Southend Hospital bottom of A&E table

Southend Standard: A&E crisis - ambulances line up outside Southend Hospital A&E crisis - ambulances line up outside Southend Hospital

SOUTHEND Hospital had the worst record in the country last month for keeping patients waiting to be seen in its A&E department.

The hospital scored the worst mark of 243 trusts in England for the percentage of patients being seen by A&E within the NHS’s fourhour target time.

NHS policy is for at least 95 per cent of A&E patients to be seen inside four hours.

Southend Hospital has remained in the bottom ten since the turn of the year.

It has also emerged the hospital is facing a huge bill for agency staff to cover posts left vacant as a growing number of staff – including consultants – leave the trust for other jobs.

In February alone, the trust paid £1million for temporary staff.

A hospital source, who asked not to be named, said: “Morale is really low. We are not used to these sorts of headlines.

“Most people have always thought it a good hospital and have been alarmed with recent performance reports.”

Earlier this week, the Echo reported the hospital had cancelled non-urgent operations because the casualty department was being swamped with huge numbers of unexpected patients.

The situation has got so bad a national NHS intensive support team has been drafted in an effort to stem the growing crisis.

A hospital spokesman said: “The team was brought in because the measures the board tried to tackle the problems have not worked.”

GPs from Southend Clinical Commissioning Group are also now working to help find a solution.

Hospital chief executive Jacqueline Totterdell said the NHS team had recognised A&E was “vulnerable to surges and bunching in demand”.

It has suggested a new assessment system which could quickly work out which A&E patients needed to be treated first.

She added: “I am pleased to say they also thought patients were being well cared for within the department.”

!Basildon Hospital, which faced its own A&E crisis in 2012, is hitting the four-hour A&E target, with 98.1 per cent being seen within the prescribed time last week.

£1m-a-month bill as staff keep leaving

Southend Hospital’s senior managers are trying to find out why so many more medical staff – including consultants – have been leaving the hospital this year.

Detailed analysis of why staff are leaving in significant numbers will be reported to Southend Hospital trust’s board later this month, in an effort to reduce agency cover bills currently running at £1million a month.

A report to the board’s last meeting said: “There has been a rise in consultant staff leavers, primarily A&E and acute, with a further seven resignations in January this year.

“The increase in turnover for the trust is a concerning trend.

“Therefore detailed analysis will be undertaken of all leavers and an update provided to the board next month.”

According to trust board papers, overall staff turnover increased to 12.13 per cent in the 12 months to the beginning of February. Between January and February the monthly amount spent on agency workers rose from £986,000 to just over £1million.

At the same time staff sickness levels increased in January, with 4.21 per cent – the most for a year – phoning in sick during the month.

Comments (6)

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7:24am Thu 10 Apr 14

Nowthatsworthknowing says...

If any A&E is full, full with cut fingers, belly achers and other waste of timers, the of course it's going to take time to be seen.
What's needed is a stern matron, to determine if a person really needs to be in A&E in the first place.
If any A&E is full, full with cut fingers, belly achers and other waste of timers, the of course it's going to take time to be seen. What's needed is a stern matron, to determine if a person really needs to be in A&E in the first place. Nowthatsworthknowing
  • Score: 8

8:00am Thu 10 Apr 14

pembury53 says...

Nowthatsworthknowing wrote:
If any A&E is full, full with cut fingers, belly achers and other waste of timers, the of course it's going to take time to be seen. What's needed is a stern matron, to determine if a person really needs to be in A&E in the first place.
it certainly does, and backed up by security, capable of delivering a clump, if necessary..... to many loud mouth idiots in there
[quote][p][bold]Nowthatsworthknowing[/bold] wrote: If any A&E is full, full with cut fingers, belly achers and other waste of timers, the of course it's going to take time to be seen. What's needed is a stern matron, to determine if a person really needs to be in A&E in the first place.[/p][/quote]it certainly does, and backed up by security, capable of delivering a clump, if necessary..... to many loud mouth idiots in there pembury53
  • Score: -3

8:36am Thu 10 Apr 14

rosered says...

