As an NHS employee, I see daily how badly the NHS is struggling with the high demands placed upon it, and the impact that lack of funding, resource and staffing has on our ability to provide the best level of patient care. I see my F1/F2 colleagues left on their own at times with little support; juggling between dealing with critical cases, patient follow-ups and planning for discharges. There just isn't enough time in a day to do everything, and I often see them working unsociable – unpaid – hours just to get the work done for that day. It seems almost as a box-ticking exercise in ensuring the bare-minimum is done to ensure patients are safe from immediate harm. The glaring reality is that we're all human; we all have limits, and we get tired - this is when mistakes unfortunately happen. This goes for my nursing and pharmacy colleagues too!
I completed my rotation within the Elderly Care ward last month and it was absolutely disgusting how we had only 2 nurses and 2 HCA's in most afternoons looking after a ward of 25 patients; some of whom were on their last days of life! We had confused elderly patients wandering around, patients whom wanted help to the toilets, patients whom needed to be seen by doctors due to new issues, family members wanting clarity - but no staff to help! Even I've had to provide pharmaceutical cover for up to 4 wards alone during the Christmas period (whilst of ill-health and no lunch breaks) due to there being no staff. There are many things that hinder my ability practice effectively whilst on the wards - and this is largely down to lack of funding; not to mention the constant I.T and POD system failures!
Also, even as a hospital pharmacist, I've questioned when certain patients have been deemed 'medically fit for discharge' since their clinical profile and [lack of] pharmaceutical management says otherwise. This then leads to the issues of bed pressure with only the most 'ill' patients taking priority, and also bed management teams whom are on a constant war-path and whose only priority is to get patients out ASAP.
Sorry if my comment is irrelevant, but there is just so much that the public don't get to see! This news just made me sick.