John Hemming's Web Log John's Reference Website
Monday, February 08, 2010
  Heartlands Hospital A&E figures
One of the difficulties in looking at the stats for Heartlands hospital is that they include figures for Solihull, Heartlands and Good Hope.

I have obtained copies of the most recent statistics about A&E and put them in the window of my office.

What they demonstrate is that the primary concern relates to Good Hope. I had a number of conversations about this last week and the hospital is putting in some serious effort into resolving this.

Personally I have only experienced A&E at Heartlands and have not been to A&E at Solihull or Good Hope although I have visited patients at Solihull on a number of occasions.

It is important to have a good A&E service, but there are always challenges as to demand particularly with the complications now in the health service.
 
Comments:
My wife and i whom are on pension and current blue badge holders visted nhs heartlands hopital, B95ss.
we could not park unless charged a fee, therefore i had to cancel the appointment whilst at the reception.
Surely,this discrminates who should be able to obtain the blue badge disability facility.
 
The rules on parking charges are quite complicated. It would be best if you emailed me at hemmingj@parliament.uk
 
Presumably this is going to get simpler soon. I gather Solihull Hospital is being progressively closed down, maternity closes at the end of March. Then it'll only be Heartlands and the 'No Hope'.

I've long felt (and been backed up by friends in the medical profession) that the biggest problem for A&E is the drive for public sector financial efficiency. A key factor you need for financial efficiency is good predictability of demand, ideally a steady demand, so you can be sure you have the right level of resources to provide the service required and no more (no slack). A&E doesn't work like that. Whilst you can predict that demand will usually be higher Friday night than Tuesday afternoon that doesn't mean you won't get a big RTA at 17:30 on Tuesday that puts demand at several Fridays rolled into one.

Fast food restaurants have a similar problem as demand peaks and troughs during the day. The thing is, if I have to wait an extra 5 minutes for my Colonel's Meal with Pepsi the worst that happens is I get annoyed. Having to wait an extra 5 minutes whilst coding with a torn artery (beacuase the nearer hospital has closed or is too bvusy) has much more serious an impact.

Stephen
 
There is some truth in that. There are merits, however, in having larger hospitals because then it is more likely that the required expertise will be available on site. Also demand is more predictable.

I am not aware of any proposals to remove A&E from Solihull.
 
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