually is can be… Google it!
[quote][p][bold]filthy6[/bold] wrote: [quote][p][bold]PAULBWFC27[/bold] wrote: Lower back pain can be serious ![/p][/quote]Think the point is, it's not an emergency[/p][/quote]Actually is can be… Google it! TheOneTrueWord
  • Score: 5

10:55am Fri 27 Jun 14

allan111111 says...

Mental health is serious....believe me i know....and the advice you are given is if you are in dire need of help attend a n e
Mental health is serious....believe me i know....and the advice you are given is if you are in dire need of help attend a n e allan111111
  • Score: 19

11:03am Fri 27 Jun 14

Best an says...

Both of my daughters who are pregnant have been told to go to a and e by the midwives! Which because I'm a nurse and know they would be in the wrong place told them to go to their gp but you will find a lot of doctors surgeries (out of hours) and midwives because they are too busy are telling patients this.
The walk in service which was excellent needs bringing back ASAP we went once and they were really good.
Both of my daughters who are pregnant have been told to go to a and e by the midwives! Which because I'm a nurse and know they would be in the wrong place told them to go to their gp but you will find a lot of doctors surgeries (out of hours) and midwives because they are too busy are telling patients this. The walk in service which was excellent needs bringing back ASAP we went once and they were really good. Best an
  • Score: 12

11:19am Fri 27 Jun 14

allan111111 says...

Bolton hospital listen please....the services you are directing people to cant cope which is why people end up at a n e
Bolton hospital listen please....the services you are directing people to cant cope which is why people end up at a n e allan111111
  • Score: 14

1:03pm Fri 27 Jun 14

stylish says...

out of hours GPs are very quick at telling people to go to A/E instead of seeing them first and making a diagnosis when people ring with symptoms that are not serious but may require treatment, I don't condone time wasters and they should be charged for wasting valuable resources but other health care professionals are also abusers of A/E as I feel they tell people to go to A/E as a cop out to seeing them themselves as was the case with the midwives
out of hours GPs are very quick at telling people to go to A/E instead of seeing them first and making a diagnosis when people ring with symptoms that are not serious but may require treatment, I don't condone time wasters and they should be charged for wasting valuable resources but other health care professionals are also abusers of A/E as I feel they tell people to go to A/E as a cop out to seeing them themselves as was the case with the midwives stylish
  • Score: 14

5:57pm Fri 27 Jun 14

artistpaint says...

nhs workers need 2 pull there finger out and start looking after people
nhs workers need 2 pull there finger out and start looking after people artistpaint
  • Score: -25

6:22pm Fri 27 Jun 14

Janch1 says...

catsden wrote:
They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money
Yes, catsden I could not agree more. Spot on. I worked in A&E for years and it was always the same work shy scroungers who would turn up time and time again, three and four times in a day on some occasions. Working people would not dream of going to A&E with some of the trivia that these shirkers turn up with. They have nothing better to do and visiting A&E passes time on for them and if anything is said about their repeat visit when they get there they can always abuse the staff. So yes, get a life and a job and stop wasting money!!
[quote][p][bold]catsden[/bold] wrote: They must have nothing better to do visiting 40 times, get a life and a job then you will not have the time who ever you are and stop wasting money[/p][/quote]Yes, catsden I could not agree more. Spot on. I worked in A&E for years and it was always the same work shy scroungers who would turn up time and time again, three and four times in a day on some occasions. Working people would not dream of going to A&E with some of the trivia that these shirkers turn up with. They have nothing better to do and visiting A&E passes time on for them and if anything is said about their repeat visit when they get there they can always abuse the staff. So yes, get a life and a job and stop wasting money!! Janch1
  • Score: 5

7:31pm Fri 27 Jun 14

Smeagol says...

Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to.
Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to. Smeagol
  • Score: 9

7:49pm Fri 27 Jun 14

steveG says...

Lynne54 wrote:
My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
I would have thought anybody could have done it for him,even a wife!.
[quote][p][bold]Lynne54[/bold] wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.[/p][/quote]I would have thought anybody could have done it for him,even a wife!. steveG
  • Score: 23

7:50pm Fri 27 Jun 14

The Famous Grouse! says...

