Hospital boss quits over A&E chaos

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Wednesday, December 10, 2008
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This is Staffordshire

A TOP health official has quit her job six months after offering to resign if there was no end to marathon delays in her hospital's emergency department.

Val Doyle departed as chief operating officer at the University Hospital of North Staffordshire after 11 months in the job.

Her resignation comes after queues grew even longer in the accident unit – and brought increasingly biting criticism from the public.

Mrs Doyle blamed the decision on her long commuting time to get to work and the need to spend more time with her family.

But in summer she staked her career on easing the problems and told The Sentinel on June 10: "If things do not improve I will either get sacked or resign as I won't want to work here any longer."

Since then public outcry has grown and dozens of patients have contacted The Sentinel to highlight their personal ordeals.

And unions representing the 7,000 staff at the Hartshill complex say the crisis is worse than ever.

Last Friday, Margorita Campbell, aged 74, of Penkhull, suffered a life-threatening blood clot in her leg. But she waited two hours alongside 27 patients in the same corridor without a single member of staff approaching her.

Eventually a nurse said there was no chance of her being seen until the following day.

Against advice from staff, her son Mark took her home untreated and over the weekend secured a GP referral for her to go to Burslem's Haywood Hospital for the injection of drugs which, he feels, saved her life.

Mark, aged 44, said: "Conditions were absolutely horrendous with patients on trolleys in various states of pain and distress, yet they were continually banged into as staff rushed around. There was no-one even available to take them to the toilet.

"I had to make 20 to 30 phone calls as I hassled to get her life or death treatment. That is disgusting and it is right that heads should roll for all this."

Retired cleaner Doris Nixon, from Bentilee, also in her mid-70s, waited 10 hours on a corridor for a bed after being taken to the unit with a heart condition.

Daughter Stephanie Nickels, a former nurse at the University Hospital but now living in Torquay, said: "When I worked there it had a good reputation – it's such a shame that's now sunk so low.

"The resignation of an official will make no difference.

"The real problem is that the hospital has moved heaven and earth to try to hit targets from the Government, which then thinks everything's OK so doesn't send any more resources."

Sixteen-year-old Joseph Bagnall, from Cheadle, was also delayed on a trolley after being taken to the unit by ambulance with a temperature of 39.5 degrees and raised heart rate and blood pressure.

Dad Lee said: "We met scenes of absolute chaos. It was so crowded we struggled to get his trolley off the pavement and into the corridor.

"When they eventually realised how ill he was he was fast-tracked to a bed, but before that there were no empty cubicles so he had to be assessed in a space between two of them.

"The actual care he got was excellent."

The hospital would not comment on the departure of Mrs Doyle but chief executive Julia Bridgewater said in an email to senior staff: "She hopes at some point to resume her career at a hospital nearer her home.

"She has worked incredibly hard and we wish her well for the future."

Trust performance director, Vanessa Scott, will take over in an interim capacity until a replacement is found. She will be assisted by Mark Mould, manager of the hospital's surgical division.

Pat Powell, leader of the hospital's Unison union branch, said: "Mrs Doyle said she would go if things didn't improve, so she has done the honourable thing.

"But we don't think she should have resigned because the real problem is the appalling system she was expected to manage.

"It all dates back the when former chief executive Antony Sumara cut 140 beds and hundreds of staff without making adequate re-provision in the community."

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  • Profile image for This is Staffordshire

    by tired, home, eventually

    Thursday, December 11 2008, 8:44AM

    “Was up A&E yesterday and the pictures of the corridors we've seen over the last few weeks really don't show the half of it. Firstly having been given madical assistance elsewhere we were no longer classed as an emergency, so we waited for over an hour and a half for an ambulance as apparently there was 'a rush on'. What this actually meant was that most of these ambulances were queued up outside A&E unable to hand over their patients because other patients were literally not even through the door. As we got there we managed to actually get through the doors. Shortly after we arrived the ambulances were all lined up outside, all containing patients that could not be admitted. Security were on the door stopping people coming in, and anyone that could be put into a wheelchair was taken into the other section of A&E instead. The person I was with was very elderly and was down to be seen within 4 hours, which we knew was very unlikely, but 7 hours later we got seen too, which I understand from how it's been is actually fairly quick. At one point the know-all-but-nothing managers turned up, inspected A&E, saw all the cubicles taken up, all of the patients lined up in the corridors, all the patients that they had tried to squeeze into the building, and then asked a nurse why they were refusing to take in more patients. What are they meant to do? Make it three to a bed? They then proceeded to have a full scale argument in front of everyone, not exactly what all of these sick people want to hear. The person I was with was forced to wait over 7 hours to go the toilet. Unable to walk, she couldn't get to a toilet, and couldn't have a bed pan because she was in the corridor.
    It's the people who are trying to do their jobs I feel sorry for. The doctors and nurses were rushing around trying to see to everyone, and these managers come and not only criticise them, but also stop them from seeing patients while they stand there and question these people, but obviously as I stepped out for some air at 4pm there was this manager getting in his car to go home.”

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    by Anon, Mow Cop

    Wednesday, December 10 2008, 7:17PM

    “Ron, clayton, you can't pick an choose who you treat in a A&E unit, and yes I have been there with a work-place injury and seemed to be the only one not drunk or drugged out of my mind.
    If you went down that road of picking "deserving cases" you would end up with something that looked like a USA county hospital emergency room, and having being to one with friends I wouldn't wish that on anyone.

    The NHS has its faults, and it's easy to knock it, but it makes sure that people get treated regardless of age, money, life-style etc.,

    I am very happy to pay my National Insurance regardless of how many self-inflicted injured people go through the doors of the A&E unit, because it was there when I needed it and may need in the future.

    In the words of the song "You don't know what you've got , till its gone" (Joni Mitchell)”

  • Profile image for This is Staffordshire

    by Annoyed, Staffs

    Wednesday, December 10 2008, 3:54PM

    “A member of my family was ill last week and twice we tried to make an appontment to see our local GP and were refused an appointment but assessed over the phone. Queues will continue to increase at A & E as we are unable through no fault of our own to see a GP. Perhaps this needs looking into urgently ????”

  • Profile image for This is Staffordshire

    by Ron, Clayton

    Wednesday, December 10 2008, 2:09PM

    “I wonder if the problems in A & E would remain if the decision was taken to refuse to treat people with self-inflicted illnesses and injuries caused through the intake of alcohol. I think Val Doyle has done the honourable thing - she has had a go and not managed to turn things around. Pity Gordon Brown, Paul Farrelly et al don't follow suit.”

  • Profile image for This is Staffordshire

    by Ian, Clayton

    Wednesday, December 10 2008, 1:33PM

    “Did she get wads of golden handshake??
    if so, i want the job, i reckon i can mess it up completely for only 75% of her salary,
    gis a go.
    and i only live round the corner.”

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