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NHS A&E nurse filmed warning patients of 13-hour wait to see medic | NHS

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A nurse has been filmed warning patients at an overcrowded A&E department that they could be forced to wait up to 13 hours to see a doctor.

The video, which has racked up more than 1 million views, was filmed at Harlow A&E, run by Princess Alexandra hospital NHS trust in Essex, on Monday evening. The health secretary, Sajid Javid, has since said the footage is “not what anyone wants to see”.

The nurse can be heard telling people in the waiting room that there are already 170 patients in the department, with 90 more patients waiting to be seen at the time.

She tells the crowded room: “Our current wait time for a doctor is seven-and-a-half hours. I will estimate by the time I go home in the morning at 8 o’clock some of you will still be here waiting for a doctor because the waits will get up to 12 or 13 hours.

“There are currently no beds in the trust. We’re trying to make more space if we can but if people are admitted there’s a chance they’ll stay in A&E for the night.

“We will do our best to make you comfortable, we will do our best to look after you, but please don’t expect you will be going direct to a ward because that might not happen.”

She added that anyone feeling “particularly unwell” should speak to receptionists, and pleaded with relatives to go home as the department was “running out of space” while trying to maintain social distancing “as much as possible”.

After being shown the clip on BBC Breakfast, the health secretary said: “Of course that’s not a thing that anyone wants to see.”

He added: “Because of the impact of Covid … we know already from our NHS estimates, we think some 11 to 13 million people stayed away from the NHS because of the pandemic.

“Many of those people are coming forward, many of those to A&E, and we’re seeing very high levels of demand. That is a real challenge for the NHS across the system.”

The video was shared on Twitter by Gary Sitton, whose son-in-law visited the A&E department after a road accident. He said some patients “verbally abused” the nurse.

Sitton wrote: “This is PAH Harlow on the evening of June 6 2022. My son-in-law visited A&E after being involved in a RTA.

“He left in pain after hearing the nurse’s announcement. Others verbally abused her. This is our NHS on its knees after 12 years of underfunding.”

He added: “It’s a tragedy and I feel a mixture of sadness and anger. When I read a spokesperson for the PM promise a ‘Netflix’ NHS I decided it was time to drop a truth bomb on their bullshit.”

It was revealed last week that the NHS has lost almost 25,000 beds across the UK in the past decade.

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A report by the Royal College of Emergency Medicine found that at least 13,000 more beds were urgently needed in order to tackle “unsafe” bed occupancy levels and “grim” waiting times.

Patients were increasingly “distressed” by long waiting times, the college said, as were NHS staff who faced mounting levels of burnout, exhaustion and moral injury.

In April, the West Yorkshire Association of Acute Trusts, which covers six hospitals in West Yorkshire and Harrogate, asked patients to attend their local A&E only in “genuine life-threatening situations”.

Stephanie Lawton, the chief operating officer at the Princess Alexandra Hospital NHS trust, said: “We are currently experiencing extremely high demand for our emergency care services and have seen a significant increase in attendances in our emergency department.

“Our teams are working hard to assess and treat patients as quickly and effectively as possible to reduce delays, prioritising those in most clinical need.”

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How Blacks and Jews can come together again – New York Daily News

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We have just finished an election that underscored sharp division in our country. Among those divisions have been race-based attacks on both Blacks and Jews. We have all received an earful of the controversy concerning the ignorant statements made by Kanye West and the misguided social media post of Kyrie Irving. Both are emblematic of what is wrong with the discourse surrounding Blacks and Jews. Both controversies center around a divisive, distorted and flat-out incorrect characterization of history. We believe our nation will be served by setting the record straight and healing those divisions.

One of us, Markus Green, is Black, the other, Victor Schwartz, is Jewish. We have worked together on challenging civil justice problems for over a decade. We devote most of our professional time toward prevention of unjust liability claims. More important than our professional link is our friendship based on unyielding mutual respect. It cannot be broken.

Our experience in life and our study of history strongly suggests that Blacks and Jews in general should foster such feelings. They have had both adversity and success.

Both Blacks and Jews have suffered the ignominy of slavery. For nearly 400 years, millions of Africans were forcibly placed on slave ships and sent to America. The Bible tells us that the Jews were slaves in Egypt for hundreds of years. Each Passover holiday, Jews relive that history and celebrate their liberation. That story was a powerful one for enslaved African-Americans, who sung the spiritual, “Go Down Moses.” Harriet Tubman is said to have used that song to announce her arrival when she helped people escape on the Underground Railroad. Tubman herself is referred to as the “the Moses of her people.”

