York Hospital waiting times are 'too long'

York Hospital

Julian Sturdy

First published in News York Press: Photograph of the Author by

PATIENTS at York Hospital are waiting too long to be assessed for emergency care, national inspectors have said.

An investigation has been launched at York Teaching Hospital NHS Foundation Trust by the Government health regulator, Monitor, which has said: “It is simply not acceptable for patients to be waiting too long in A&E or to be seen following a cancer referral”.

Cancer patients have had to wait too long for treatment and the trust - which runs hospitals in York, Scarborough, Bridlington, Whitby, Malton and Selby - has failed to meet waiting-time targets for A&E for the fifth time in nearly two years. “Repeated failure” to ensure patients are seen quickly enough could indicate wider problems in how York Teaching Hospital NHS Foundation Trust is run, the regulator has said.

Frances Shattock, regional director at Monitor, said: “It is simply not acceptable for patients to be waiting too long in A&E or to be seen following a cancer referral.

That’s why we are opening an investigation to understand the issues and, if necessary, make sure the trust makes urgent improvements on behalf of its patients.”

York Outer MP Julian Sturdy, said waiting times were a concern among his constituents.

He said: “The current delays are frankly not good enough as I have made clear to the Hospital Trust...It is absolutely vital for patients across York and the wider region that our local hospitals consistently deliver the highest quality healthcare.

“Sadly this investigation shows this is not currently the case”.

He emphasised staff in the hospital were doing the best they could in difficult circumstances.

Patients with suspected breast cancer have had to wait longer than the two week urgent referral time from their GP for suspected breast cancer – primarily in Scarborough, the trust has said.

Scarborough referrals have been redirected to York since July to address the problem as a temporary measure and until sufficient new members of staff can be recruited.

Patrick Crowley, chief executive of York Teaching Hospital NHS Foundation Trust, said: “We must treat any scrutiny of our performance as an opportunity to learn and improve, and whilst I do not want people to be unduly worried by this it is nonetheless something we are approaching as an absolutely priority.

“The difficulties in A&E are well documented, and in many ways this action by Monitor is inevitable given the pressures we are facing.”

He emphasised the investigation is not concerned with the care or treatment provided to cancer patients, which met targets.

Mr Crowley said problems in A&E were symptomatic of wider problems “and not one that can only be resolved through changes in either A&E or the wider acute pathway within our hospitals”.

Comments (12)

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3:53pm Thu 4 Sep 14

York1900 says...

If any of these
Front line Staff
Patients to be seen
Equipment
Time
Costs
get out of sync with the others the treatment wait time goes up because there is no magic tree to pull the extra resources from
and you have a system that as a manager for every Department and ward trying manage they work load and time of Department and ward to be cost effective
At the end of the day the fault lies with top management and the government with there drive to cut costs at any cost

Every Tory government since the 70s as made changes to the NHS that have cost millions of pounds and have sold off any profit making parts that are not front line services meaning that the little bit of cash backup the NHS had as been taken away and replaced with a cost to the NHS


.
If any of these Front line Staff Patients to be seen Equipment Time Costs get out of sync with the others the treatment wait time goes up because there is no magic tree to pull the extra resources from and you have a system that as a manager for every Department and ward trying manage they work load and time of Department and ward to be cost effective At the end of the day the fault lies with top management and the government with there drive to cut costs at any cost Every Tory government since the 70s as made changes to the NHS that have cost millions of pounds and have sold off any profit making parts that are not front line services meaning that the little bit of cash backup the NHS had as been taken away and replaced with a cost to the NHS . York1900
  • Score: 4

3:54pm Thu 4 Sep 14

BL2 says...

Never mind too long, when they are seen things are being missed or treatment is not being provided effectively! Less money on backroom staff and remove all targets and spend the money on actual nurses, doctors and care!
Never mind too long, when they are seen things are being missed or treatment is not being provided effectively! Less money on backroom staff and remove all targets and spend the money on actual nurses, doctors and care! BL2
  • Score: 10

4:01pm Thu 4 Sep 14

York2000 says...

Reporting on failings of the hospital is necessary. However don't be fooled by the Press, it has an agenda here. As the Press gets more aggressive with its right wing agenda, readers can expect an increase in negative stories about York Hospital, and a drop or stop altogether in positive stories. Don’t be surprised if you eventually see articles trying to persuade of how privatising the NHS will be a good thing for you all. It’s already ramping up the crime reporting in York and hiding the more positive stories on the city further down the homepage. The right wing national papers do this all the time.
Reporting on failings of the hospital is necessary. However don't be fooled by the Press, it has an agenda here. As the Press gets more aggressive with its right wing agenda, readers can expect an increase in negative stories about York Hospital, and a drop or stop altogether in positive stories. Don’t be surprised if you eventually see articles trying to persuade of how privatising the NHS will be a good thing for you all. It’s already ramping up the crime reporting in York and hiding the more positive stories on the city further down the homepage. The right wing national papers do this all the time. York2000
  • Score: 3

4:06pm Thu 4 Sep 14

Digeorge says...

