39 Comments
Oct 15, 2022Liked by Sophie Atkinson

This is so very upsetting to read. I’m so scared of anything happening to me and my loved ones as I don’t believe we’d get treated well or in a timely manner.

I totally resent the Conservative government for getting things in to such a mess.

Expand full comment
author

Hey Andrew, couldn't agree more. Everything feels very messy — but worse than that, just incredibly inhumane. Thanks for reading.

Expand full comment

I feel the same way. Since I will be 70 next year and have some serious underlying health problems it is my top anxiety. However, a friend of ours had to go to A&E at Salford Royal last Sunday evening after an accident - and there was nobody there. He did say though, that the place started to fill up whilst he was there, so was probably just lucky.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

I haven't had any experiences in A&E recently but I just want to acknowledge the importance of your report Sophie.

I have had indirect experience ,collecting someone from an A&E in Worcester and was extremely concerned about the hordes of ambulances lined up outside the A&E dept. God help anyone needing an ambulance these days. Not the fault of the paramedics obviously and seems to be countrywide .

It is so depressing that it has made us all inert to the horror , like everyone looking at the floor in your piece Sophie. We have to look away, it's too painful to engage in what's going on.

Our NHS struggles on amidst this awful government flinging out tax cuts ,then backtracking, flailing about.

We only become zealous about conditions in A&E when it affects us , for the most part we try and ignore the news reports , but as I get older ,the liklihood of needing a visit looms large and it is frightening.

Expand full comment
author

Thanks so much for reading and commenting Anne — interesting (and quite concerning) to hear it's equally bad in Worcester. I agree — it feels like there are so many problems facing Britain at the moment that it makes me want to pull the duvet over my head, metaphorically speaking! Just sort of tune it all out. But I think engaging with it does change things, even if only a tiny bit. The PR who wrote back to my right of reply email talked about introducing plastic coins at reception at the MRI so even if people didn't have coins, they could access a wheelchair. Obviously this isn't the huge change we need: but it would be a nice start. I hope that maybe with sufficient publicity around the conditions in hospitals there would be enough political pressure for those in government to fund the NHS properly again. This may be a naive hope, but it would be nice if it worked out that way!

Expand full comment
Oct 16, 2022·edited Oct 16, 2022

I certainly hope that A&E departments improve everywhere.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Another brilliantly article from The Mill, thank you Sophie

Recently I had an accident late evening at home. Thankfully I wasn’t on my own. We rang 111 for advice and was told to go straight to the nearest A&E

It was a disturbing sight. A full waiting room of pale, tired, silent people needing medical attention

A sympathetic triage nurse saw me within an hour and temporarily bandaged my wound. She warned me I’d have a 6 hour wait in the queue as I needed treatment and medication

The boy next to me sat with a badly broken arm waiting patiently for the same 6 hours as me . Cold, shocked, hungry and in pain. The only visible comfort was a drinks machine if you were lucky enough to have some loose change

The hours went by very slowly. Everyone was trying to stay awake so we didn’t miss our name being called

The medical staff looked exhausted

Occasionally someone would try to protest at the wait, which was dealt with tersely : “your son is not having a heart attack, he’s having a panic attack...” This was uncomfortable for all of us to hear, but clearly correct

An injured criminal was wheeled in attached to a policeman by a chain

I looked at my bloodstained bandage and thought about my late father who was in the medical corps in Korea. It felt like we were the walking wounded fresh from the battlefield

Like you, I found the A&E experience shocking and very sad - it was painful to witness on many levels

I’m quite intrigued by your comment “People with enough money will be okay”....

Surely if you’re a millionaire or a homeless person you will most likely have the same experience and the same wait for medical attention if you ever need to go to A&E ?

Expand full comment
author

Hi Bev, thanks for sharing your experience with us. That sounds awful — I hope you're feeling better? By "people with enough money will be okay", I meant that I assume that if conditions in the NHS continue to decline (not due to staff incompetence but sustained underfunding) a lot of current NHS patients with sufficient disposable income would seek out private healthcare and therefore would no longer agitate for an improvement in the NHS. My fear is that it won't be all of us that suffer, but the people who are already most vulnerable (as I'm sure you're aware, experiencing long-term poverty - even prior to receiving medical treatment - has an effect on your general health: https://www.bma.org.uk/media/2084/health-at-a-price-2017.pdf) who bear the brunt of a depleted NHS.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Your comment made me cry Bev , so heartfelt.