Blacks and Jews have a shared history of being attacked because they are considered different. For a long time, the United States ignored its founding premise of “Equal Justice for All.” But even after the Civil War ended slavery, for generations, Blacks had essentially no civil rights. Jews can relate to the horrors of post-Civil War Black experience in America. Jews fled other countries to escape death from Nazi concentration camps only to experience continued anti-Semitism in America.

Fortunately, many of these barriers have been overcome. Joint efforts by Blacks and Jews have been part of those accomplishments. Jews were allies with Blacks in the fight for civil rights. Several Jewish people were among the founders of the NAACP and Jewish lawyers helped successfully battle Jim Crow legislation.

Martin Luther King Jr. recognized the mutual interest of Blacks and Jews.

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“My people were brought to America in chains,” King said in a 1958 speech to the American Jewish Congress. “Your people were driven here to escape the chains fashioned for them in Europe. Our unity is born of our common struggle for centuries, not only to rid ourselves of bondage, but to make oppression of any people by others an impossibility.”

In 1965, the Civil Rights Act outlawed many forms of discrimination in public places and in employment, but racism and anti-Semitism persist. Both Blacks and Jews understand that prohibiting blatant discrimination is only a partial victory. Today, racism toward Blacks and Jews takes place in many more subtle ways.

Blacks and Jews have seen so-called spokespersons utter remarks against each group. But such folks are a minority in a minority. Without a doubt, both of us as lawyers know that legal battles won for Blacks have helped Jews, and legal battles won for Jews have helped Blacks.

Finally, and often overlooked, is the fact that Black and Jewish culture can be a bond between the two groups — one that includes humor, emotion and love of family.

So at a time where many are planting and growing seeds of division, we ask that Black and Jewish leaders, and ordinary men and women in each group, build a united wall of mutual respect. After all, racism and anti-Semitism racism are two ugly cousins. Anti-Semitism is racism and racism is anti-Semitism. Jews and Blacks must be united against hate and bigotry.

Jews and Blacks have far more in common than we will ever have differences. Both have suffered and survived monumental atrocities and the aftershock is still being felt. We both understand survival and perseverance. But most of all, we both understand the power of love in the face of hate. We are one people. Unity, not divisiveness, is our path forward.

Green is vice president and assistant general counsel at Pfizer. Schwartz is a former law professor and law school dean, and current co-chair of the public policy group of the law firm Shook, Hardy & Bacon, L.L.P.

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I have taken a ‘vow of silence’ around my husband – Chicago Tribune

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Dear Amy: I have a marriage question.

I have taken a sort of “vow of silence” around my husband of 40 years.

I am not giving him “the silent treatment.” I respond to questions, provide the occasional benign observation, and try to make statements of support.

He finds a way to contradict virtually anything I say.

I could observe trees swaying gently in the wind, say, “It seems breezy today,” and he would reply, “No, it isn’t. The wind velocity must be such and such degrees for it to be breezy.”

I would like to be able to communicate openly about that issue and other issues in our marriage. I’d like to be able to discuss my hopes and dreams.

I’d like to be able to share silly, fun thoughts and creative ideas.

But if I say almost anything, he replies “No, it isn’t…” or, “No, you don’t…” or “That’s not the right way to look at it.”

So, if I brought up my feeling that my husband often contradicts me, he most certainly would reply “No, I don’t!”

I feel that I live in a world of “NOs.”

It would be self-sabotage to leave the marriage after 40 years.

How can I encourage the same care and security internally?

I would like to break my vow of silence, feeling secure that I won’t immediately be contradicted, but I’m at a loss for how to do that.

– Wife With No Words Left

Dear No Words: If your husband’s contradictory reactions are confined mainly to his interactions with you, then it would seem that his entrenched negativity is expressing hostility toward you.

If he tends to be “Mr. No” with everyone, then I’d say his hostility is directed toward himself. He seems quite unhappy.

Avoidance is a natural response to being continuously shut down, and so actually – you are giving him the “silent treatment,” but it is important for you to recognize that you do have a voice and have a right to use it.

I hope you will try to start a conversation about the effect this is having on you. If you use “I” statements, such as, “I feel sad when you respond to me with such negativity,” he can shoot back, “No, you don’t” – which will bring the whole process into the realm of the absurd, and might catch his attention.

