Plans to change hospital emergency departments in South Wales should be abandoned, according to the Welsh Conservatives. The party claims proposals due to be announced later this month will see the number of A&E departments in the region reduced.
Shadow Health Minister Darren Millar said,
With demand for our emergency services on the rise, any plans to downgrade up to half of A&E departments in South Wales are unacceptable and must be abandoned.
Whilst sensible service modernisation in the region is something that we can all support, foolish plans to strip away emergency services from local hospitals are the very last thing that patients in South Wales will be prepared to accept.
Concerns over plans for discharging patients quicker
by Carl Edwards
Less than 24 hours after announcing plans to deal with the unprecedented pressures A&E departments around Wales have been facing, the Health Minister is already facing criticism.
Charities have warned that plans to bring an end to so-called 'bed blocking' could result in patients being pressured to leave hospital before they are ready, or there is not adequate support for them at home.
The charity Care & Repair Cymru says "one of the most cost effective ways" to make sure patients are discharged from hospital on time is improving older people's housing.
It estimates that for every £1 spent adapting an older person’s home, £7.50 is saved to NHS and social service budgets.
Most older people prefer to be at home and such investment, targeted at higher risk frail older people would prevent or reduce the number of hospital admissions in the first place, but if older people are waiting to return home, then investment to increase and speed up adaptations and other home improvements that enable them to live safely at home make huge sense.
We have many examples of older patients who have been in hospital, wanting to return home, but their properties are unsuitable.
– Chris Jones, Chief Executive of Care & Repair Cymru
Charity: Elderly must not be left to fend for themselves
Age Cymru says it welcomes the Health Minister's "intention to make sure that people are cared for in the most appropriate place."
The charity says: "it is unacceptable that many older people are currently forced to stay in hospitals for longer than they need to because of delays in assessing their needs or arranging suitable places for them to be discharged to", but says that it has significant concerns.
We must develop a system where the help and support that somebody needs on discharge can be put in place quickly, whether that is back at home or in a residential or nursing home.
However, it would not be right for older people or their families to be put under undue pressure to leave hospital before they are able to do so.
The right support and information must be provided so that people aren’t left to fend for themselves at an extremely difficult and emotional time.
– Graeme Francis, Head of Policy and Public Affairs for Age Cymru
Older patients 'must not be pressured to leave hospital'
The charity Age Cymru has warned that older people should not be "put under undue pressure to leave hospital before they are able to do so."
It follows the Health Minister Mark Drakeford's announcement of "immediate actions" to cut waiting times in A&E departments, including freeing-up beds "by ensuring when patients no longer require hospital treatment, they are discharged in a timely manner."
Paul Hinge, chairman of a Mid Wales health watchdog, Ceredigion Community Health Council, says the ambulance service is "stretched" and restructuring processes mean hospitals have fewer beds available.
Health expert: Centralising A&Es could worsen problem
Health expert Marcus Longley warned that changes to the NHS in Wales, with fewer major A&E departments, could make the pressure on ambulances transferring patients worse, as response distances and times are increased.
Professor Longley said, though, that current problems lie within the system more broadly, and "the health service needs to get ahead of the problem, rather than just forever scrambling to catch up with it."