Black alert as Brighton's Royal Sussex hospital diverts A&E patients

The Argus: Black alert as Brighton's Royal Sussex hospital diverts A&E patients Black alert as Brighton's Royal Sussex hospital diverts A&E patients

Patients have been diverted from the Royal Sussex County Hospital's A&E department as the Brighton hospital struggles to deal with a surge in patients.

The hospital in Eastern Road, Brighton has been placed on “black alert” as under-pressure staff work to free up beds.

Its accident and emergency department has been put on divert three times in the last four days and some non-urgent operations have been cancelled.

This meant all but the most critically ill or injured patients were sent to Princess Royal Hospital in Haywards Heath instead.

Patients have faced long waits in A&E at the Royal Sussex until beds become available for them elsewhere in the hospital.

The Argus was contacted by a South East Coast Ambulance Service worker who said at one point three patients were waiting in ambulances outside A&E because there was no room for them inside the department.

The problem has been partly caused by the hospital having to care for high numbers of patients who are ready to be discharged but no nursing or rehabilitation bed can be found for them elsewhere in the city.

Brighton and Sussex University Hospitals NHS Trust and the CCG, which is responsible for making sure enough community beds are available, were awarded £2.3 million extra Government funding to help ease pressure on the Royal Sussex this winter.

Work has included the recent introduction of two extra non-emergency ambulances which are being used to transfer patients from the hospital to rehabilitation beds.

In a joint statement, the trust and CCG said: “The hospital has been very busy since the weekend and this has unfortunately led to some patients having to wait longer than we would like to be treated in the emergency department and admitted into beds.

“The CCG works closely with the trust and the ambulance service to ensure that any patient who does have to wait in A&E is made as comfortable as possible and regularly monitored in a safe environment.

“We are working hard with our partner health and social care organisations to create more capacity in the hospital and out in the community that will allow patients to be treated quicker.”

The trust, which runs the Royal Sussex and Princess Royal, has been under sustained pressure in recent months, and has been operating at red alert, the second highest level, on several occasions.

Its last black alert was before Christmas.

Comments (21)

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5:58am Thu 6 Feb 14

Clairemarch says...

My mum was there Monday and was in the waiting room with heart failure, shortness of breath and dizziness for nearly 7 hours. She never made it passed the triage part and was basically treated there. They were even questioning if she was having a heart attack but that still didn't make her enough of a priority to get her out of the initial triage waiting room,". They had wanted her on monitoring but had no space or equipment to do it away from the main departments so sent her home in the end. Seriously not good enough.
My mum was there Monday and was in the waiting room with heart failure, shortness of breath and dizziness for nearly 7 hours. She never made it passed the triage part and was basically treated there. They were even questioning if she was having a heart attack but that still didn't make her enough of a priority to get her out of the initial triage waiting room,". They had wanted her on monitoring but had no space or equipment to do it away from the main departments so sent her home in the end. Seriously not good enough. Clairemarch

6:03am Thu 6 Feb 14

fatso says...

Get rid of some of the army of pen pushers and pay for extra nurses and beds.
Get rid of some of the army of pen pushers and pay for extra nurses and beds. fatso

6:41am Thu 6 Feb 14

Angryoldman says...

fatso wrote:
Get rid of some of the army of pen pushers and pay for extra nurses and beds.
An army of pen pushers are needed in order to cook the books.
[quote][p][bold]fatso[/bold] wrote: Get rid of some of the army of pen pushers and pay for extra nurses and beds.[/p][/quote]An army of pen pushers are needed in order to cook the books. Angryoldman

6:48am Thu 6 Feb 14

twonk says...

Can the Argus explain what exactly a Black Alert entails please?
Can the Argus explain what exactly a Black Alert entails please? twonk

7:58am Thu 6 Feb 14

Plantpot says...

18,000 "pen pushers" have already gone.

Half of all people that report to A&E receive no treatment at all.

If we gave every penny we had to the NHS it would still want more.

Time for root and branch reform, unfortunately the NHS is treated as if it were some type of sacred cow.
18,000 "pen pushers" have already gone. Half of all people that report to A&E receive no treatment at all. If we gave every penny we had to the NHS it would still want more. Time for root and branch reform, unfortunately the NHS is treated as if it were some type of sacred cow. Plantpot

8:08am Thu 6 Feb 14

Sir Prised says...

Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost.
Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost. Sir Prised

8:32am Thu 6 Feb 14

Juleyanne says...

I cannot thank the NHS enough having undoubtedly saved my father's life after a Stroke and recently my brother who had a dangerous blood clot which was close to causing him a major heart attack. Of course there are problems which need to be urgently addressed, but praise for our NHS is in short supply
and the overworked often demoralized staff need to hear a few positive stories too. So thank you NHS without you I may not have a father and brother!
I cannot thank the NHS enough having undoubtedly saved my father's life after a Stroke and recently my brother who had a dangerous blood clot which was close to causing him a major heart attack. Of course there are problems which need to be urgently addressed, but praise for our NHS is in short supply and the overworked often demoralized staff need to hear a few positive stories too. So thank you NHS without you I may not have a father and brother! Juleyanne

9:15am Thu 6 Feb 14

Morpheus says...

How will re-building solve this problem?
How will re-building solve this problem? Morpheus

10:03am Thu 6 Feb 14

Old Ladys Gin says...

Like just about everything else the state has to do with the system is probably about 20 years behind the times.
Perhaps the planning was done in the era of 'Don't bother the doctor' and by people of that generation.
Things have changed and doctors are more likely to be seen as service providers and patients viewing themselves as customers.
Like just about everything else the state has to do with the system is probably about 20 years behind the times. Perhaps the planning was done in the era of 'Don't bother the doctor' and by people of that generation. Things have changed and doctors are more likely to be seen as service providers and patients viewing themselves as customers. Old Ladys Gin

10:22am Thu 6 Feb 14

Vox populi 2 says...

Sir Prised wrote:
Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost.
Absolutely right. And it is about time AE posted a doctor at reception to sort wheat from the chaff. The chaff being the hoards cluttering up AE when all they need is home remedy.
[quote][p][bold]Sir Prised[/bold] wrote: Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost.[/p][/quote]Absolutely right. And it is about time AE posted a doctor at reception to sort wheat from the chaff. The chaff being the hoards cluttering up AE when all they need is home remedy. Vox populi 2

10:33am Thu 6 Feb 14

qm says...

twonk wrote:
Can the Argus explain what exactly a Black Alert entails please?
In simple terms, up smelly creek without a paddle :((
[quote][p][bold]twonk[/bold] wrote: Can the Argus explain what exactly a Black Alert entails please?[/p][/quote]In simple terms, up smelly creek without a paddle :(( qm

10:58am Thu 6 Feb 14

Brightonlad86 says...

Part of the problem is this;

You go to your GP, explain all your symptoms have blood tests etc. They tell you to go to A+E. When your there you see a triage nurse/dr and explain all your symptoms, have your blood tests etc. You then go go see another dr/nurse, explain all your symptoms etc. Another dr/nurse will then see you and you will explain all your symp........(you get the idea)....

A simple solution would be for the dr/nurses to communicate or read notes so they are not wasting time going through what has already been done.
Once all this is done, 99% of the time you will be told there is not much/nothing wrong with you and are discharged.

This is 1 problem, then you have the druggies, drunks etc....
Part of the problem is this; You go to your GP, explain all your symptoms have blood tests etc. They tell you to go to A+E. When your there you see a triage nurse/dr and explain all your symptoms, have your blood tests etc. You then go go see another dr/nurse, explain all your symptoms etc. Another dr/nurse will then see you and you will explain all your symp........(you get the idea).... A simple solution would be for the dr/nurses to communicate or read notes so they are not wasting time going through what has already been done. Once all this is done, 99% of the time you will be told there is not much/nothing wrong with you and are discharged. This is 1 problem, then you have the druggies, drunks etc.... Brightonlad86

11:23am Thu 6 Feb 14

WKWWA. says...

I was there Monday morning. I gave them an hours notice I was on the way to save asking for an ambulance.
Still took them near 3 hours to sort me out, the same job took less than 45 mins a month ago.
2 of the nurses/doctors had little idea of what needed to be done, till a 3rd one sorted out in no time.

