10.8.2023
Ambulance Delays Affecting Rapid Patient Treatment
Failure to Meet Ambulance Response Targets In 2017, the Secretary of State for Health accepted the new ambulance performance standards recommended...
Read moreDelayed transfer to Accident & Emergency causing harm
Table of Contents
The Healthcare Safety Investigation Branch (HSIB) has identified that patients may come at risk of harm whilst waiting in ambulances for appropriate care at hospitals.
Emergency departments at hospitals are often running at full capacity, and it has been noted that some patients have had to be assessed in the back of ambulances because of this. Delays in transferring patients from an ambulance to an emergency department are causing a knock-on effect on ambulance response times. A lack of timely and appropriate treatment can lead to the decline of some patient’s health or sadly even death.
The investigation focused on the healthcare system as a whole and how each department can facilitate the flow of patients between areas. Managing this flow will significantly impact a patient’s care, especially in ensuring that a patient is cared for in the right area. For example, it was found that many diabetic patients were being treated in the wrong wards. This may be detrimental to treatment if the ward staff do not know a patient’s diabetic care plan or have limited experience in nursing /caring for diabetic patients.
The HSIB identified an “air gap”, when a patient is moved between departments and is not properly managed in the correct direction, causing a higher risk of harm. This lack of guidance was particularly apparent in the handover between healthcare to social care providers, such as local authority care homes. For example, if a care home is not equipped to receive a patient on the weekend, the same patient will likely need readmission shortly after discharge. This is detrimental to the patient and has an adverse effect on the flow of patients in hospitals. Care homes may not be able to take patients discharged from the hospital, and the hospital may have to keep the patient in a hospital bed for a longer period than anticipated, which can result in adverse medical issues such as pressure sores or developing infections in the hospital.
Possible solutions
To combat this, it is suggested that a deeper relationship between health and social care workers will make a real difference despite a formal one already in its early stages. The system was more likely to work better with stronger interpersonal bonds between the two. Implementing a “whole system” attitude across the board will likely encourage this and enable communication. Ambulances are also trying to take only the patients that need to attend hospital in ambulances to try and increase their capacity and assist the emergency departments, whilst hospitals try to increase their bed capacity.
It would seem that the ambulance service is buckling under the pressure put on them, preventing the ambulance crew from effectively carrying out their duties safely and efficiently. This must surely cause anxiety and stress for those working in the ambulance service and patients who rely on their care.
Help with accident and emergency claims
Ambulance delays, both waiting in an ambulance to be transferred and delays in attending a scene, can harm the level of care you should expect. Our medical negligence lawyers have represented clients and their families where this has been the case. Our team specialise in all medical negligence claims and can advise you on whether you can bring a claim against an NHS trust.
Our lawyers are ranked as leading lawyers in London and are approved by Action against Medical Accidents (AvMA). This means we have demonstrated our specialist legal expertise and experience in running clinical negligence claims for patients. To speak to us about your case, please fill in the form below, and we will call you back.
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“Osbornes Law is an established firm which handles a breadth of complex and high-value clinical negligence matters.”
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He also has a niche specialism in claims involving cauda equina syndrome.
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Jodi Newton acts for clients on claims arising from negligent obstetric care, sepsis and delays in diagnosis and treatment.
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Ben Posford typically operates in the team’s spinal cord and cauda equina syndrome litigation.
Jodi Newton holds over 20 years of experience in birth and surgical injury cases, including those pertaining to cerebral palsy, negligent treatment of sepsis, and negligent A&E treatment.
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Ben Posford leads the catastrophic injury team and regularly represents claimants in neurological injury and fatal accident claims. He also has a niche specialism in claims involving cauda equina syndrome.
Jodi Newton acts for clients on claims arising from negligent obstetric care, sepsis and delays in diagnosis and treatment. She also advises on spinal injury claims.
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The team at Osbornes was recently strengthened by the arrival of 'experienced and empathetic' associate Jodi Newton. She joins a department noted for its expertise in delayed diagnosis and wrongful birth claims.
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Nick Leahy has been my Solicitor throughout this journey and has been absolutely amazing; kind, approachable and extremely supportive... Through some dogged determination by Nick we achieved our goal without having to go to trial. I cannot thank Nick, Stephanie and all of the team at Osbornes highly enough for achieving a very favourable settlement, the outcome of which will make a huge difference to myself and my family.
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