Expand full comment
Oct 15, 2022Liked by Mollie Simpson, Sophie Atkinson

Just an additional comment.

9 years ago my daughter ,31 at the time had blood cancer. 6 months of brutal chemotherapy with frequent infections of the line in her chest as she couldn't tolerate it in her hand. Paramedics attended ,off to hospital. Would she even be able to get an ambulance if it had happened now?? She is in remission, cured I suppose but during that 6 months I was a frequent visitor to our main hospital and she had nothing but exemplary care. I doubt the experience would be as good now but the fear never goes away . Our poor NHS needs all the help it can get .

Expand full comment
author

Anne, I'm so sorry to hear about your daughter's illness and so glad she was able to get the help she needed at the time. It does make you wonder, though the ambulance services reassured me that they have a triage system, and for really bad cases, they head to their addresses straight away. But I hear you on the fear never going away! Surely all of us have loved ones who are vulnerable, whether because of their age or because of health conditions. I can't imagine anyone in this country wants the NHS to be de-funded to this extent. It just seems very cruel.

Expand full comment
Oct 16, 2022·edited Oct 16, 2022

Thanks , I think we're living in cruel times Sophie. I hope life improves for all of us soon 🙏

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Thank you Sophie for this excellent insight into the state of our NHS under the Conservatives. After 12 years of austerity and a pandemic, to be prioritising tax cuts for the wealthy over spending on the NHS and social care is appalling. Liz Truss and her Tory acolytes are a disgrace to our country. Best wishes to your partner for his speedy recovery.

Expand full comment
author

Couldn't agree more on the tax cuts for the wealthy. Makes me think of this bit in the David Graeber book, Bullshit Jobs, about neoliberalism being secretly incredibly political and not about economic efficiency in the slightest: "While neoliberal rhetoric was always all about unleashing the magic of the marketplace and placing economic efficiency over all other values, the overall effect of free market policies has been that rates of economic growth have slowed pretty much everywhere except India and China, scientific and technological advance has stagnated; and in most wealthy countries, the younger generations can, for the first time in centuries, expect to lead less prosperous lives than their parents did. Yet on observing these effects, proponents of market ideology always reply with calls for even stronger doses of the same medicine and politicians duly enact them...The more they failed, the more they were enacted...while they might have been concerned with declining economic indicators, they were also quite delighted to note the combination of globalization, gutting the power of unions and creating an insecure and overworked workforce...had the effect of simultaneously shifting more and more wealth and power to the wealthy and almost completely destroying the basis for organized challenges to their power." And thank you for reading and for the well wishes!

Expand full comment

April 2021 ambulance to a&e north Manchester gallstones home after 24 hours appointment in July saying on waiting list January another episode July took taxi to a&e after 14 hours admitted with pancreatitis discharged after 5 days told you will be back 4 to 6 weeks.finally going in 18/10/22 if not cancelled which has been happening recently. Here’s hoping I get it done

Expand full comment
author

This sounds horrifying — poor you. I really hope the appointment next week goes ahead, keep us posted.

Expand full comment

Fingers crossed

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

This is appalling. And I’m afraid the disinterest of the receptionist and the security staff to a patient in need is inexcusable. There should be free wheelchairs and free water available.

Expand full comment
author

Yes, free wheelchairs and free water should be the bare minimum in a hospital!

Expand full comment

Agreed

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

What an excellent article, Sophie.

I saw something similar in Stepping Hill A&E. Key staff need to be so professional and focused to maximise their effectiveness that they appear to the distressed attendees to lack compassion.

What a terrible state we are in.

Margaret Hutt

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

You hit the nail on the head there. The staff need to be so absolutely focused under immense pressure, they can appear to lack compassion. Lack of compassion, is far from what they feel. If they let themselves give into what they really feel, they would never cope and would probably break down! Glad you recognise that.

