All Change Please! recently found itself spending some time in the A&E department of a major regional hospital. The scene was chaotic – ambulances queuing up outside and a constant stream of patients being wheeled in on trolleys and parked two abreast in corridors as the hours ticked slowly and painfully by until their condition could be diagnosed and a place found for them on the wards. The clue is in the name: Emergency, but unless you had a life threatening condition it was more a department of Accident & Waiting. The nurses and carers were attentive, patient and dedicated, though how they can work in such a stressful environment shift after shift is a mystery. And, it being early in the morning, there weren’t even any drunks to deal with.
The scene will of course be a familiar one to anybody who has visited an A&E department, as this confirms: Portsmouth ambulances late to two life-threatening incidents, says report. While this one is even more shocking.
All Change Please! has to admit that whatever the current crisis is in schools in terms of forthcoming teacher-shortages, stressful SATS and the inappropriate EBacc, it pales into insignificance when compared with the current battlefield conditions in our NHS A&E departments. Just as it’s easy to blame the teachers, so it’s easy to blame the medical staff, but the real problem is essentially severe overcrowding and under-staffing – two immediate and very practical administrative and financial problems that someone somewhere should be sorting out as a major priority. As a civilised, wealthy country our citizens we shouldn’t be experiencing something no better than a Third World A&E service. Especially as by 2030, demand for A&E services is expected to rise by 57%.
Why do we allow this to happen in our most important public service? Provided we have food, warmth and shelter, our next priority is our health, followed by our security and education for our children. So why do we prioritise our desire for over-sized cars, luxury kitchen extensions and long-haul holiday travel at the expense of the dwindling provision for healthcare, the police force and schools? It just doesn’t make any sense. Why do we allow our elderly and long-term sick to suffer the way we do – especially as there’s a good chance that one day we will end up just like them? We witness the sad demise of our own parents and elderly relatives, and just accept there will be nothing better for ourselves.
And why were some 80% of the extraordinary nursing and care staff at the hospital from Europe and Asia? Without them the health system would collapse completely. Because of our ‘every child must become an Oxbridge academic‘ approach to education the UK is unable to recruit, train and retain enough staff from its own population, while at the same time failing to equip them with the necessary caring and empathetic skills, and in the ability to communicate and work in teams.
At least there’s nothing yet in schools that is the equivalent of a typical A&E department. But wait, perhaps there should be? Little Jenny only scored 2 out of 10 in her recent spelling test. Send her immediately to stand in a long queue outside Emergency Classroom 10 where her memorisation skill deficiency can be assessed by a specialist and she can be intravenously drip-fed the appropriate programme of academic study. Soon she’ll be able to spell disestablishmentarianism correctly, even though she’ll have no idea what it means and will never use the word once in her life.
Meanwhile there’s been a nasty Maths SATS pile-up and Slightly Bigger Johnny has just failed to avoid falling over and hitting his head on the expected floor standard. Sound the siren, put on the blue flashing lights, plug him into the maths rate monitor and get his mind tightly bandaged up to protect him from the real world so he can concentrate more effectively on becoming far more numerate than he will ever need to be. Unfortunately it sounds like just the sort of thing some daft future secretary of state for education might just come up with.
What’s needed is an online petition to make it a requirement for all MPs to have to spend a day once a year working in a school referral unit, an evening helping the police deal with the disorderly, and a night in A&E…
For anyone too young to remember, Emergency-Ward 10 was one of British television’s first major soap operas, shown between 1957 and 1967 on ITV
Image credit: Flickr/Greg Glarke