NHS merry-go-round
71,000 patients taken back to hospital just one day after being sent home
MORE than 71,000 patients were taken back to hospital last year just a day after they were sent home, figures have revealed.
The number of readmissions soared by a third in four years, figures revealed, with experts blaming a severe shortage of hospital beds.
They are concerned patients are being sent home before they have recovered to create room for others arriving from A&E.
The rise in ‘emergency readmissions’ has also been attributed to the escalating social care crisis, which has led to frail patients being discharged without access to the help they need at home.
The figures seen by the Mail were obtained by Healthwatch, a watchdog chaired by Sir Robert Francis, who led the inquiry into the Mid Staffordshire hospital scandal. Sir Robert described the trend as ‘troubling’ and warned of ‘ significant distress’ for patients and families, while charities said the pressure to free up beds had turned hospitals into ‘conveyor belts’, sometimes with tragic consequences.
The figures cover a snapshot sample of 70 hospital trusts in England. Assuming they are representative of the 150 English trusts, this means more than 150,000 patients could have been readmitted to hospital just one day after leaving last year. Sir Robert said: ‘Our research raised some big questions that affect the whole country and it’s clear health and care leaders need to take a closer look at why people are returning so quickly.
‘The fact emergency readmissions are growing without the causes being properly understood is troubling. While not all emergency readmissions can or should be prevented, they can cause significant distress for patients and families.’
Jeremy Hughes, chief executive of the Alzheimer’s Society, said: ‘Systemic pressures in the health and care systems, including the desire to free up beds faster, can turn hospitals into conveyor belts and threaten patients’ wellbeing.
‘Hurried discharges without community support are not the answer and they’re costing the NHS millions, not to mention the human cost.’ And Caroline Abrahams, charity director at Age UK, said: ‘The last thing an older person needs after a spell in hospital is to be discharged and immediately readmitted again.
‘If they are very frail, this yo-yoing back and forth can further undermine their resilience, with very serious consequences for their prospects of recovery.’
She added: ‘Of course, most older people want to get out of hospital as soon as they possibly can but it’s crucial that they aren’t discharged before they really are fit and well enough, with a proper package of care and support in place for them when they leave.’
The findings from Healthwatch show 71,398 patients were readmitted to hospital as an emergency a day after their discharge in 2017/18.
This is up 11 per cent on the 64,268 cases in 2016/17, and up 29 per cent on the 53,538 cases in 2013/14.
The figures also show that 484,609 patients were rushed back to hospital as an emergency one month after being discharged.
This is a rise of a fifth in four years and, if representative of all hospitals, means more than a million patients were readmitted within one month last year.
Common reasons for patients being readmitted as an emergency include pneumonia, heart condition flare-ups, pressure sores, skin or urinary infections or falls at home.
But there are concerns these illnesses should have been picked up on by doctors before discharge.
Sarah Scobie, deputy director of research at the Nuffield Trust thinktank, said: ‘This rise will partly reflect an older population and the growing number of patients with multiple illnesses, which have pushed up all sorts of activity in the NHS. In our own work we saw a particular rise in preventable readmissions.
‘Stretched capacity in care providers could play a role. The availability of hospital beds has been squeezed more and more in recent years, while social care funding has been sharply cut.’
She added: ‘Whatever the cause, readmissions are not good for patients, so it is important for local healthcare providers to look at why they are happening and whether there are improvements in care that could be made.’
‘Very serious consequences’
IN a saga of almost unrivalled farce, Julian Assange has been holed up in Ecuador’s London embassy for seven years.
The capricious South American state stuck two fingers up at the West by granting the WikiLeaks founder political asylum – allowing him to avoid extradition to Sweden, where he allegedly sexually attacked two women, and the US, for releasing secret files.
Police were stationed outside the building day and night to foil any attempt to smuggle him out in the laundry – an absurdity costing taxpayers at least £13 million. But yesterday Ecuador withdrew diplomatic protection, claiming the narcissist was using the bolthole to meddle in other countries’ affairs.
Arrested, Assange whined self-pityingly about breaches of privacy. That’s rich! He made a living from leaking classified information that endangered lives.
Entirely predictably, Labour’s Jeremy Corbyn and Diane Abbott hailed him a noble whistleblower trapped in US ‘cross-hairs’.
Never mind the huge public cost (which will soar if Assange fights extradition). What is most disturbing is the way a suspected rapist is blindly feted as a hero by the Left-wing chattering classes!