Expand full comment
author

Exactly! Well put. I doubt you'd go into a role like being the receptionist at a hospital (as opposed to, say, an office) if you were just there for the money. There are obviously much easier administrative roles to occupy and I suspect probably better paid, too. I think if you're taking that job, it's presumably because you want to help people, but I suspect the day to day would wear you down.

Expand full comment
author

Hello Margaret. May I start with an eccentric query? I don't suppose you're the Margaret Hutt who used to teach at Withington Girls' School? If so — hi! What a small world. I think you're exactly right, I know there's something called compassion fatigue which is often hits frontline workers (and feels like a rational response to being in a situation where you don't have the time or resources to be able to cater to people's discomfort or pain because there's so many people in pain around you). So I was trying to be careful to not sound like I was criticising hospital staff because I think they're in a very difficult and wearing situation.

Expand full comment

Hi Sophie - yes indeed I am and I have read a few previous articles you have written for the Mill.

Email address is huttm@aol.com if you feel like filling me in on what you have been doing.

All good wishes,

Margaret Hutt

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

I knew the A&E crisis was bad but I'm shocked at the callousness displayed towards patients on top of this. I guess it's a coping mechanism in a dire situation - if you cared about how patients were treated then you would end up with a moral injury - but still.

A friend of mine injured her ankle while playing sport in August. It swelled immediately, she was in a lot of pain and she couldn't feel her toes. Although ankle injuries aren't life threatening they're one of those things where unfortunately you need to go to A&E to get an x-ray. She got to Wythenshawe at 9pm and was told after triage that it would probably be an overnight wait. They stayed for a while but in the end headed home and went to an urgent care the next morning, faced another long wait and finally got x-rayed in the afternoon. Amazingly it wasn't broken but the whole ordeal was terrible for her, she was in so much pain the whole time and also has medical trauma from past experiences in hospitals so it made her especially anxious. It used to be a quick job that they'd tick off in a few hours because it only needs an x-ray and maybe a cast if it's broken, but not any more.

The fact that things like chest pain aren't being seen any quicker is incredibly worrying

Expand full comment
author

I'm so sorry to hear about your friend's experience, that sounds incredibly distressing, especially if she already has anxiety about visiting hospitals. Hope she's OK now? Thought what you said about something like this formerly being a quick job was interesting. To me, it feels almost parallel to how successive governments have evolved Jobseeker's Allowance — it's like they're trying to make the experience as unpleasant as possible to deter anyone but the most desperate from putting themselves in that situation. Just very upsetting.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Cornwall is even worse as every summer our population triples!!

In covid times stuff happened quite quickly ..time for EMERGENCY measures! How many NEW hospitals did Boris promise..action building , action staffing! Action action action should be the new chant!!

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Had persistent hiccups so that I couldn't breathe properly, GP on the phone sent me to A&E for a 'quick x-ray' of my throat & oesophagus, in case there was a trapped irritant. Don't know why he couldn't book me in for one the next day. Chose to go to the nearest - MRI - a mistake.

Got there at 2030 on a Weds, was triaged by a nurse at 2140. Spent all night waiting, often gasping for breath during fits of multiple hiccups. The water jugs were refilled three times.

I wandered to the 24hr canteen at St Marys to get a sandwich at 0300 - cashless. Found a nurse who took my cash and paid with her card.

People kept arriving throughout the night - many victims of a 'city centre' night out i.e. mugging head injuries, drunken falls, etc. Also some elderly people - usually accompanied by a worried partner or family member. Chatted to people. Avoided chatting to some.

One girl had fainted, fallen off her chair and banged her head on a concrete floor, also needed an x-ray. Very very slow queue as hardly anyone on duty - on a weekday night. Got faster by 0800 as doctors turned up.

At 1100 we were summoned to x-ray, got it done and sent home by 1200. Hope she and all the rest are OK.

When I got home, I contacted the GP practice again - online again - and finally got a prescription to soothe inflammation in my throat and oesophagus. Was better in a few days.

Expand full comment
author

God, this sounds like such a horrible experience — a 15 hour wait just shouldn't be acceptable. Thanks for sharing this story with us, did this happen recently?

