Patient waited more than 330 hours in emergency department

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"Emergency Department Wait Times in Northern Ireland Reach Alarming Levels"

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Recent reports have highlighted the dire conditions in emergency departments (EDs) across Northern Ireland, with shocking statistics revealing that one patient endured a wait of over 330 hours. This alarming figure, along with other cases such as a patient at the Ulster Hospital who waited two weeks and another at the Mater in Belfast who waited 11 days, has prompted urgent calls for reform. Dr. Clodagh Corrigan, deputy chair of the British Medical Association (BMA) in Northern Ireland, described the situation as 'soul destroying,' emphasizing the horrific conditions faced by both patients and medical staff. The Department of Health (DoH) has acknowledged that current waiting times fall significantly below acceptable standards, which aim for 95% of patients to be treated, discharged, or admitted within four hours, with no patient waiting longer than 12 hours. However, the reality is starkly different, as many patients remain stuck in hospitals due to a lack of available care packages or appropriate facilities for discharge, further exacerbating the crisis in EDs.

The pressures on emergency departments are compounded by the high volume of patients who are medically fit for discharge but cannot leave due to systemic issues. Dr. Corrigan pointed out that the inadequate infrastructure leads to overcrowding, with patients suffering from various ailments forced to wait for essential services, such as access to bathrooms. During a particularly busy period from December to January, data indicated that 140 patients waited over 100 hours in EDs, with Altnagelvin Area Hospital recording the highest number of extended waits. The BMA has called for better investment in existing health services rather than spreading resources thin across new initiatives. In response to the ongoing crisis, the DoH has stated that Health Minister Mike Nesbitt is aware of the pressures facing EDs and is working with trusts to improve patient flow, yet immediate solutions remain elusive as many hospitals continue to report significantly long wait times for patients seeking care.

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Conditions in emergency departments (EDs) are "soul destroying", a senior consultant has said after it was revealed that one patient waited more than 330 hours inside a unit. New figures, obtained by BBC News NI, show that in a seven-month period to January this year, one patient waited two weeks at the Ulster Hospital, while another waited 11 days at the Mater in Belfast. Dr Clodagh Corrigan, deputy chair of the British Medical Association in Northern Ireland, said conditions in EDs for staff and patients were "horrific". In a statement, the Department of Health (DoH) acknowledged that waiting times in EDs "fall well below the standard of care that we strive to provide". The DoH target is for 95% of patients to be treated, discharged or admitted within four hours and no patient to wait longer than 12 hours. Dr Corrigan, who is an emergency medicine consultant, has called on the department to spend its money more effectively. A Freedom of Information request from BBC News NI revealed that every health trust in Northern Ireland experienced patient waits of about week or more. The Northern Health Trust said a wait of more than 10 days for a patient in Antrim Area Hospital was because they needed to be isolated in a side room for other people's safety. "If there's space, it's taken up by somebody," said Dr Corrigan. She added that patients who might be vomiting or suffering from diarrhoea were queuing for the one toilet available in a unit. "It's a soul-destroying work environment. You can't give the care you want to give," she said. "You certainly aren't giving the care you're trained to give. It's not the care you'd want your family to receive." There are currently hundreds of people stuck in hospitals across Northern Ireland who are medically fit to be discharged but do not have a care package or an appropriate facility to go to. The BMA said this increases pressure in EDs because people are not moving through the hospital system. The BBC requested data from all five health trusts under Freedom of Information, including that relating to the height of the winter pressures over Christmas and New Year. They reflect the immense pressure healthcare staff were under at the time, with one nursing leader describing conditions as "intolerable". Between 12 December 2024 and 20 January this year, 140 patients had to wait in crowded EDs for more than 100 hours. At Altnagelvin Area Hospital, one person spent a week in its ED. The hospital recorded the highest number of patients waiting the longest times, with 48 people waiting for more than 100 hours. Dr Corrigan said the BMA was calling for greater investment in the health service and multi-year budgets. "The money that exists needs to be used better. There's been an awful lot of investment in a lot of new initiatives... and while we welcome some of those initiatives, we're not seeing the pressures easing from them," she said. "It might be better investing in the services that are already here and shaping them better." In a statement, the Department of Health said Health Minister Mike Nesbitt was "acutely aware of the pressures within emergency departments". "The department also recognises the risk of possible harm to patients who experience long waiting times in ED and is working with trusts to improve patient flow through urgent and emergency care," it added. There were still major waits for patients in EDs this week, with patients at Craigavon Area Hospital waiting an average of 15 hours to be seen on Monday.

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Source: Bbc News