I hope to god that the people that have commented negatively on here never have to experience what it's like to have mental health problems or feel suicidal. I wonder what you would feel like if, in this economic climate, you lost your job, your home, your family. I'm sure you would appreciate being told you are wastig everybody's time and resources. It would be a real shame if the mental health services (in A+E) said to you as you arrive 'Go Away' and see your GP! your problems don't count. Enough said!
I hope to god that the people that have commented negatively on here never have to experience what it's like to have mental health problems or feel suicidal. I wonder what you would feel like if, in this economic climate, you lost your job, your home, your family. I'm sure you would appreciate being told you are wastig everybody's time and resources. It would be a real shame if the mental health services (in A+E) said to you as you arrive 'Go Away' and see your GP! your problems don't count. Enough said! The Famous Grouse!
  • Score: 14

9:02pm Fri 27 Jun 14

albertmodley says...

Lynne54 wrote:
My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems!
[quote][p][bold]Lynne54[/bold] wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.[/p][/quote]How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems! albertmodley
  • Score: 19

9:48pm Fri 27 Jun 14

steveG says...

albertmodley wrote:
Lynne54 wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems!
Exactly, I thought the voice of reason had disappeared forever.
[quote][p][bold]albertmodley[/bold] wrote: [quote][p][bold]Lynne54[/bold] wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.[/p][/quote]How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems![/p][/quote]Exactly, I thought the voice of reason had disappeared forever. steveG
  • Score: 15

6:19am Sat 28 Jun 14

lambykins79 says...

I agree in principal at what Albert says above, not calling somebody stupid though. Dr Silvert, i am one of the patients on your Piggott Street Surgery - it takes 3 weeks to get an appointment then you have to deal with a bolshi receptionist so is it any wonder people camp out at A&E sometimes? Mental Health is a massive resource draining condition, the government needs to replace some of the depleted resourcing in this area as well as the out of hours doctors.... on that note, out of hours doctors??? what a joke! The system is full of little empire builders, biggots, bureaucrats and god **** lazy people.
The A&E staff from the receptionists to the consultants need to strap a set on and kick the people out who dont need to be there. Its all very well compiling stats of how many attended where - but what in realistic terms are they doing about it??? F*** all, is my guess.
I agree in principal at what Albert says above, not calling somebody stupid though. Dr Silvert, i am one of the patients on your Piggott Street Surgery - it takes 3 weeks to get an appointment then you have to deal with a bolshi receptionist so is it any wonder people camp out at A&E sometimes? Mental Health is a massive resource draining condition, the government needs to replace some of the depleted resourcing in this area as well as the out of hours doctors.... on that note, out of hours doctors??? what a joke! The system is full of little empire builders, biggots, bureaucrats and god **** lazy people. The A&E staff from the receptionists to the consultants need to strap a set on and kick the people out who dont need to be there. Its all very well compiling stats of how many attended where - but what in realistic terms are they doing about it??? F*** all, is my guess. lambykins79
  • Score: 6

6:22am Sat 28 Jun 14

lambykins79 says...

Smeagol wrote:
Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to.
What he said ....
[quote][p][bold]Smeagol[/bold] wrote: Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to.[/p][/quote]What he said .... lambykins79
  • Score: 2

12:34pm Sat 28 Jun 14

Janbur says...

artistpaint wrote:
nhs workers need 2 pull there finger out and start looking after people
maybe some of them need to get off their backsides once in a while,I`ve witnessed this
[quote][p][bold]artistpaint[/bold] wrote: nhs workers need 2 pull there finger out and start looking after people[/p][/quote]maybe some of them need to get off their backsides once in a while,I`ve witnessed this Janbur
  • Score: -3

12:38pm Sat 28 Jun 14

Janbur says...

I`ve seen parents taking their children to A + E with a cut finger blimey do they not know how to put a paster on,or is it me no understandy
I`ve seen parents taking their children to A + E with a cut finger blimey do they not know how to put a paster on,or is it me no understandy Janbur
  • Score: 7

7:58pm Sat 28 Jun 14

Dove57 says...

TheOneTrueWord wrote:
Oh this article really grates on my nerves. People with mental health problems are often told to attend A&E when they are in desperate need. Where is the new RAID team located that people with mental health problems are told to go to if they need urgent support and help… Oh yes A&E!

One of my friends was spoken to extremely rudely by a nurse in A&E two days ago when she approached them for help with continuing mental health difficulties, I am rather glad I was NOT there to witness what this nurse said, which was absolutely disgusting and certainly a volition of NMC rules and regulations. Sadly my friend does not have it in her to complain, scared of repercussions.