I still have the same ongoing problem, having waited 8 weeks to see a specialist, which will probably result in 18 week wait for operation at Haywards Hospital.
I was there Monday morning. I gave them an hours notice I was on the way to save asking for an ambulance. Still took them near 3 hours to sort me out, the same job took less than 45 mins a month ago. 2 of the nurses/doctors had little idea of what needed to be done, till a 3rd one sorted out in no time. I still have the same ongoing problem, having waited 8 weeks to see a specialist, which will probably result in 18 week wait for operation at Haywards Hospital. WKWWA.

12:09pm Thu 6 Feb 14

Tailgaters Anonymous says...

Every confidence in the front line staff but management needs a wake-up call!
This at a time when Eastbourne DGH & Hastings Conquest are planning to dilute services too.
Shambolic!
Every confidence in the front line staff but management needs a wake-up call! This at a time when Eastbourne DGH & Hastings Conquest are planning to dilute services too. Shambolic! Tailgaters Anonymous

12:55pm Thu 6 Feb 14

getThisCoalitionOut says...

Money is not being spent properly by the NHS.

There are umpteen managers that don't know their jobs properly. They get their friends jobs at equally high pay - around £150K each - and don't have to pay for parking and get 26% pay rises each year whilst those in the lowest paid jobs, who do the real work around the hospital, haven't had a pay rise in 4 years, in fact at the DGH in Eastbourne, they've had a pay cut as parking charges went up for them. The managers also get free very expensive cars as part of their package - why?

This at a time when the NHS frontline needs a lot more money but this government keeps closing A&E's - it has got to be stopped.

Write to your MP, the PM and sign petitions and go to demonstrations if you can - we have to take action and stop moaning and do something.

We cannot afford to lose the NHS and this government are seriously trying to contract it out to private firms that most of them own or have a friend or family member who owns. What happens when private companies take over - the service goes downhill as they want to make an enormous profit and this must not be allowed to happen.
Money is not being spent properly by the NHS. There are umpteen managers that don't know their jobs properly. They get their friends jobs at equally high pay - around £150K each - and don't have to pay for parking and get 26% pay rises each year whilst those in the lowest paid jobs, who do the real work around the hospital, haven't had a pay rise in 4 years, in fact at the DGH in Eastbourne, they've had a pay cut as parking charges went up for them. The managers also get free very expensive cars as part of their package - why? This at a time when the NHS frontline needs a lot more money but this government keeps closing A&E's - it has got to be stopped. Write to your MP, the PM and sign petitions and go to demonstrations if you can - we have to take action and stop moaning and do something. We cannot afford to lose the NHS and this government are seriously trying to contract it out to private firms that most of them own or have a friend or family member who owns. What happens when private companies take over - the service goes downhill as they want to make an enormous profit and this must not be allowed to happen. getThisCoalitionOut

5:07pm Thu 6 Feb 14

Brighton1000 says...

Keep the RSCH where it is and invest the 420m in employing additional nursing staff etc? Isnt that the simple answer?

Bloody useless politicians, all seeking self righteousness. Isnt it bloody obvious they need more staff not a swnaky new building that cant cope with patients?
Keep the RSCH where it is and invest the 420m in employing additional nursing staff etc? Isnt that the simple answer? Bloody useless politicians, all seeking self righteousness. Isnt it bloody obvious they need more staff not a swnaky new building that cant cope with patients? Brighton1000

5:12pm Thu 6 Feb 14

sunnybrighton says...

The thing which I find annoying is trying to make an appointment to see your GP. A wait of a week or so is not uncommon when things are not life threatening but you are in some discomfort. It is not a job for A&E to sort out, though some may feel it is.
The thing which I find annoying is trying to make an appointment to see your GP. A wait of a week or so is not uncommon when things are not life threatening but you are in some discomfort. It is not a job for A&E to sort out, though some may feel it is. sunnybrighton

8:22pm Thu 6 Feb 14

ourcoalition says...

Welcome to Tory Britain - only going to get much worse.