It is so easy for the echo to write a headline like this, after all it sells newspapers which is their main aim. Unfortunately many of the people reading this will jump on the bandwagon and tell us all how bad Southend A&E and indeed Southend Hospital is!

The reason staff are leaving or going off sick is easy to see, they are just too tired and stressed. How about praise from the echo and the public for the staff? Too easy huh, not such a sensational story, never mind how hurt and frustrated the staff are reading headlines like this!
Where does it mention the enormous pressure the staff are under, how desperate they feel when there is no where for the next sick patient to go?

The public need to take responsibility too, don't turn up in A&E because you can't get a GP appointment........t
hat is not the answer. Use the out of hours or drop in centre.
The GP service nationally needs reform, how can GP surgeries still be allowed to run a Monday to Friday 8-6 service, a few will offer late night appointments, they should all offer appointments until at least 8pm, Saturday morning and bank holiday surgeries. I bet this would take a little pressure from A&E.
It is so easy for the echo to write a headline like this, after all it sells newspapers which is their main aim. Unfortunately many of the people reading this will jump on the bandwagon and tell us all how bad Southend A&E and indeed Southend Hospital is! The reason staff are leaving or going off sick is easy to see, they are just too tired and stressed. How about praise from the echo and the public for the staff? Too easy huh, not such a sensational story, never mind how hurt and frustrated the staff are reading headlines like this! Where does it mention the enormous pressure the staff are under, how desperate they feel when there is no where for the next sick patient to go? The public need to take responsibility too, don't turn up in A&E because you can't get a GP appointment........t hat is not the answer. Use the out of hours or drop in centre. The GP service nationally needs reform, how can GP surgeries still be allowed to run a Monday to Friday 8-6 service, a few will offer late night appointments, they should all offer appointments until at least 8pm, Saturday morning and bank holiday surgeries. I bet this would take a little pressure from A&E. rosered
  • Score: 12

9:23am Thu 10 Apr 14

stopmoaning1 says...

Southend Hospital's boss Jacqueline Totterdell is in the top 50 of NHS executives in the country.

Heaven's above, what criteria do the NHS use to grade their 'executives'?
Staff leaving in droves, low morale, high levels of sickness, bottom of the table in A&E. Well she must have scored highly in all of these. Well done.
Southend Hospital's boss Jacqueline Totterdell is in the top 50 of NHS executives in the country. Heaven's above, what criteria do the NHS use to grade their 'executives'? Staff leaving in droves, low morale, high levels of sickness, bottom of the table in A&E. Well she must have scored highly in all of these. Well done. stopmoaning1
  • Score: 14

4:47pm Thu 10 Apr 14

Ray Leigh says...

My father waited for four hours last week for an ambulance to take him to A&E as a priority case. Once there, he was subjected to a serious catalogue of neglect including being continously bumped down the list of "priorities" and nurses and doctors forgetting to give him painkillers until reminded. There were only three doctors covering the whole of A&E (one senior/two junior). His medical records were not accessed despite him having a medical record at the hospital. He died seven hours later - two hours after I left him in the hospital's tender care - alone and ignored by the medical staff.
My father waited for four hours last week for an ambulance to take him to A&E as a priority case. Once there, he was subjected to a serious catalogue of neglect including being continously bumped down the list of "priorities" and nurses and doctors forgetting to give him painkillers until reminded. There were only three doctors covering the whole of A&E (one senior/two junior). His medical records were not accessed despite him having a medical record at the hospital. He died seven hours later - two hours after I left him in the hospital's tender care - alone and ignored by the medical staff. Ray Leigh
  • Score: 7

10:30pm Thu 10 Apr 14

the25man says...

Southend Hospital was doing fine until Basildon got put in special measures then people started coming to southend putting pressure on A good hospital which now shows the results of this. Staff put under a lot of pressure to try a see everybody but because of the stress go off sick or leave so down goes a good A&E
Southend Hospital was doing fine until Basildon got put in special measures then people started coming to southend putting pressure on A good hospital which now shows the results of this. Staff put under a lot of pressure to try a see everybody but because of the stress go off sick or leave so down goes a good A&E the25man
  • Score: 1

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