//'you have to book in advance to attend A&E where I live'//
Yes you do, Zacs. "Walk-ins" are not permitted. You either have to be brought there by ambulance or you must be referred there by your GP or 111. So, if I sustain a cut (be it shallow, deep or complete severing) whilst opening a tin of corned beef I cannot get Mrs NJ to run me to A&E for a few stitches. I would not be admitted. I would either (a) have to call an ambulance (which would be a complete waste of resources in such circumstances) or (b) I would have to contact my GP or 111 (with my hand pouring with blood) for a referral. Here's the hospital's guidance for "Emergency and Urgent Care":
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Our Emergency Departments remain open for life-threatening conditions as well as coronavirus-related emergencies. However, they are currently very busy so please only come in if it is an emergency and you need immediate medical care.
Please see the below guidance for when to come into hospital:
- If you need urgent medical help, use the NHS 111 online service. If you cannot get help online, call 111.
- If it is a serious or life-threatening emergency, call 999.
- Only attend hospital if you are told to do so. You will not normally be admitted otherwise. If you are told to go to hospital, it is important that you go to hospital.
- Only attend your appointment in person if you have been told to do so. We are currently pausing all non-urgent planned elective and day case procedures.
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The only thing that's wrong with that is the notion that the A&E department is very busy; it's not. As I've said before, my local hospital is all but defunct for anything other than emergency treatment - and some of that is a struggle. More than half the wards are still closed (it was up to 80% last year); the day surgery centre is closed; there are few, if any outpatient clinics running. I went there last week to take an elderly neighbour for her Covid jab. It would have meant two buses for her. As above, her GP surgery (300 yards from her house) is not participating. My usual experience of driving to the hospital (which I rarely do) involves driving round the car park looking for the odd space and often ending up in the nearby Sainsbury's car park (two hour limit). I expected the same but I could have held a football match there, with only about one in ten spaces taken. There were no ambulances queuing up like you see nightly on the telly; doors to the A&E department were closed and presided over by two security guards.
There was a sawbones writing in the paper yesterday arguing against the contention that the NHS has become a National Covid Service. He'd struggle to win that argument in this area.