And before someone says its all those "health tourists", ask your MP to get you the figures - they can't because the Government won't publish them - this may be due to the BMA's (obviously ridiculous!!!) view that the problem doesn't exist in reality. Surely our politicians wouldn't lie to us?
Welcome to Tory Britain - only going to get much worse. And before someone says its all those "health tourists", ask your MP to get you the figures - they can't because the Government won't publish them - this may be due to the BMA's (obviously ridiculous!!!) view that the problem doesn't exist in reality. Surely our politicians wouldn't lie to us? ourcoalition

9:00pm Thu 6 Feb 14

straightasadye says...

i don't know why people in their posts keep blaming front room/back room hospital managent for bed shortages when its those pesky pensioners to blame for living too long. The NHS wasn't set up to nurse oldies in the twilight of their days, but set up to nurse drunks, druggies and the likes,
wasn't it? If it wasn't that's how it comes across to me.
i don't know why people in their posts keep blaming front room/back room hospital managent for bed shortages when its those pesky pensioners to blame for living too long. The NHS wasn't set up to nurse oldies in the twilight of their days, but set up to nurse drunks, druggies and the likes, wasn't it? If it wasn't that's how it comes across to me. straightasadye

10:34pm Thu 6 Feb 14

clubrob6 says...

Sir Prised wrote:
Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost.
You have hit the nail on its head the word no politicians will say from the three main parties IMMIGRATION,im not blaming the immigrants for seeking medical help but it should be up to governments to make sure they have medical insurance before entering the UK just like we have to when we go abroad.If the three main parties are all for mass open door immigration they should provide public services for them at the moment because of the massive increase with population people that have paid into the system are the ones that are suffering due to abuse of our NHS.Lots of immigrants don't have a GP so use A&E as there first point of call,also our population changes quite a bit with university students,tourists etc so they too use the A&E as first point of call.The alternatives to A&E are poor in brighton I went to the Station clinic with an infection as my surgery was closed I waited three weeks for results when I phoned up they had no record of me being there so that was a four hour wait in the surgery wasted.I needed a colonoscopy at the RSCH last year the waiting list was closed through demand so I had to even wait to get onto the waiting list,another test a tilt test I waited 9 months for.The care at the RSCH cant be faulted they are simply having to deal with lots more patients with no increased capcity.The NHS cant carry on being the health service for the world its simply being unfair to the BRITISH people who have paid into the system.
[quote][p][bold]Sir Prised[/bold] wrote: Three problems Open door immigration. Messed up GP contracts. Stupid people. Population growth has placed enormous pressure on *all* services. A&E is no different. People would rather go to the hospital than have some unidentified locum call around. And laslty, some are totally irresponsilble and aren't even prepared to have a box of plasters at home, if they can get treatment for free. Poor management in all national departments coming home to roost.[/p][/quote]You have hit the nail on its head the word no politicians will say from the three main parties IMMIGRATION,im not blaming the immigrants for seeking medical help but it should be up to governments to make sure they have medical insurance before entering the UK just like we have to when we go abroad.If the three main parties are all for mass open door immigration they should provide public services for them at the moment because of the massive increase with population people that have paid into the system are the ones that are suffering due to abuse of our NHS.Lots of immigrants don't have a GP so use A&E as there first point of call,also our population changes quite a bit with university students,tourists etc so they too use the A&E as first point of call.The alternatives to A&E are poor in brighton I went to the Station clinic with an infection as my surgery was closed I waited three weeks for results when I phoned up they had no record of me being there so that was a four hour wait in the surgery wasted.I needed a colonoscopy at the RSCH last year the waiting list was closed through demand so I had to even wait to get onto the waiting list,another test a tilt test I waited 9 months for.The care at the RSCH cant be faulted they are simply having to deal with lots more patients with no increased capcity.The NHS cant carry on being the health service for the world its simply being unfair to the BRITISH people who have paid into the system. clubrob6

10:47pm Thu 6 Feb 14

Nobleox says...

straightasadye wrote:
i don't know why people in their posts keep blaming front room/back room hospital managent for bed shortages when its those pesky pensioners to blame for living too long. The NHS wasn't set up to nurse oldies in the twilight of their days, but set up to nurse drunks, druggies and the likes,
wasn't it? If it wasn't that's how it comes across to me.
Like it! And although tongue in cheek it just about sums up the
priorities of the NHS today.
[quote][p][bold]straightasadye[/bold] wrote: i don't know why people in their posts keep blaming front room/back room hospital managent for bed shortages when its those pesky pensioners to blame for living too long. The NHS wasn't set up to nurse oldies in the twilight of their days, but set up to nurse drunks, druggies and the likes, wasn't it? If it wasn't that's how it comes across to me.[/p][/quote]Like it! And although tongue in cheek it just about sums up the priorities of the NHS today. Nobleox

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