tag:blogger.com,1999:blog-7733583.post5046812775303991382..comments2024-03-04T08:34:20.376+00:00Comments on John's Labour blog: Save Lewisham Hospital A&E...Saved???John Grayhttp://www.blogger.com/profile/14269161145575667147noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7733583.post-7072476676039069112013-06-09T10:41:33.355+01:002013-06-09T10:41:33.355+01:00The same patronising and condescending style of &q...The same patronising and condescending style of "journalism" we have come to expect from the so called "Lewisham Hospital Worker" here John. I guess anyone who uses quotes from the Daily Mail can't really expect to be taken seriously. Pity the rest of the parasites don't all go running across to Unite where I'm sure they would all feel far more at home in an ever dwindling minority.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7733583.post-19945941349855991982013-06-09T10:23:33.902+01:002013-06-09T10:23:33.902+01:00Hi
this is from an article in nursing times not m...Hi<br /><br />this is from an article in nursing times not me? John Grayhttps://www.blogger.com/profile/14269161145575667147noreply@blogger.comtag:blogger.com,1999:blog-7733583.post-62561963855453387342013-06-08T16:12:50.398+01:002013-06-08T16:12:50.398+01:00The question to ask is – what is the purpose of a ...The question to ask is – what is the purpose of a large "consultation" exercise?<br /><br />a) To get lots of ideas so that a really sensible plan can be formulated, based on what really matters to local patients (many of whom will have taken part),<br /><br />or …<br /><br />b) To add credibility to the plan that has already been formulated (and may be utter nonsense that no ordinary person would have come up with) on account of the large scale of the “consultation’ exercise.<br /><br />Note the processes are different:<br /><br />in a) – consult, plan, decide<br /><br />in b) – plan, decide, consult<br /><br />I think we know what we are getting all round the country, don’t we?<br /><br />The problem is that the plan usually has basic flaws. A good example is that travelling further will result in amazingly better care when you get there - as you have quoted above from Sir Bruce. Apart from a few niche areas already in place such as major trauma (by helicopter) there is no evidence for this (it may sound right to the men in suits but that doesn’t mean it’s true). Indeed if you close an A&E, the mortality experience (and no doubt disability in survivors) increases overall with increased travel times. Read these:<br /><br />http://www.dailymail.co.uk/news/article-2323141/Shocking-proof-Accident-Emergency-closures-cost-lives-Death-rate-jumps-THIRD-department-closes.html<br /><br />and<br /><br />http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464671/<br />(academic paper that reached the same conclusion)<br /><br />Something less than an A&E is just that - either a minor injuries unit/urgent care centre/walk in centre or the slippery slope towards that (because, as you say, ambulance personnel will second-guess and go to a "proper" A&E miles from where the patient lives.<br />NHSWorkernoreply@blogger.com