Inside Royal Free – It tells us about NHS

The BBC is making a live report from the Royal Free Hospital in London to portray the pressures facing healthcare in this winter.

By 10 am, the A&E unit was filled and within hours the hospital had to declare that it had reached four, pointing to the NHS Central Command that it was under heavy stress.

Some patients were to be treated in the corridors and patients required to be admitted were sent to wait for the ward on trolleys and chairs to free the space in A&E.

Employees told the BBC that they were just about fighting – although they had to take the final step to remove ambulances in nearby hospitals.

This, however, is not uncommon. The hospitals of the country have regularly found themselves in this winter.

But beyond the busy, emphasized the A&E unit, there were many other stories to tell. A look we have learned from a day on the frontline.

This is a day in a London hospital that tells us about NHS.

Frrilty Consultant Dr. Martin Glasser appears after a 32-bed ward.

It was packed when the BBC was visited – a bed was not empty. But he said that there is no need to be close to half the patients.

“Patients can be either a care at home, or with home care if necessary services were available to them.

“It makes us feel really really destroyed. We are trying our best in a system that often feels that it is failing and working against us.

“This is not appropriate for those who really want to stay at home and be better than there – hospitals are great places when you are ill, when you are not sick they are very terrible.”

This, of course, is not unique for royal free. Across the NHS, one of the seven beds is occupied by patients who are ready to leave – and on Thursday it was discovered that the numbers were found in their highest level winter.

Royal free has two radiotherapy machines to help cancer patients treat cancer patients. Both are almost a decade old, which is the upper limit on how long they should be used.

Radiotherapy Services Manager Claire Hartel says: “We need new machines.

“Old machines are 50% less efficient – so with new machines we can treat more people and then they will wait less time for their cancer treatment.”

This is a common complaint in NHS.

In England, there is a backlog of £ 13.8bn for buildings and equipment that needs to be upgraded and replaced. It is double that was a decade ago.

As one of the eight experts heart attack centers in London, the Royal Free receives patients from the north of the capital.

Senior charge nurse Rui Tinoco says, most patients who see they are in the 50, 60s and 70s, but will sometimes be brought to people in their 30s.

“It is quite shocking to see people to see that youth,” they say. “Lifestyle is a big factor with these cases. Many of us are working here, we are in the 30s, so it is quite upset to see.”

In the cancer department, employees also throw light on the fact that lifestyle is causing illness.

About 40% of cancer is expected to be related to diet, alcohol, lack of activity and smoking.

“We are seeing the increasing number of referrals,” says lead cancer nurse Jemma O’Selli. “There are different types of factors – aging population, genetics and cancer recurring, but the way we live is definitely a factor.”

The government has vowed that NHS will return to kill its 18 -week target for regular treatment by the end of this Parliament. But the doctors here said that it will take at least twice.

An advisory surgeon told the BBC that it would take at least a decade to clarify.

It is telling. Royal Free has managed to increase its number of operations by 18% in the last one year.

His key is the barn theater, which is part of the £ 200M renewal made before the epidemic.

This allows four operations to be performed simultaneously in the same room, in which senior advisors look after many patients.

Medical Director Dr. Ash Saini says that he is helping the hospital to increase productivity.

“We are really trying and bringing down our waiting list,” they say. “But this is a slow process.”

The 72 -year -old Margaret Georgieu went to see her GP suffering from swelling and jaundice in early December. He was referred to as an expert and diagnosed with pancreatic cancer.

Most cases – approximately 85% – cannot be treated.

But doctors feel that Margaret cancer was caught quickly, so it was called a whipping process three days ago.

He had half the pancreas, bile duct and gall bladder, as well as part of the intestine and abdomen.

The mid operation had to stop after a wound was found on his liver – but after a quick examination it was found to be benign and the surgery could continue.

It was a complex operation that lasted for eight hours. “It was full of risks,” his surgeon David Nasralla says. “But this too went away.

There is a long recovery ahead of him and he has to take medicine to eat every time.

“An important minority can be therapeutic to the whipping process. That is why we put patients through such complex surgery,” Sri Nasrala says.