I wonder how much we take our National Health Service for granted? Recently, I fell foul of a minor ear infection, so,.. phone call to my GP’s surgery, appointment that same evening, bottle of drops on prescription, infection gone in a few days. No work-days lost to feeling ill and with an ear the size of a balloon, like last time when I left it too late. Success? Well yes, absolutely, minor treatable ailments are dealt with efficiently and mostly for free, but things are far from rosy with the NHS.
I had another brush with it over the Easter weekend, this time not so positive, accompanying someone suffering from sudden and severe stomach pains to the A+E department. There being no GP cover over the weekend, I tried the national 111 service for advice, only to find it permanently engaged – not what you want when someone is writhing in agony beside you. I tried several times, concluded the service was useless. So I tried NHS online instead which took me through a question and answer of the symptoms and it said we should go to A+E, so off we went.
At A+E I discovered an overpressed and hopelessly outnumbered staff, holding at bay a waiting room of walking wounded – the limping, the swollen, the bleeding, the moaning, the coughing and the wheezing,… you can imagine.
Two hours of abdominal agony later, while buttock shuffling on bum numbing hard plastic chairs, an apologetic nurse explained the average waiting time was now six hours. This was not the wait for treatment, not the wait for my companion to be told he had a burst appendix, or reassured it was only trapped wind. This was the wait for assessment, for prioritisation, for triage. The wait for actual treatment could be another six hours. It was by then four pm and the system had collapsed. My companion’s face fell open in disbelief. How could he wait that long and in such pain? Well, we had no choice.
Upon hearing this news half the room cleared, suggesting many who use A+E departments don’t really need to be there, but that’s another story. My companion insisted he was in need of medical attention, and I didn’t blame him, so we held on. By now a softer seat had been vacated, allowing a more comfortable slump into semi-comatose agony. In the opposite corner sat a man who had been hit in the face with a three by two, literally quite a bruiser, beside him another with his arm in a make-shift sling after breaking up a separate bout of fisticuffs. They swapped stories with ribald humour. In the hallway stood a convict handcuffed to a Prison Officer.
Time passed. No names were called. I wondered if there’d been a terrible accident somewhere, a mass shooting, a massive motorway pile-up to bring on such a crisis. But it was just a regular Easter Saturday in A+E with no staff. A possible twelve hour wait? I wondered what state I would be in by six am tomorrow morning, let alone my ailing companion. Would his wait for an examination be shortened if he collapsed unconscious, rolled onto the floor? Dare I suggest it? Would anyone even notice?
He did not collapse. We waited another hour, then my companion began to feel a little better, well enough at least to walk slowly to the reception desk. There he withdrew his name and we went home, either to recover more comfortably in bed, he said, or die there in peace. I’m glad to report he was pretty much recovered by morning.
Most of us, fortunately, do not spend much time in hospitals and are therefore shielded from the current state of the A+E crisis. It’s plain they are cash starved, undermanned and struggling, being readied for privatisation. Given the overarching plutocratic trend in western politics, this seems inevitable, perhaps even overdue. Perhaps an Easter Saturday in A+E paints an exaggerated picture, but I am left with the indelible impression it may already be too late to do anything about it.
My children will leave university with £40,000 of debt, virtue of another crisis, and they will inherit a national healthcare system in such turmoil as to be useless to the point that even the evil of privatisation, of healthcare for profit, will seem the only viable solution to its ills. Our country is actually very wealthy, about 7.2 trillion according to the office for national statistics, and growing so it puzzles me the constant harking on about how much we have to cut pubic funding in order to save our skins, and how the vast majority of us are a lot worse off than we were. The middle classes are disappearing with the outsourcing of their traditional jobs, and the working class is losing its safety net while the moneyed minority pocket the nation’s wealth and drive about in motor cars worth more than my retirement pot. It gives one pause.
Driving to work this morning there was a car spun off the motorway, landing on its roof, an ordinary family saloon, glass everywhere. A little distance away was a bent Mercedes of the swanky company executive variety. A haze of blue lights surrounded them in a pouring rain that was streaked with snow – a bad morning for an accident. An ambulance made its way through traffic, doing its best against an ebbing tide. Pray God I thought, we never reach the stage were the paramedics want a swipe of your plastic first before they’ll touch you, and where the guy in the Mercedes gets priority because he has a gold health card in his wallet. Then I remembered the despair of an overwhelmed A+E on Saturday and hoped they were more fully staffed this morning. Rich or poor, when crisis hits, we all need the NHS.
So do be careful out there because the last thing you need in the current climate is to end up in A+E.
[Update May 2016 – the A+E department closed a few weeks after I wrote this. There is currently no indication when or if it will ever open again.]