I’m going to stop pretending that I didn’t break your heart

this story gets headline in the BBC Northern Ireland section as if it’s something new when we’ve been on divert as we call it maybe twice a week for the past month and have done it lots and lots of times in the past.

we’re not allowed to put up a “hospital closed” sign or anything but it means that any patients referred by GPs will get sent to other hospitals.

would be interesting to see what would happen if we did just stick up a closed sign. Very little I imagine. Pulling a randon unsubstantiated figure out of the air, I’d say that 90% of those who come through A&E in a day would be still fine (when I say fine I mean not dead – us emergency medicine doctors have a funny definition of “sick”…) the next day if they didn’t come anywhere near us.

That said, we should still be providing a decent servive for that 90% and we’re not. Believe nothing of what hospitals and politicians say about delivering normal high quality service under extreme pressure – we don’t. Let’s stop pretending we do.

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3 Responses to “I’m going to stop pretending that I didn’t break your heart”


  1. 2 Claire January 17, 2009 at 5:55 pm

    I think the UHD just whinge more than the oter A+E depts really. I had to laugh … like it was breaking news or something. I reckon you’re doing a great job though Andy Neill – better than most. Probably cos you care more than most. Most are just there to do a job (a tough one at that most of the time) and just wanna get out of there when the shift is over. Nothing wrong with that I suppose – not if you want to stay sane and have a life outside of the job. Not easy though. If you want to do a good job you have to consider it as more than just a job…it’s a way of life.

  2. 3 Nelly And I January 17, 2009 at 7:03 pm

    though apparently the UHD was closed to blue light ambulances and GP calls. On thursday we were getting diverts from lisburn and downpatrick… have you read the pdown paper this week and our esteemed leader saying everything’s OK? ha!


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