Abstract
We need solutions to seasonal disorder at a permanent national level.
Highlights
All of these factors conspire to leave the surgeon frustrated, dissatisfied and, worst of all, sometimes trying to deliver a service in a system that seems unsafe
Attendances at emergency departments are up, there has been a rise in admissions due to respiratory problems, and waiting times for non-urgent surgery are lengthening
Patients requiring major surgery are affected when planned work is cancelled, which is often a result of surgical and intensive-care beds being occupied by acutely ill patients from other disciplines
Summary
All of these factors conspire to leave the surgeon frustrated, dissatisfied and, worst of all, sometimes trying to deliver a service in a system that seems unsafe. Patients requiring major surgery are affected when planned work is cancelled, which is often a result of surgical and intensive-care beds being occupied by acutely ill patients from other disciplines. Insufficient numbers of beds, delayed discharges, shortages of key staff, and seasonal illnesses that create situations that threaten patient safety are all important issues.
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