Could it really be that at the beginning of the year the CCG encouraged consultants to 'discharge' patients who were not fit to be discharged or reduced their appointments considerably causing pressure on A&E because like me their condition is not stable. Now the waiting lists probably in every single department are behind their targets. The GPs run off their feet, goodness knows what I would do without mine who manages to keep me stable and sane most of the time.

Anyhow given the national league tables in cancer, YDH hardly scores 'positively' and would be giving it a wide birth and you are entitled to go anywhere in the country.

The faults also lie with management in managing costs and clinic effectiveness and therefore the buck must stop with the Chief Executive and his senior management for allowing this to happen.

This has actually cost the Trust a considerable amount of money in national fines.

But let us also talk about the amount of money wasted on munchausen by proxy cases/factitious illness and shaken baby syndrome cases where really a degree of thought that it is not and a syndrome (a collection of clinical findings) which are genetic and what the Trust puts people through when their children have died? Their appears to be a resurgence at the Trust on both Trust sites on these cases why - a study or is that the International Study on Shaken Baby Syndrome cases or is this another one? Some consultants must think of nothing but and cost the Trust in large legal bills.
Could it really be that at the beginning of the year the CCG encouraged consultants to 'discharge' patients who were not fit to be discharged or reduced their appointments considerably causing pressure on A&E because like me their condition is not stable. Now the waiting lists probably in every single department are behind their targets. The GPs run off their feet, goodness knows what I would do without mine who manages to keep me stable and sane most of the time. Anyhow given the national league tables in cancer, YDH hardly scores 'positively' and would be giving it a wide birth and you are entitled to go anywhere in the country. The faults also lie with management in managing costs and clinic effectiveness and therefore the buck must stop with the Chief Executive and his senior management for allowing this to happen. This has actually cost the Trust a considerable amount of money in national fines. But let us also talk about the amount of money wasted on munchausen by proxy cases/factitious illness and shaken baby syndrome cases where really a degree of thought that it is not and a syndrome (a collection of clinical findings) which are genetic and what the Trust puts people through when their children have died? Their appears to be a resurgence at the Trust on both Trust sites on these cases why - a study or is that the International Study on Shaken Baby Syndrome cases or is this another one? Some consultants must think of nothing but and cost the Trust in large legal bills. Digeorge
  • Score: 1

5:43pm Thu 4 Sep 14

nottoooldtocare says...

York2000 wrote:
Reporting on failings of the hospital is necessary. However don't be fooled by the Press, it has an agenda here. As the Press gets more aggressive with its right wing agenda, readers can expect an increase in negative stories about York Hospital, and a drop or stop altogether in positive stories. Don’t be surprised if you eventually see articles trying to persuade of how privatising the NHS will be a good thing for you all. It’s already ramping up the crime reporting in York and hiding the more positive stories on the city further down the homepage. The right wing national papers do this all the time.
Why bring party politics into this? Do you really think that under your Labour party things would be significantly better? How much time have you spent at the hospital over the last ten years or so? Not much I'll wager. However, one thing I have noticed, is that the modern day nurses don't appear to feed patients any more, so if you are elderly and incapacitated you are on a slippery slope! Look how many staff are flitting around the nurses station, look at how many staff wander through waiting areas with a fist full of papers in their hand trying to look busy.
Far too much management and not enough trust and a lack of focus on the patient these days. Nursing used to be a vocation, but for many now it is just a job. There are some good staff, but some should have a long hard look at their commitment and contribution to the patients. As for successive government reviews and the ever changing but "dynamic" hospital management, please note, "pigs don't get fatter just because you weigh them more often".
[quote][p][bold]York2000[/bold] wrote: Reporting on failings of the hospital is necessary. However don't be fooled by the Press, it has an agenda here. As the Press gets more aggressive with its right wing agenda, readers can expect an increase in negative stories about York Hospital, and a drop or stop altogether in positive stories. Don’t be surprised if you eventually see articles trying to persuade of how privatising the NHS will be a good thing for you all. It’s already ramping up the crime reporting in York and hiding the more positive stories on the city further down the homepage. The right wing national papers do this all the time.[/p][/quote]Why bring party politics into this? Do you really think that under your Labour party things would be significantly better? How much time have you spent at the hospital over the last ten years or so? Not much I'll wager. However, one thing I have noticed, is that the modern day nurses don't appear to feed patients any more, so if you are elderly and incapacitated you are on a slippery slope! Look how many staff are flitting around the nurses station, look at how many staff wander through waiting areas with a fist full of papers in their hand trying to look busy. Far too much management and not enough trust and a lack of focus on the patient these days. Nursing used to be a vocation, but for many now it is just a job. There are some good staff, but some should have a long hard look at their commitment and contribution to the patients. As for successive government reviews and the ever changing but "dynamic" hospital management, please note, "pigs don't get fatter just because you weigh them more often". nottoooldtocare
  • Score: 0

6:00pm Thu 4 Sep 14

againstthecuts says...

