The variety of individuals ready greater than 4 hours in Scotland’s accident and emergency models reached document excessive ranges within the final week of the yr.
The newest weekly figures present that simply seventy eight% of sufferers throughout Scotland have been seen inside the goal time.
This was nicely under the Scottish authorities’s ninety five% goal, and the bottom because the weekly figures started in February 2015.
In the identical week in 2016 there have been ninety two.5% handled inside 4 hours.
Well being Secretary Shona Robison informed BBC Scotland the newest figures have been for the week ending on Hogmanay, which had been a “very difficult” time for the well being service.
She stated the variety of flu instances had been double the identical interval final yr and this had brought on “distinctive pressures” for A&E.
Ms Robison additionally stated the freezing climate round Christmas had brought on issues which had continued to have an effect.
“There have been actual pressures however regardless of that almost eight out of 10 sufferers are nonetheless being seen, handled and discharged inside 4 hours,” Ms Robison stated.
“That may be a large achievement for workers, given these winter pressures.”
The Scottish Conservatives stated the newest figures have been “nothing in need of a shame”.
Within the week earlier than Christmas the determine for these being handled contained in the 4-hour goal was eighty three.three%, up from the earlier document low of eighty one.1% within the week earlier than.
seventy eight.zero% Goal reached week ending Dec 31
eighty three.three% Goal reached week ending Dec 24
eighty one.1% Goal reached week ending Dec 17
The newest figures, for the week ending 31 December, present there have been 25,865 attendances at emergency departments throughout Scotland.
Of those, 5,686 weren’t handled inside the 4-hour goal.
The statistics present that 1,156 (four.5%) sufferers spent greater than eight hours in an emergency division.
There have been 272 (1.1%) sufferers who spent greater than 12 hours in A&E.
The worst performing well being board space was NHS Forth Valley which noticed simply fifty seven.three% inside the goal time.
Larger Glasgow (seventy one.1%), Lothian (seventy six.2%) and Lanarkshire (seventy six.eight%) additionally missed the goal time in a few quarter of instances.
NHS Grampian (87.9%), NHS Highland (87.6%) and NHS Tayside (87.three%) have been the perfect performing mainland well being boards.
With statistics, the satan is all the time within the particulars.
The newest tranche of weekly ready time knowledge is little question surprising, with simply seventy eight% of sufferers throughout Scotland being seen inside 4 hours – down 5 proportion factors on the earlier week.
However, dig somewhat deeper, and you will find the state of affairs in some areas is even worse.
For instance, Forth Valley’s casualty ready rooms noticed simply fifty seven.three% of sufferers inside the goal, down 22 proportion factors.
That determine eclipses the eight-level drop on the earlier week for NHS Highland and NHS Tayside, who each remained among the many greatest performers regardless of the large fall.
One can go a step additional, and in addition take a look at how every particular person hospital fared between Christmas and Hogmanay.
Forth Valley Royal’s efficiency was down most (22 proportion factors), Raigmore Hospital in Inverness was down 14 factors, and Ninewells Hospital in Dundee was 10 proportion factors decrease than the earlier week.
However how does this examine to the corresponding week from December 2016, I hear you ask?
Properly, the comparability is not flattering.
Once more NHS Forth Valley heads the leaderboard with a 36 proportion level lower (it was ninety three% in week fifty two of 2016) within the variety of sufferers seen inside 4 hours.
NHS Lothian and Lanarkshire fare just a little higher with variations of 20 proportion factors and 17 respectively.
However one ought to observe that the info for week fifty two covers barely totally different dates – 25 December 2016 to 1 January 2017, versus 24 to 31 December 2017.
Nevertheless, contemplating the earlier yr’s figures included New Yr’s Day – a day that may be anticipated to see a excessive variety of alcohol-induced accidents in A&E – the lower in sufferers seen in December 2017 is arguably much more telling.
Case research – Allan Browne, A&E affected person
Allan Browne was amongst sufferers affected by lengthy ready occasions in the course of the festive interval. He informed BBC Scotland he went to A&E on Boxing Day with a suspected fractured ankle after slipping on ice.
“Once I went it in, it appeared not too busy, however the lady at reception advised me it might be as a lot as an eight-hour wait to be seen. Eight hours is a very long time.
“She stated it was in all probability not damaged as a result of I used to be capable of hobble about and advised me it was as much as to me if I needed to hold about. I made a decision to not.”
“After every week of not with the ability to sleep correctly as a result of the ache was so sore, I made a decision I’m going to have to return to A&E to see if I can get an X-ray and simply see how lengthy it takes.”
This time Mr Browne was informed the wait might be as much as 4 hours.
“After about three-and-a-half hours I spoke to a nurse,” he stated.
“She advised me that I had fractured my ankle and that I should not have been strolling on it.”
Mr Browne believes the delay in getting correct remedy has lengthened his restoration time.
“For the week that I used to be strolling round on that foot I ought to have had it strapped up. I ought to have had it secure, within the one place,” he stated.
He added: “I all the time hear the excuse that this can be a ‘seasonal drawback’. However the season comes round yearly. Cannot they put together higher for this? Cannot they supply extra employees?”
Final month, BBC evaluation of NHS knowledge confirmed that fewer sufferers in Scotland have been ready longer than 4 hours in A&E than they did in 2012/three in distinction to England the place the quantity had greater than doubled.
It discovered England had a one hundred fifty five% rise in lengthy waits between 2012/three and this yr, as much as 2.5 million a yr.
Hospitals in Wales and Northern Eire additionally noticed a rise over the interval.
In Scotland, the variety of sufferers ready greater than 4 hours fell by 9% to only over one hundred,000.
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