New studies point to cracks forming in NHS services

Two studies published separately by the BBC and the Care Quality Commission (CQC) point to growing problems across NHS services in the UK.

The BBC’s report found that performances across the UK are routinely failing to hit targets for cancer care, A&E and planned operations. While the CQC report found that 39% of patients were arriving at A&E and waiting at least half an hour before being able to speak to a nurse or doctor.

The separate reports are of particular concern as winter rapidly approaches, a period known for placing pressure on hospitals through increased admittances. The BBC report in particular noted that inadequate numbers of available beds in A&E was placing a strain on services, a prospect that will be set to increase over the winter.

Overall, the BBC report looked at the number of individuals waiting four hours in A&E to be seen, whether patient received cancer treatment within 62 days and the chance of a delay in planned operations. Research into the latter found that 12% of people are now waiting longer than planned – an increase of more than 75% in the last four years.

In high profile areas, such as cancer treatment and A&E waiting times, the figures are equally worrying. The number of patients waiting more than 62 days for cancer treatment has risen to one in five patients, while A&E waits beyond four hours is up to 11%.

In the CQC’s report on patient treatment once they arrive at hospital, it found that 29% of those who had requested pain relief had to wait over 15 minutes to receive medication and 7% did not receive any at all.

There was also a sign that nurses and doctors did not have the time to consult with patients to a greater depth, with 27% of patients not told who to contact should they be worried about condition or treatment and 45% not having their home or family situation taken into consideration before discharge.

However, despite these negatives, in the same CQC survey, there were many positives regarding the standard of care provided by doctors and nurses. 75% of patients reported that they had confidence and trust in those treating them and 78% noted that they had been treated with respect and dignity.

Professor Ted Baker, CQC’s Chief Inspector of Hospitals, said:

"This year’s survey shows some very positive results. The fact that the majority of people reported a good overall experience is testament to the efforts and dedication of the frontline staff working in emergency departments across the country to ensure that people receive the care and treatment they need. Those staff should be proud of their achievements.

"The challenge of increased attendances puts huge pressure on emergency departments. The survey questions where patients responded less positively such as waiting times, discharge arrangements and access to timely pain relief are concerning at a time of increased demand when staff are at full stretch."