NHS / A&E  Research 

As everyone agreed to go with my idea with the ‘NHS A&E under pressure’ as they are in danger of closing down. I did some in depth research to really understand what is happening and what problems they are facing, in order for me to know the problem and try present a solution to my team that we can work with.

A&E under pressure  

Originally we decided to merge A&E and the NHS  as one and create a new campaign that showed that they have become one and started to really consider what A&E staff and patients need to stay functional and still provide great effective service, but after pitching this idea to David, he wasn’t impressed with the thought of rebranding , he more aimed us towards creating awareness of the pressure the NHS and A&E’s are under and how we could create something that could help people stop putting pressure onto the A&E departments.

Scan

We now  had a direction and an idea so we started to create a mood map of everything we knew and needed to know about A&E, we also generated ideas on them to so we had a starting point.

Research 

Thanks to our mind mapping session I now had an idea that I needed to be researching and what information I needed to grab to help support the team with ideas.

I started by researching general issues about the NHS and then started to look towards A&E and look at what services they provided, what they advise and how they work then travelling onto researching on the other services that are available and their roll in the healthcare system.

NHS ISSUES

Issue 1 – staff

The NHS is facing so many cases of understaffed A&E departments, this is due the Uk leaving the EU and could force staff from the EU to leave and go back to their countries, which means around 80,000 of them leaving the UK emergency department, not just this but most UK student nurses are leaving the country to work abroad so there will be a big gap in staff, when older nurses leave and are forced to prolong the process. They also have stopped advisories to students which seem to see the drop of students wanting to take the healthcare role in their education period and is turning into a big problem because the departments are simply understaffed.

Issue 2 – funding

Funding is a major part in the NHS, which seems to be all going to waste on resources that are not being used, they are estimated to be forking out around 30 billion a year by the year 2020 if things carry on the way they are now.

Issue 3 – expectations

The NHS previous focus was to tackle diseases and make sure people got effective service, they now have to face more expectations due to their growth, they now handle things all over the board, such as Healthcare management, contraception, mental health and social care they have to handle this as well a growing population, people living longer which has lead to bigger number population and more health issues with the elderly.

Issue 4 – growing population

After all the costs they are facing, the NHS still have to consider the growing population which doesn’t seem to be slowing down any time soon, but it also has effect on how many people are needing ongoing treatment which conjure up a lot of funds to do and big part of where the funds are going from the NHS.

Issue 5 – A&E departments

More and more people are visiting A&E every year, in many cases they have minor injuries which is stretching the ability of A&E to function and cope, it is at tipping point and has in fact coursed the NHS to close down some departments in the UK which could potentially have a knock on effect if things carry on.

A&E and Other services

A&E – also know as ‘emergency departments’ or ‘casualty departments’ normally deal with genuine life threatening emergencies as the list follows –

loss of consciousness

•acute confused state and fits that are not stopping

•persistent, severe chest pain

•breathing difficulties

severe bleeding that cannot be stopped

•severe allergic reactions

•severe burns or scalds

The departments give 24 hour access to professionally qualified staff in all areas of medical attention including paramedics, A&E nurses, diagnostic radiographers, A&E reception staff, porters, healthcare assistants and emergency medicine doctors.

GP’s – are normally trained to deal holistically with a range of problems a person could have. They are highly skilled in diagnosis of the early stages of a condition, they know where and when to refer you to higher form of treatment when required they can choose ether to treat, refer a patient with any emotional and mental condition, common procedures include –

•one-to-one consultations

•drug prescribing

•diagnostics (near-patient testing)

•checking patients’ test results and advocating the right course of action to take

•running clinics, for example, for chronic diseases such as asthma and diabetes

•implementing preventive initiatives such as prescribing incentive schemes, supporting carers and helping patients to be active partners in the management of their own health

•safeguarding vulnerable children and adults by prompt action

•carrying out general practice audits to improve systems and outcomes of care as part of the Quality and Outcomes Framework (QOF) target system

•improving patients’ experience of the GP practice by asking them for feedback

•doing official tasks such as signing repeat prescriptions and death certificates, filling out statements of fitness for work and preparing letters and reports

•being involved in decisions about upgrading equipment and premises

•undertaking professional learning and development and preparing for revalidation (every five years)

Minor injuries and urgent care centres – focus on developing ambulating care in a dedicated medical facility outside of A&E, Urgent care centres treat great injuries or illnesses requiring immediate care, service they provide –

•Sprains and strains

•Broken bones

•Wound infections

•Minor burns

•Minor head injuries

•Insect and animals bites

•Minor eye injuries

•Injuries to the back, stomach and chest

NHS helpline 111  – is a none-emergency helpline, its easy, fast and free to call, it allows        access to a processionally qualified advisor who are supported by professional

healthcare staff, they will ask questions and based off those questions can direct you on the best action to take.

(NHS also have a website that explains everything @ NHS.CO.UK)

A&E Main problems

A&E face many problems everyday but they are recently under so much pressure and now are at breaking point, I wanted to know what they really facing and how I could find a solution to their problem I started my research off on the computer then try getting some interviews but ethics got in the way, these are the problems I manage to find –

•A&E near enough at Armageddon as they simply don’t have enough beds to keep up with demand of patients coming through the door.

•Frail and elderly pack in as GP’s struggle to cope.

•Half forgotten patients over flow rooms

•Not enough staff to cope with the never ending patients coming through their doors on a daily basis.

These issues seem to suggest the same that there are just to many people visiting A&E with minor injuries that could be seen some where else and just are adding to the daily problems together with A&E generate now which is not an ideal scenario.

SUMMERY 

Problem

To many overflowing A&E departments with minor injuries that could use other services.

Solution

To educate people on the other services that are provided in the UK so it doesn’t lead to wasted resources and a overflow in A&E departments.

Reflection

The NHS itself faces so many problems with budget and resources which then has an impact on the A&E departments, some departments are being forced to shut down to save money, A&E don’t face that problem alone, I learnt that A&E is under so much pressure, due to the ever growing population that it simply can’t handle all the patients it’s requiring, the overflow of patients are pushing staff and resources to braking point where that they can’t cope, they cant provide efficient treatment to their more severe cases due to all the minor patients coming through the door. On top of that the departments are understaffed and have many complaints that to redevelop frequently they and doesn’t get fixed. I think it would benefit the NHS and the A&E departments if we tried to create and animation that could educate or create awareness on the other services that are provided in the UK such as NHS helpline, GP’s, walk in centres and so on so these people can make an educated decision and pick the correct facilitates which will to hopefully then relieve the pressure on A&E departments.

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