If those with mental health problems need help and support and they cannot get it from there social worker or CPN then they will turn to A&E, or perhaps Dr Barry Silvert would prefer for them to go to the nearest bridge… Let’s remember the teenage girl recently who attended A&E for support with mental health problems, who was told by a nurse there that ‘she was having a bad day’ 48 hours later she killed herself…

Dr Silvert, people would not go running to A&E for help and support with mental health problems if you didn’t cut services and bombard staff with too many patients that they can’t cope. AND it is only going to get worse when you close the mental health wards in Bolton, a whole lot worse and you only have yourself to blame!
It would be a long hard battle complaining about staff at Bolton Hospital because, apperantly, 'Nurses don't lie'!
[quote][p][bold]TheOneTrueWord[/bold] wrote: Oh this article really grates on my nerves. People with mental health problems are often told to attend A&E when they are in desperate need. Where is the new RAID team located that people with mental health problems are told to go to if they need urgent support and help… Oh yes A&E! One of my friends was spoken to extremely rudely by a nurse in A&E two days ago when she approached them for help with continuing mental health difficulties, I am rather glad I was NOT there to witness what this nurse said, which was absolutely disgusting and certainly a volition of NMC rules and regulations. Sadly my friend does not have it in her to complain, scared of repercussions. If those with mental health problems need help and support and they cannot get it from there social worker or CPN then they will turn to A&E, or perhaps Dr Barry Silvert would prefer for them to go to the nearest bridge… Let’s remember the teenage girl recently who attended A&E for support with mental health problems, who was told by a nurse there that ‘she was having a bad day’ 48 hours later she killed herself… Dr Silvert, people would not go running to A&E for help and support with mental health problems if you didn’t cut services and bombard staff with too many patients that they can’t cope. AND it is only going to get worse when you close the mental health wards in Bolton, a whole lot worse and you only have yourself to blame![/p][/quote]It would be a long hard battle complaining about staff at Bolton Hospital because, apperantly, 'Nurses don't lie'! Dove57
  • Score: 1

8:46pm Sat 28 Jun 14

Dove57 says...

This common practice in A&E, of nurses turning away patient, who clearly have mental health problems or are registered as having mental health illnesses, needs to STOP as soon as possible! Were are these nurses caring natures, compassion, conscience and humanity? I expect more from trained nurses. I am disgusted with what's happened to a member of my family last week. The one true word, I feel the same as you! It needs everyone, who's experience this appalling treatment, to get together and make our voices heard. Our family and friends are worth more than this!
This common practice in A&E, of nurses turning away patient, who clearly have mental health problems or are registered as having mental health illnesses, needs to STOP as soon as possible! Were are these nurses caring natures, compassion, conscience and humanity? I expect more from trained nurses. I am disgusted with what's happened to a member of my family last week. The one true word, I feel the same as you! It needs everyone, who's experience this appalling treatment, to get together and make our voices heard. Our family and friends are worth more than this! Dove57
  • Score: 1

10:02pm Sat 28 Jun 14

kyeadfromkef says...

artistpaint wrote:
nhs workers need 2 pull there finger out and start looking after people
Are you for real you muppet!
[quote][p][bold]artistpaint[/bold] wrote: nhs workers need 2 pull there finger out and start looking after people[/p][/quote]Are you for real you muppet! kyeadfromkef
  • Score: 2

3:23pm Sun 29 Jun 14

Lynne54 says...

steveG wrote:
Lynne54 wrote:
My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
I would have thought anybody could have done it for him,even a wife!.
I tried too but it was too deep to get get.
[quote][p][bold]steveG[/bold] wrote: [quote][p][bold]Lynne54[/bold] wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.[/p][/quote]I would have thought anybody could have done it for him,even a wife!.[/p][/quote]I tried too but it was too deep to get get. Lynne54
  • Score: 0

3:28pm Sun 29 Jun 14

Lynne54 says...

albertmodley wrote:
Lynne54 wrote:
My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.
How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems!
I'm not stupid, I tried to get the splinter out ok, that's why I had to ring the doctor who said to go to a and e.
[quote][p][bold]albertmodley[/bold] wrote: [quote][p][bold]Lynne54[/bold] wrote: My husband got a splinter in his thumb, rang the doctors for an appointment and was told to go to a and e. One of the nurses at the surgery could have taken the splinter out.[/p][/quote]How stupid are you? You and the rest of the parasites in our great welfare dependency state are the root cause of our public sector deficit.As kids we were always getting splinters in our thumbs, because there was no stupid E U health and safety nonsense, so we climbed trees etc etc.What happened when we injured ourselves?Why, Granny got a darning needle, dipped it in detol, and fished it out.We got a toffee for being such a brave little boy.Cost to NHS-Zero.Now that the Working Class Pigs in Westminster and brussels have made everyone part of the great Socialist welfare State of Europe, you and your ilk want everything on a plate.Stand on your own two feet for a change! You might be surprised how good life feels when you actually solve your own problems![/p][/quote]I'm not stupid, I tried to get the splinter out ok, that's why I had to ring the doctor who said to go to a and e. Lynne54
  • Score: 0

8:24pm Sun 29 Jun 14

What the Deuce!! says...

