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Tuesday 27 May 2008

Bed cuts in NHS


Just read the news today that NHS has shed more than 30,000 beds over the last 10 years. As a junior doctor working in a busy DGH (District General Hospital to the uninitiated - ie. a secondary care hospital with some amount of tertiary care facilities), I guess I am in the front line of this unfolding disaster.
Our own hospital is buiding a new hospital which will result in loss of 300 beds when we move from the old buiding to the new one
To practise this bed cut, management has decided to close two care of the elderly wards resulting in loss of 60 beds in medicine.
Given that the hospital is already running at >95% bed occupancy, the logic behind this move is impenetrable. With average age of the punters coming in being around 75, closing care of elderly and rehab wards obviously makes sense!
Another reason being touted around is, with summer around the corner admissions will fall and hence if the closure doesn't lead to disaster, it can be hailed as a success and will justify further bed cuts when the new hospital comes up.
During winter we were opening temporary wards to cope with sheer number of sick people. Red alerts for bed status were the norm every weekend. With winter over we are barely coping with huge pressures to discharge early. Just how the hospital is going to cope in next winter is going to be interesting for me, as I will be moving to another hospital by then, but as you can imagine, hugely stressful for the staff here.
What all this does to spread of hospital bugs and patient care is a rant for another day.

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