There are many books and resources offering ways to communicate better. Therapy could help you two to make great strides. One book you might read is, “Dealing with the Elephant in the Room: Moving from Tough Conversations to Healthy Communication,” by Mike Bechtle (2017, Revell).

Dear Amy: Since my husband retired, he has stopped taking daily showers.

In fact, if he showers once a week, I am lucky.

He walks five miles every day for exercise and perspires a great deal, but he doesn’t change his shirt.

I have tried humor: “Gee, honey, you’re kind of fragrant.”

I’ve also reassured him that washing many shirts is no problem. I have requested directly that he change his shirt, and even handed him a clean shirt.

We live in an open-plan condo, and I’ve taken to burning candles and incense to improve the air.

Can you think of something more effective?

– Distressed Wife

Dear Distressed: Don’t you wonder why your husband has stopped showering? Have you asked him? Ignoring hygiene is sometimes a sign of depression, but he sounds like someone who is trying hard to take good care of himself.

So why is he neglecting his hygiene – a vital component of his own self-care?

When your body and clothing stink so much that your partner is burning incense to try to mitigate the stench, it starts to smell like a deliberate and hostile gesture.

You’ve been responding to your husband as if he is an unpredictable bull, waving clean shirts in his direction. Ole!

Stop hinting around. You have the right to cohabit with someone who demonstrates the willingness to bathe – for your sake, if not for his own.

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You might tell him, “Honey, I’m not merely asking you to shower. I’m telling you that it’s a requirement for us to live together.”

Dear Amy: Thank you for running the letter from “A,” who described her challenges after meeting and getting to know her birth family (she had been adopted).

I’m adopted, too, and this dream of meeting my perfect biological family persisted for me – until I met them.

– Grateful for Adoption

Dear Grateful: Dreams sometimes need to be dashed before they can be fulfilled.

(You can email Amy Dickinson at askamy@amydickinson.com or send a letter to Ask Amy, P.O. Box 194, Freeville, NY 13068. You can also follow her on Twitter @askingamy or Facebook.)

©2022 Amy Dickinson.

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Emergency care issues in England contributed to 200 deaths last week, says medical chief | A&E

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More than 200 people who died last week in England are estimated to have been affected by problems with urgent and emergency care, according to the president of the Royal College of Emergency Medicine.

Dr Adrian Boyle, who is also a consultant in emergency medicine, told BBC Radio 4’s Today programme that a failure to address problems discharging patients to social care was a “massive own goal”.

Ambulances had become “wards on wheels” while patients wait to get hospital treatment, Boyle said, adding that those most at risk “are the people that the ambulance can’t go to because it’s stuck outside the emergency department”.

He said there were lots of causes of the approximately 900 excess deaths estimated in England last week “but we think problems with urgent and emergency care are probably contributing to about a quarter of this”.

Boyle spoke after hearing one woman describe her mother waiting for an ambulance overnight in agony with a broken hip. Ambulance workers have voted to strike over pay and conditions, saying they are “on their knees” and facing unsafe staffing levels.

He said he had not seen such waits since the 1990s but concerted effort then had succeeded in reversing the problem. “Going back 20 years, we were able as a country to turn this round.” Boyle said.

His comments came as the NHS launched 42 “winter war rooms” across England, designed to use data to respond to pressures on the health system.

When asked about the project, Boyle said it was too early to tell if it was a good idea, adding: “You can paralyse yourself with analysis, it really is actually more simple and about building increased capacity.”

He said the problem was best solved by focusing on hospital discharge and social care. “Fixing this starts at the back door of the hospital and being able to use our beds properly,” he said.

“At the moment, there are 13,000 people waiting in hospitals, about 10% of the bed base, who are waiting to be discharged either to home, with a little bit more support, or to a care facility. And that’s just a massive own goal. We just need to reform the interface between acute hospitals and social care.”

The idea of the 42 NHS “traffic control centres” will be to get patients into beds more quickly and manage demand by crunching information on issues such as A&E waiting times, staffing levels, ambulance response times and bed occupancy. Staff will be able to divert ambulances away from full hospitals to ones with capacity.

Prof Stephen Powis, the NHS national medical director for England, said: “These locally delivered control centres are just one part of our wide-ranging preparations for winter but will play a vital role in the sharing and use of vital information to drive smarter decision-making by local NHS teams

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