A major incident was declared in Gloucestershire yesterday due to a lack of hospital beds.
The incident was declared due to 51 patients needing beds at Gloucestershire Royal Hospital and Cheltenham General Hospital.
It was revealed during a heated crisis meeting today between key health care providers across Gloucestershire to discuss 'alarmist' hospital claims over bed blocking patients.
Chief Executive of Gloucestershire Hospitals NHS Foundation Trust Dr Frank Harsent publically criticised the county's healthcare system for letting patients down.
At the meeting at Shire Hall this morning, members of the county council's Health and Care Scrutiny Committee voiced their disappointment that Dr Harsent had chosen to voice his concerns through the media and criticised a breakdown in communication between partner agencies.
Representatives from Gloucestershire Care Services NHS Trust, Gloucestershire Clinical Commissioning Group and Gloucestershire County Council said the Trust's concerns should have been raised at meetings and reassured councillors that the system was not "broken".
However, Dr Harsent stood by his remarks and warned of the potential for further disruption to acute services this winter.
Dr Harsent said: "If the system isn't broken, why did I have to declare a major incident for the first time in 20 years in the job? I have never had to do that before.
"We managed to get hold of agency staff and we made room to cope with it but there was still a large number of people in A&E who needed beds.
"The reality is that we need to move away from people feeling angry and disappointed and instead recognise that the system is not working.There is a danger here that we are in denial."
The Trust's chairman Professor Clair Chilvers said medically fit patients are not being discharged quickly enough from hospital.
She said: "We put out a press release because we felt that we were failing our patients within the health community.
"We had gone through all the talking that we could and all the meetings. We can argue about whether to use the term broken but the system is not working and the evidence is that we had to call an emergency yesterday.
"It is a problem. Things have changed. There is much greater demand. We have got to work better together to solve the problems.
"We want to give the best service we can. To do that the whole system has to work better together to ensure that happens so that we don't have the crisis that we have had in the last couple of days.But with current demand I wouldn't bet money on it not happening again."
A combination of factors have been blamed for bed blocking, including administration changes to social services, a lack of suitable home care packages and issues with transferring patients to community hospitals.
Gloucestershire Clinical Commissioning Group chairman, Dr Helen Miller said: "The health and care community has a collective responsibility to work positively together in the interests of the patient. Entering into a blame game serves the interests of no one.
"A number of steps are being taken to reduce delays in patients leaving hospital, provide more care in the patient's own home and improve the patient experience. These include:
- Reviewing the timing of ward rounds by senior staff – including earlier in the day and at weekends
- Additional investment in the Integrated Discharge Team. The team of nurses and social workers make sure everything is in place for patients to leave hospital in a safe and timely way
- Investment in a short stay ward for patients who require a 24-48 hour hospital stay
- Developing the Older People's Assessment and Liaison service – reducing the need for admission to hospital
- Working to ensure maximum bed availability at Community Hospitals, including Stroud, through the recruitment of nursing staff and a revised discharge policy
- Investment of £3.9 million in Integrated Community Teams – providing intensive support to patients in their own homes
- Working with the Ambulance Service so more patients can receive care at home or in the community – including expert advice from GPs, mental health professionals and specialist community teams.
"We will continue to monitor this closely with our partners, recognising that every patient deserves to receive timely care in the most appropriate place to meet their on-going needs."
The chairman of the Health and Care Scrutiny Committee, councillor Steve Lydon, called for a meeting to be held between the chairman of Gloucestershire Clinical Commissioning Group, the chairman of Gloucestershire Hospitals NHS Foundation Trust, the chairman of Gloucestershire Care Services NHS Trust and councillor Dorcas Binns, cabinet member for older people.
Steve Lydon, chairman of the heath and care scrutiny committee, said: "Achieving the best outcome of patients must be our top priority. If there is an issue of bed blocking, then we all need to play our part in resolving it. This isn't about blame to any one organisation; it's about finding a solution.
"Organisations that are involved with people's care need to work together in order to make sure we achieve the best outcome for patients.
"I would like each organisation to draw up a statement of intent that can be brought to the next health and overview scrutiny meeting in the new year."
Labour HOSC member David Drew said: "This is a sad mess. All organisations involved are playing politics with patients. Patients need to come first. Instead of focusing on fixing the problem they busy blaming each other. There are not enough beds in the system because of cuts to the NHS. Patients are now being let down and operations are being cancelled. All organisations involved need to get their act together and sort out this mess."
County councillor Paul McMahon (Lab, Coleford) added: "There is blame game being played here and patients are being let down. It seems that all organisations are too busy passing the buck rather than fixing the problem. There is clearly a shortage of beds. This is not acceptable and patients deserve better."
The health and care scrutiny committee will meet on Tuesday, January 13, at Shire Hall.
![Major incident declared in Gloucestershire due to lack of hospital beds Major incident declared in Gloucestershire due to lack of hospital beds]()