Incorrect. The A&Eās have a large amount of people who dont need to be there and could be dealt with by GPās and or the equivalents of the MiDocās etc.
Thats not a deflection.
A lot of GPās will refer patients to A&E as a precaution.
Not sure if itās an insurance reason or something along those line
It is far from a big contributing factor as you claimed. The biggest contributing factor is that there is a shortage of hospital beds which is a government failure. In some areas It is very difficult to get a GP appointment so people are forced to go to a&e. Another government failure.
Blaming the people who show up in a&e is classic blueshirt deflection tactics. Leo learnt you well.
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Youāre talking about the biggest contributing factor, I said a big contributing factor. Stop trying to twist my words to suit some narrative you hold.
Less people in A&Eās, less strain on the staff therein. You see politics everywhere, I see people.
Really? Is this the best you can do?
Iām not trying to do anything. I made a post, you made something up to suit your agenda. I presume these a deep underlying issue here that it might be best to seek some professional help, but dont go to A&E maybe.
Swift clinics are very efficient. Why cant we have the public equivalent in towns across the country? Would leave hospitals to focus on critical cases.
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One huge problem often overlooked. Large numbers who donāt need to be anywhere near a hospital. Trying to get people out of hospital beds is an issue as well.
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In my experience GPs send people to A&E when they havent a fucking clue whats going on but seems urgent, i dunno what it is aboit them that they cant make a rational call to say i dont know and direct you to a specialist or correctly refer you to the hospital. Its a&e or antibiotics i think.
That happens a lot
I understand there is a shortage of GPs already and the HSE previously asked surgeries to extend regular opening hours which they refused to do, will be interesting to see how they deliver this.
Dedicated urgent care centres would disperse the crowds but this seems a long way from that.
As mentioned, having a GP at the front door isnāt going to change the number of people on trolleys anyway.
St Johns in Limerick is also brilliant.
I canāt understand how they havenāt been scaling up the services there or longer hours.
Brought a young lad in with a suspected fractured hand one evening recently. Arrived at 5:30, assessed, x-ray taken, results given and referral sorted within 40 minutes.
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Itās also worth noting it mentions in the article that theyāve tried this GP in reception thing before and it made no difference.
Long and short of it i have had this a few times over the last few months were Iād go in list the symptoms only to be told its a viral infection when displaying maybe 1 if not no symptoms of it, i wasnt listened to and thanks for the ā¬60 come back if they get worse. Gets worse only to find a specialist in the area i believe is the problem. Now wasnt the exact problem but that specialist knew straight away from the symptoms what it was and referred me to the correct person to diagnose and treat. If i didnt have private insurance i would be still suffering.
Getting fobbed off was the most frustrating part, if you dont know at least send people in the right direction rather than unnecessarily prescribing medicine that will have no effect or filling the A&E. You are a general practitioner ffs its not your job to be an expert in everything but to at least have a good idea and give direction to experts
Anyone who just needs a cast or something anyway should just be directed straight here from a and eā¦give em a voucher for it in a and e and send them off
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Youād imagine thereās a lot of minor stuff that the triage nurse could solve on the spot if they had a couple of people with them, instead of just putting the low priority patient to the back of the queue.
Again was in UHL one night after the young lad getting a belt of a hurley in the head and it needed stitches. Because it was to the head, ShannonDoc wouldnt look at it and insisted he go to A&E. The triage nurse could have done it on the spot but instead we had to wait 5 hours in pediatrics.
Youād want to be planning on getting sick two or three days before you do to get in to see our doctor.
The regional is a shit show. Always has been. There are a ton of things wrong but the long and short of it is they closed Ennis and Nenagh and never replaced the beds. Theyāve a few more opening now soon. They probably wonāt be able to staff them. But they are still only playing catch up. They probably need 200 more and the staff to go with them.
If it was in Dublin thereād be national outrage
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In a great wave of austerity, in the decade after 1984, the right-wing parties cut about 6,000 hospital beds.
Coincidentally, this ideology suited the comfortable classes of the time. In that period, the Ansbacher and the Dirt frauds were just the edges of a widespread network of organised crime. Household names, people who preached business ethics, created criminal rackets. In large firms, executives compared tax fraud mechanisms and shopped around for better illegal schemes to move to. Hundreds of millions were siphoned out of the lawful economy.
This wasnāt the usual individual tax dodging, this was a great number from the business and professional classes, operating criminal rackets set up by bankers, over a period of years.
In that period, great fortunes were made.
The heavy tax on PAYE classes made up for some of this money siphoned off, but there also had to be a lot of spending cuts to facilitate the criminality.
By 2006, the trolley culture was in place - the public health system was beginning to collapse.
And it was then that Health Minister Mary Harney, genuinely alarmed by what was happening, declared a ānational emergencyā.
Now, some of us look back with affection to the Harney years, emergency and all. We then had 527 beds for every 100,000 of population, according to Eurostat, the statistical arm of the EU. That was 94pc of the EU norm.
With a ānational emergencyā to cope with, what do you think our politicians did about the number of hospital beds?
They cut them, of course.
Remember, when the āemergencyā began in 2006 we had 94pc of the EU norm?
Well, by 2010 we had only 275 beds per 100,000 (52pc of the EU norm).
Today, weāre stuck around 52pc of the norm in comparable countries.
We used to have a safe bed occupancy rate, but now we have a 94pc rate, which is dangerous.
And these reduced resources have had to cope with an increased population, and a population thatās ageing and in need of more treatment.
Oh, and, of course, nurses - at the end of 2013, we had about 5,000 fewer nurses than we had when the ānational emergencyā began.
And we have fewer doctors than the EU norm.
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This inquest has been fairly harrowing to follow, your heart would go out to that poor family
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Was watching it on the news the other night. Horrible horrible story. Even felt sorry for the doctor in charge that nightā¦
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