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IOM DHSC & MANX CARE


Cassie2
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10 hours ago, NoTailT said:

But a readmission within a few hrs of discharge isn't good.

Why?

'So this is what's wrong with you leslie, here's the medicine and treatment plan, you're going to be pretty unwell for a few days, go home and get some rest, take it easy. If things get noticeably worse please come straight back'.

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11 hours ago, NoTailT said:

Great to see positive comments online about A&E given lots of recent issues.

But a readmission within a few hrs of discharge isn't good.

Screenshot_20220930_223034.jpg

 

57 minutes ago, manxfisherman said:

Why?

'So this is what's wrong with you leslie, here's the medicine and treatment plan, you're going to be pretty unwell for a few days, go home and get some rest, take it easy. If things get noticeably worse please come straight back'.

NoTail is confusing discharge after an admission with discharge from ED. The former, certainly after elective surgery, is one of the key performance indicators used by bodies like the CQC - if too many come back it may indicate you’re doing something not so well. With the ED situation it’s far more reasonable. Discharge from ED usually includes ‘safety netting’ advice with what to look for to indicate a worsening condition that means you should come back. ED is not there to completely cure everyone of everything - it’s to deal with the emergencies. Re-attendances happen. 

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5 hours ago, wrighty said:

 

NoTail is confusing discharge after an admission with discharge from ED. The former, certainly after elective surgery, is one of the key performance indicators used by bodies like the CQC - if too many come back it may indicate you’re doing something not so well. With the ED situation it’s far more reasonable. Discharge from ED usually includes ‘safety netting’ advice with what to look for to indicate a worsening condition that means you should come back. ED is not there to completely cure everyone of everything - it’s to deal with the emergencies. Re-attendances happen. 

You're absolute correct Wrighty I am, sorry. I recalled there being some CQC assessment / KPI against readmissions.

Readmission to ED within a few hours must be pretty uncommon? Just slightly begs the question to me if maybe there was bit too much pressure on clearing a bed?

Edited by NoTailT
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What I would like to know is how someone who was medivac off the Island with a serious heart attach and operated on in Liverpool, had now been put on a waiting list both for the ECG 24 hour monitor and the rehab as there is a long waiting list and has to wait at least 2 months for the rehab. Something is very wrong here!

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14 minutes ago, Zulu said:

What I would like to know is how someone who was medivac off the Island with a serious heart attach and operated on in Liverpool, had now been put on a waiting list both for the ECG 24 hour monitor and the rehab as there is a long waiting list and has to wait at least 2 months for the rehab. Something is very wrong here!

I believe it’s similar with strokes too. They’ll fly you away if they need to save you but then there’s a massive wait for rehabilitation so if you’re not lucky your alive but cabbaged. It seems to make little sense.

Edited by Steady Eddie
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Yeah! Why don't those pen pushers get of their asses and do a few operations? They could have two beds in the operating theatre, Wrighty on one could just call out 'cut here', double the output. Problem solved!

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6 hours ago, Steady Eddie said:

I believe it’s similar with strokes too. They’ll fly you away if they need to save you but then there’s a massive wait for rehabilitation so if you’re not lucky your alive but cabbaged. It seems to make little sense.

What else can they do  or would we expect to happen if this is down to a shortage of physiotherapists ? Are they still providing local physio services and self referrals? Wasn't it improving ?

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