There are far too managers at ydh and not enough frontline staff. Please tell me what is the patient to staff ratio on the wards? No wonder the staff are run ragged
There are far too managers at ydh and not enough frontline staff. Please tell me what is the patient to staff ratio on the wards? No wonder the staff are run ragged againstthecuts
  • Score: 17

6:54pm Thu 4 Sep 14

York2000 says...

nottoooldtocare - They are not 'my' Labour Party. You seem to have mistaken me mocking the foaming at the mouth right wingers on these threads for being a Labour supporter in York. Wrong.
nottoooldtocare - They are not 'my' Labour Party. You seem to have mistaken me mocking the foaming at the mouth right wingers on these threads for being a Labour supporter in York. Wrong. York2000
  • Score: 2

10:23pm Thu 4 Sep 14

Lineker's Lad says...

Root cause of the problems at doctors' surgeries and in A+E? The number of people turning up who have absolutely nothing wrong with them, but have read something in the press or on the internet that has convinced them that they are ill.
Root cause of the problems at doctors' surgeries and in A+E? The number of people turning up who have absolutely nothing wrong with them, but have read something in the press or on the internet that has convinced them that they are ill. Lineker's Lad
  • Score: 2

7:28am Fri 5 Sep 14

yorkshirelad says...

There's quite a widespread view that dissatisfaction with the NHS suits a right-wing privatisation agenda very nicely. So the chaotic disorganisation, the strangled funding, the whipping up of a complain and sue culture suits that agenda very nicely.
In York...the system is simply funded way below what is needed accepting of course that any system can always get more efficient. It's silly to blame managers struggling with the latest crazy targets, or administrators who have a vital role...or even patients goaded into demanding ever less achievable standards...and goaded into being ever more demanding in cash-strapped times.
A combination of moderately increased funding, more efficiency but crucially more responsibility from many NHS users could transform the NHS. You cannot escape politics here...the imposed schemes, targets, beuracracy come from this government...the next election is all about the NHS. I suspect the Tories and those who propped them up will pay a heavy price.
There's quite a widespread view that dissatisfaction with the NHS suits a right-wing privatisation agenda very nicely. So the chaotic disorganisation, the strangled funding, the whipping up of a complain and sue culture suits that agenda very nicely. In York...the system is simply funded way below what is needed accepting of course that any system can always get more efficient. It's silly to blame managers struggling with the latest crazy targets, or administrators who have a vital role...or even patients goaded into demanding ever less achievable standards...and goaded into being ever more demanding in cash-strapped times. A combination of moderately increased funding, more efficiency but crucially more responsibility from many NHS users could transform the NHS. You cannot escape politics here...the imposed schemes, targets, beuracracy come from this government...the next election is all about the NHS. I suspect the Tories and those who propped them up will pay a heavy price. yorkshirelad
  • Score: 4

9:34am Fri 5 Sep 14

myselby says...

Having recently uses the York A and E service I can understand the long waiting times- a vast number of people there who should go see a Dr- The introduction of a vetting system could slim down the numbers attending who don’t need to be there
Having recently uses the York A and E service I can understand the long waiting times- a vast number of people there who should go see a Dr- The introduction of a vetting system could slim down the numbers attending who don’t need to be there myselby
  • Score: 2

8:22am Sat 6 Sep 14

munstombo says...

Dear York Hospital CEO,

Please monitor and display

1. Department
2. Equipment (Bed etc)
3. Theatre
4. Consultant by department

Availability and Utilisation over 148 hours over 1 week and display on electronic boards in hospital entrance.

Yours,

Potential patients
Dear York Hospital CEO, Please monitor and display 1. Department 2. Equipment (Bed etc) 3. Theatre 4. Consultant by department Availability and Utilisation over 148 hours over 1 week and display on electronic boards in hospital entrance. Yours, Potential patients munstombo
  • Score: 0

9:18am Sun 7 Sep 14

Dr Robert says...

York 1900 brings in politics saying every Tory government since the 70s has made changes to the NHS and sold off profitable bits. I will tell you what has put unbridled pressure on Britain's NHS, it was the millions of immigrants piling into Britain under Blair/Brown with their open door policy. Face the facts.
York 1900 brings in politics saying every Tory government since the 70s has made changes to the NHS and sold off profitable bits. I will tell you what has put unbridled pressure on Britain's NHS, it was the millions of immigrants piling into Britain under Blair/Brown with their open door policy. Face the facts. Dr Robert
  • Score: 2
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