Smeagol wrote:
Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to.
Absolutely on the nose!! You took the words right out of my mouth. Maybe One of us should be given the managerial responsibilities of Dr Barry Silvert who in turn could put his medical skills to use assessing patients in A & E, problem solved.
[quote][p][bold]Smeagol[/bold] wrote: Surely this is what A & E triage is for. A brief triage assessment and then direct patients to the appropriate service, whether this be emergency dental number, advice to make a routine appointment with your GP, advice to get some nit shampoo from the chemist, or wait to be treated in A and E etc. or indeed, advice to wait in A&E while they get the appropriate mental health professional to come and see them. Surely there is no obligation to treat all patients in A&E just because they have presented there. If they are triaged by experienced staff, there is more availability to see the real accidents and emergencies, lower waiting times, and people learn not to present there unless they really need to.[/p][/quote]Absolutely on the nose!! You took the words right out of my mouth. Maybe One of us should be given the managerial responsibilities of Dr Barry Silvert who in turn could put his medical skills to use assessing patients in A & E, problem solved. What the Deuce!!
  • Score: 0

2:07am Thu 3 Jul 14

Kqueenie says...

I work in GP out of hours, and A&E. And have worked for Drs for over 20 years, firstly they do a deflection service but only certain time periods and direct patients to appropriate services if A&E not correct place to be. There is also a GP based at A&E again usually evenings and weekends, that A&E can deflect pts to. There are pts that do abuse the service , but there are patients who because they can't get a routine appt with GP for let's say a week and for some reason do not access the ooh go to A&E. The GP ooh service on the whole runs a very good service again like A&E have peak periods one day you may walk straight in others you may have to wait, don't forget drs there may have to deal with serious cases that may take time . Secondly they should never have shut such a valuable service as the walk in centre, or changed nhs direct to the waste of time 111 service. Before the Tories got in power the ooh , walk in centre, district nurses etc were all set to move in Bolton one and all be based at one site rather like a mini A&E which I am sure would have greatly improved things for people. Lastly I would like to say although people tend to rush to see a GP before trying self care first if possible, as a caring nhs worker I have always maintained that drs and nurses would sooner see babies, elderly , mental health patients any of us really and our condition be easily treated than having god forbid to have to fight to keep us alive. The NHS was the greatest thing to happen to this country for the poor and working class, and alas I feel all of us will unintentionally see it's demise, I pray that this never happens.
I work in GP out of hours, and A&E. And have worked for Drs for over 20 years, firstly they do a deflection service but only certain time periods and direct patients to appropriate services if A&E not correct place to be. There is also a GP based at A&E again usually evenings and weekends, that A&E can deflect pts to. There are pts that do abuse the service , but there are patients who because they can't get a routine appt with GP for let's say a week and for some reason do not access the ooh go to A&E. The GP ooh service on the whole runs a very good service again like A&E have peak periods one day you may walk straight in others you may have to wait, don't forget drs there may have to deal with serious cases that may take time . Secondly they should never have shut such a valuable service as the walk in centre, or changed nhs direct to the waste of time 111 service. Before the Tories got in power the ooh , walk in centre, district nurses etc were all set to move in Bolton one and all be based at one site rather like a mini A&E which I am sure would have greatly improved things for people. Lastly I would like to say although people tend to rush to see a GP before trying self care first if possible, as a caring nhs worker I have always maintained that drs and nurses would sooner see babies, elderly , mental health patients any of us really and our condition be easily treated than having god forbid to have to fight to keep us alive. The NHS was the greatest thing to happen to this country for the poor and working class, and alas I feel all of us will unintentionally see it's demise, I pray that this never happens. Kqueenie
  • Score: 2

3:51pm Wed 9 Jul 14

atlas123 says...

allan111111 wrote:
Mental health is serious....believe me i know....and the advice you are given is if you are in dire need of help attend a n e
Yes dire need, not just a bit upset.
[quote][p][bold]allan111111[/bold] wrote: Mental health is serious....believe me i know....and the advice you are given is if you are in dire need of help attend a n e[/p][/quote]Yes dire need, not just a bit upset. atlas123
  • Score: 0

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