John Appleby
speaker
68 appearances
2 recordings
1 series
first heard Sep 2014
last heard Jan 2015
John Appleby’s voice in public audio — every appearance, attributed to the second.
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Appearances
When you go into an A&E department, as soon as somebody sees you, a clinician, a nurse, the clock starts and they'll note down the time and that goes on your record.
The clock will stop when you leave the A&E department and you can exit the A&E department in various ways.
You can go back out the front doors, you can just go back home.
You could go back home but with a recommendation to see your GP or you could be admitted into hospital and about 20% or so of all people who go to A&E departments
end up being admitted into a hospital bed in the hospital.
And at that point, the clock stops.
The target's being missed quite widely.
Now, why is that?
One explanation is that there's a lot of demand.
There are a lot of people walking in the front doors or being carried in the front doors of A&E departments.
And A&E departments are having trouble coping with that number of people.
And that will be part of the explanation.
But interestingly enough, there are more attendances happening.
at A&E departments in the summer than there are in the winter.
We tend not to, no, we tend not to.
The patients who are using A&E in summer and winter, there's slightly different proportions of patients.
So that would be another factor, is what type of patient is using A&E at different times of the year.
In the summer, there is a tendency for them to be slightly less elderly people using them and proportionately more younger people.
The problems tend to be less acute.
In winter, you've got elderly people using A&E more.
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