Ge­orge Eliot bids to get back on track over missed tar­gets

Cat­a­logue of cru­cial tar­gets are be­ing missed at the hos­pi­tal

Hinckley Times - - LETTERS - CLAIRE HAR­RI­SON hinck­ley­times@reach­plc.com

A cat­a­logue of cru­cial tar­gets are be­ing missed at the Ge­orge Eliot Hos­pi­tal but ex­tra ef­fort is be­ing made to get back on track.

A&E wait­ing times, am­bu­lance hand-over and can­cer treat­ment tar­gets are in the ‘red’ at the hos­pi­tal in Nuneaton.

Board mem­bers looked at the lat­est data, for July and Au­gust, and Prem Singh, board chair­man, said there were ‘lots of flash­ing lights’ on the per­for­mance dash­board.

The key ar­eas where the Eliot has not hit tar­gets are: A & E wait­ing times Am­bu­lance han­dover times

Can­cer treat­ment tar­gets Re­fer­ral to treat­ment Surgery Di­ag­nos­tics Salma Mah­mood, gen­eral man­ager for ur­gent and emer­gency care, ex­plained that the 95 per cent tar­get for pa­tients be­ing treated within four hours in A&E was missed due to huge de­mand.

“Au­gust was ob­vi­ously a chal­leng­ing month, we have fallen over bank hol­i­day pe­ri­ods and week­ends and these per­for­mances slipped and then re­cov­ery in the week be­came more chal­leng­ing,” she said.

“We had six am­bu­lance hand-over breaches and flow has been a big block; the long­est wait to be seen was up to an hour in a depart­ment, after triage, wait­ing to see a con­sul­tant.

“We need to re­view our dis­charge plan­ning and re­view our stranded and long stay pa­tients.”

She added that there has been an im­prove­ment seen over the past few week­ends.

Glen Bur­ley, hos­pi­tal chief ex­ec­u­tive , said: “What we need to do is to look more at our ca­pac­ity plan­ning, we need some ac­tions that de­liver those im­prove­ment.

“We are re­quir­ing im­prove­ment in what will be the most chal­leng­ing pe­riod of the year.”

High de­mand on A&E has been con­stant through­out the year, with a date in July be­ing the busiest ever on record, and be­ing able to cope with the de­mand is an­other chal­lenge.

An­other key is­sue is Re­fer­ral to Treat­ment (RTT), which is peo­ple wait­ing to be treated, an area that has been of par­tic­u­lar con­cern as some have been on the list for months.

De­lays in peo­ple be­ing able to have oral surgery, due to a lack of ac­cess to a con­sul­tant, has hit the wait­ing list hard.

“The Univer­sity Hos­pi­tal Coven­try and War­wick­shire pro­vides the ser­vice and plans are in place to get the nearby hos­pi­tal to take on some of the long­est wait­ing pa­tients.

“We will have some ad­di­tional ac­tiv­ity (in theatre), clin­i­cal teams are work­ing with us and we have a plan un­til the end of De­cem­ber to carry on with that.”

While bat­tling the back­log, the man­ager ad­mit­ted that they are un­likely to get fully on track un­til end of March.

“We hon­estly don’t be­lieve we will see that achieve­ment be­fore,” she said.

In terms of miss­ing can­cer tar­gets, Laura Gib­son, as­so­ciate di­rec­tor of op­er­a­tions, said the hos­pi­tal does not usu­ally miss the 62 day stan­dard, which is time frame set for the be­gin­ning of first de­fin­i­tive treat­ment fol­low­ing ur­gent GP re­fer­ral.

“We have had some key is­sues around urol­ogy and gy­nae­col­ogy and there are some key things that we need to do as an or­gan­i­sa­tion,” the as­so­ciate di­rec­tor said.

“We need to work with our GPs to en­sure that when they (pa­tients) are re­ferred, that they have had the tests they need. “She added that is­sues with turn­around times for histopathol­ogy is af­fect­ing breast, urol­ogy and gy­nae­col­ogy pa­tients.

“Histopathol­ogy have had a turnover of staff and they are strug­gling with some of the ser­vices, we are work­ing with the teams and try­ing to get them back on track,” she added.

Di­ag­nos­ing pa­tients in timeWhen it comes to di­ag­nos­tics and the fact that the 99 per cent tar­get for pa­tients to be seen within six weeks was not hit, the as­so­ciate di­rec­tor said that staffing has been an is­sue.

“The two main ar­eas in us not achiev­ing it is cys­toscopy and ul­tra­sound for Mus­cu­loskele­tal (MSK), we have had clin­i­cians leave the ser­vice and we have strug­gled to get locums in place to cover the ser­vices,” she ex­plained.”

“We now have locums in place for both of those ar­eas.”

Fur­ther de­lays been caused due have to a back­log of peo­ple wait­ing for MRI scans, in­clud­ing MSK pa­tients, but the as­so­ciate di­rec­tor of op­er­a­tions said that ra­di­ol­o­gists are be­ing trained and clin­i­cians have agreed to un­der­take ad­di­tional hours.

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