Expand full comment

It was just a few weeks ago.

The problem seemed to be twofold - very few doctors on duty at night and, in the MRI, lots of walk-ins from the city centre of drink related injuries and muggings.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Great report and so heartbreakingly true. More people need to realise where our precious NHS is heading.

Having cared for older relatives, and many frequent visits to both Wythenshawe and Stepping Hill opened my eyes to the immense pressure our NHS staff are under.

Some visits I witnessed the wards being understaffed, but nurses and healthcare staff doing everything they could under the circumstances. Do we wonder why some suffer burnout.

We all need to realise just how much this matters, and this is something we all need to fight for.

We have an appalling bunch of corrupt but inept politicians, whose only interest are their wealthy donors and the powerful corporates, hence these games of distraction they play whilst achieving nothing which helps us ordinary people. They do not serve us as a nation anymore and the current opposition are just as inept and self serving!

Our taxes prop up these pretenders!

We need to fight for our NHS, or yes as mentioned in this report, I believe a two tier system is the plan. Realistically, that would be suicide!

Expand full comment
author

"Some visits I witnessed the wards being understaffed, but nurses and healthcare staff doing everything they could under the circumstances. Do we wonder why some suffer burnout." - this resonated with me. My grandma was a nurse and a couple of close friends are doctors. I think people who are drawn to this profession are naturally caring, but of course there's limits to energy and focus. My friend who started her medical career in A&E said that she dreaded doing extra shifts (which was regularly expected), not because of the cost to her own health, but because she knew fatigue meant she was more likely to make mistakes - slip up, misdiagnose people, which meant she went home even more upset and found it hard to sleep for worrying. It's a horrible cycle.

Expand full comment
Oct 15, 2022Liked by Sophie Atkinson

Recent experience in the summer phoning 111 at 10.00am. (Given up with GP.)For advice really. was told I would receive a call back from clinician.

This took 12 hours. At 10.00 pm Was then referred by said clinician to A and E due to high BP readings.( no wonder!) Friend drove me to Wythenshawe Four hour wait - illuminated display relayed waiting times..

Seen at 2am and all care given- suitable tests etc and referred back to GP. All seemed calm at the hospital and not frantically busy ( 10 people in waiting area maybe more backstage, but feel sure they could do with more staff.) Thank goodness for taxi service.

Just had the feeling had I been able to speak to a GP in the first place it would have saved much time and effort all round.

Expand full comment
author

Hi Diane, thanks so much for commenting. Your experience sounds very frustrating (12 hours to receive a call from a clinician! And a four hour wait doesn't sound like much fun) but great to hear that Wythenshawe is so organised, think the illuminated display sounds like a great idea. Yes, I do agree with you — I can't help but feel more GP availability would siphon off some of the A&E traffic.

Expand full comment

i think you need to distinguish between management issues- the lack of water/door/poor information/lack of wheel chairs form the clinical issues- lack of sufficient doctors. The first shows that the managers of the hospital are not very good. the second is a more difficult national issue. however poor managers tend to get both parts wrong.

Expand full comment

You have highlighted an appalling situation that is acknowledged by senior NHS staff and government but never improves. Whilst other hospital depts are modernised, the A&E at MRI is in a terrible state - depressing and unwelcoming. The waiting times may have increased but the service has been terrible for many years. The previously open doors to our health service are fast closing with a battle to see doctors in community and hospital services.

Expand full comment

An excellent if upsetting article- and as you wrote, an issue across the U.K. in A&E depts. on an October Wednesday morning last year, I awoke at 4 am with violent pains in my stomach which then began to spread across my sternum and into my ribs/chest. Called 111 who advised me to get to Wythenshawe A&E as fast as possible but an ambulance would be 7 hours. My wife drove me and we got there at 6.30 am to a very busy A&E. The waiting time for non-urgent cases at that point was 11 hours. I was on the verge of passing out and was bundled into a wheelchair and whizzed into a cubicle fairly quickly and got treated - the staff were all fantastic but it was clear that they just were not enough of them and they were over-stretched and over-worked. It did occur to me that if things were that bad at 630 on a Wednesday morning, then what would it be like at a weekend?

Expand full comment