The emergency services of the NHS in England are struggling to cope with an "annual crisis"

The emergency services of the NHS in England are struggling to cope with an "annual crisis" that is damaging patient care, warned the doctors.

Patients also received worse care last summer than five of the eight most recent winters, as the NHS England data show.

Approximately 125,215 patients were left to rest for more than four hours on a cart while they waited for A & E assistance last summer. This is more than in any winter between 2011 and 2015.

"Behind these figures there are real stories of suffering. We can not and should not allow this dreadful state of affairs to continue, "said Dr. Simon Walsh, a member of the British Medical Association.

The NHS emergency services in England are struggling to cope with an "annual crisis" that is damaging patient care, which doctors have warned (warehouse)

The figures published by NHS England show a record of 226,176 patients were forced to wait for emergency hospital care last winter.

This is a mind blowing 200,000 more than in the same period of 2011, a BMA survey revealed.

The numbers started to rise in 2016 when 155,277 patients were forced to wait for emergency care, which then increased further to 177,012 in 2017.

And between the winter of 2011 and 2018, the number of patients who were observed within the four hours recommended by arrival in A & E fell from 96.6% to 85%.

The cart also waited more than four hours, rising from 29,636 to 226,176, a seven-fold increase.

Urgent admissions increased by 19% from 1,290,056 to 1,529,087.

And it's not just winter care that went downhill.

Only 89.3 percent of patients were visited within four hours of arriving in A & E last summer compared to 97.3 percent in 2011.


Waiting times for excessively tight A & E units are at their worst level since recordings began, according to official data from April 2018.

Experts said the NHS was prey to an "eternal winter" and many hospitals are still struggling to cope with unprecedented pressure.

Health Secretary and Social Assistance Jeremy Hunt was forced to admit that it was the "worst winter ever" in the midst of a severe flu and cold epidemic.

The leaders have canceled thousands of transactions in a controversial move to ease the pressure. And experts have suggested that this could be the only option to stop a crisis next year.

The latest monthly NHS England data also show that waiting times for routine operations, such as knee and hip replacements, have been at most since 2004.

And the violent staff assaults have increased by 10% in a year, partly due to frustration due to waiting times.

The number of patients forced to wait on trolleys has also increased six-fold from 18,095 patients to 125,215.

While emergency admissions increased by 25 percent from 1,247,113 to 1,558,691.

"These figures reveal the long-term under-financing of emergency care services in England that have experienced years of declining budgets and staff shortages at a time when patient demand has increased," said Dr. Chaand Nagpaul, president of the board of directors of the BMA.

"It is shocking that the number of patients waiting more than four hours for treatment on trollies has increased sevenfold during the winter months since 2011, with nearly 200,000 more patients in this appalling situation.

"Compliance with the four-hour waiting time goal has fallen by 11% since 2011 and even during the alleged calmer summer there have been similar declines.

"More worrying, the pressure on the NHS has turned into an annual crisis."

About the figures, the dott. Walsh said: "Tens of thousands of patients are left in the crowded and narrow corridors, waiting for treatment while others have to endure long waits to see even a doctor or a nurse."

He added, however, the recent budget shows that the government is committed to investing in emergency care.

"But this analysis shows that the National Health Service urgently needs this funding", said Dr. Walsh.

"The BMA is not convinced that what has been promised will respond to the vastness of the problems highlighted by our analysis.

"It is vital that the government ensures that frontline health workers are provided with the resources they need to provide the standard of care that patients deserve."

The BMA has reviewed data from the NHS England on emergency admissions, the cart has waited more than four hours and the rate of hospitalizations ordered by four four.

Last winter the health service was subjected to significant additional pressure due to the "perfect storm" of extreme weather conditions, the worst influenza season in a decade and the high levels of norovirus.

Health leaders have been warned that the NHS could suffer a harsh winter once again.


The NHS has endured the worst winter crisis of all time, with waiting times, canceled operations and blocking of beds at record or near levels, last year.

Official figures illustrated the scale of the tumult to swallow the health service in the face of unprecedented pressures.

The blocking of beds due to the lack of social care centers was at the highest levels with more than 2,500 health patients being prevented from leaving hospitals every day – particularly because there is nowhere to go.

Statistics from the NHS England report also revealed that nearly 200,000 patients waited at least four hours in A & E between the winter months of December to February – a five-fold increase from just 41,000 five years earlier.

Supporters of the NHS reacted angrily after the Red Cross claimed that hospitals were facing a "humanitarian crisis" after the worst week in 15 years

Extreme waiting times have also reached record levels, as nearly 2,000 patients have been forced to wait at least 12 hours in A & E over the same period.

And the reference rates for cancer in February were at their second lowest level ever recorded.

Supporters of the NHS reacted angrily after the Red Cross claimed that hospitals were facing a "humanitarian crisis" after the worst winter of the last 15 years.

The charitable organization said it stepped in to help the NHS in England cope with the increase in demand during the winter, but was hit by criticism that accused them of exaggerating the issue.

It emerged that two patients died on carts in the hospital and in the emergency room at Worcestershire Royal Hospital in January.

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