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There is still time to save the NHS, but time is running out
The BMJ  (IF39.89),  Pub Date : 2021-10-22, DOI: 10.1136/bmj.n2587
Chris Ham

The NHS is falling over. Not everywhere, but in some places and in some services the signs of extreme stress are manifest. These signs are the result of the irresistible force of rising demand for care meeting the immovable object of constrained capacity. Something has to give. For an increasing number of patients, timely access to acceptable standards of care is no longer possible. For staff the challenge is to deal with unprecedented workloads when vacancy and sickness levels among their colleagues remain high. The psychological safety of staff is at risk with consequences for themselves and the patients they treat. Evidence of stress can be found in many places. University Hospitals Birmingham NHS Foundation Trust was recently downgraded by the Care Quality Commission with standards of care in emergency departments a particular concern. At Brighton and Sussex University Hospitals NHS Trust surgeons and anaesthetists have expressed concerns about delays in the treatment of time-critical emergency and trauma cases. Nottingham University Hospitals NHS Trust has restricted the provision of chemotherapy services because of staff shortages and has been downgraded by the Care Quality Commission, with emergency services and maternity services both being a concern. General practices are also in the …