Coronavirus UK: NHS hospitals in London ‘are drafting in SECRETARIES to help on busy wards’

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Desperate NHS hospitals are planning to draft in secretaries to help out on wards as they face a rising tide of Covid patients, internal documents reveal.

There were 32,294 people in hospital with Covid-19 as of last Thursday, January 7, and wards are seeing numbers of sick patients increase across the country.

Doctors and nurses, thousands of whom are off sick or self-isolating themselves, may now be offered help from medical students, care workers and even admin staff, according to an NHS memo seen by The Independent.

‘Immediate additional staff’ are being deployed, according to the plans, to help with non-medical tasks on wards amid fears the crisis is still getting worse and won’t peak until February.

They will be used to answer phones, to help feed patients, to handle paperwork and to organise equipment for the medical workers.

The NHS is known to be short of staff, with tens of thousands of nursing jobs vacant before the pandemic started, and sickness rates due to Covid have contributed to press on the health service.

Nightingale Hospitals, which were planned to be used as overflow if normal wards got overwhelmed, may not be able to operate properly because there aren’t enough trained people to run them.

Paramedics in London say hospitals are so busy that ambulance crews are getting to fewer patients because they now often have to queue to offload people before they can move onto the next job, sometimes for hours.

It comes as officials on the Isle of Wight have warned that patients may have to be helicoptered across to the mainland as the number needing help surges. 

Matt Hancock today denied that there is an oxygen shortage in the NHS following concerns that it was being rationed at a hospital in Essex yesterday; he explained some patients may have to move hospitals but that England has sufficient supplies.

And healthcare union NHS Providers has warned that essential staff in the NHS could quit after the pandemic because of ‘unsustainable’ workloads and exhaustion.

The regional director of NHS London, Sir David Sloman, wrote to staff: ‘It is clear that NHS trusts across the capital are in need of immediate additional staff and all opportunities for redeployment both from within the NHS and from social care and voluntary sectors must be facilitated at pace,’ The Independent reported.

The guidance was circulated to hospitals in the capital on Friday.

NHS England confirmed today it was ‘redeploying’ people already working in the health service as well as returning retired staff, care workers and volunteers.

They will be used to co-ordinate rotas, act as scribes for doctors, work as meal-time assistants and as medical support staff if they have the proper training.

An NHS spokesperson said: ‘As with the first wave of the pandemic, local services are looking at their workforce and asking staff to redeploy to help maintain services and in support of frontline clinicians.

‘The situation in London and across the country remains extremely serious which is why everyone should follow the national guidance to reduce the spread of transmission and save lives.’

The number of NHS staff off work because of illness or self-isolation has quadrupled since September, figures show, with almost 10 per cent not working last week.

There were around 46,000 medical workers off at a time last week, compared to 12,000 in September before the second wave had taken hold. 

Pressure inside hospitals is leading to a slow-down outside, too, as paramedics warn they are having to wait in ambulances before they can offload patients and go out to another job.

Because of this, one said, the crews are getting to fewer jobs than they usually would.

Will Broughton, a trustee of the Royal College of Paramedics, told BBC Breakfast: ‘In some cases we’ve heard of ambulances waiting up to five hours to hand over their patient at hospital.

‘On a number of occasions over the Christmas and New Year period I was waiting between two and three hours in some cases to hand over patients.

‘The unseen part of that delay is that for all the time that an ambulance is at hospital waiting to hand over, then there is a patient, or a number of patients, in the community that are waiting for ambulances to come and attend them.

‘We’re attending less patients per day because of the time that we’re waiting at hospitals.’

He added: ‘There’s certainly a risk that people will deteriorate and the people will become more unwell because they’re waiting for an ambulance to arrive or waiting for a space to become available in the hospital.’ 

As pressure mounts on hospitals across England, insiders have warned they expect it to keep getting worse into the middle of February.

Chris Hopson, chief executive at NHS Providers, told the House of Commons’s Health and Social Care Committee this morning: ‘It now looks like the peak for NHS demand may now be in February.

‘Now if that’s right that’s going to mean there’s a higher level and more extended period of pressure on the NHS than we were expecting even just a week ago.

‘We are now considering in the NHS a series of emergency contingency arrangements that would maximise the NHS capacity available in the areas under greatest pressure.;

He explained that the new variant of the coronavirus appears to be harder to control and, as a result, it will take longer for infection rates to fall than it did in previous lockdowns.

Hospital admissions won’t start to fall until infection rates slow because they are an inevitable consequence that occurs about two or three weeks after a spike in cases. 

Mr Hopson added: ‘The latest information over the last few days really shows three quite worrying trends.

‘The first is it seems now pretty clear the infection rate is not going to go down as quickly as it did in the first phase.

‘It’s going to go down much more slowly because of the increased transmissibility of the new strain.

‘I think the second thing is that infection rates – we’ve talked a lot over the past few days about London, the South East and the East of England – but what’s very clear is that infection rates are now rising very rapidly beyond those areas – in the Midlands, the North West and the South West.

‘That’s a particular worry because trusts in the Midlands and the North have got significant numbers of patients still in hospital from the second surge. And in the South West, because of its smaller bed base, we know it’s less able to absorb pressure than other reasons.

‘When you take those things together that means, we were hoping for a sharper peak that came sooner and shorter.’

Also in Parliament today, Health Secretary Matt Hancock moved to reassure people that the NHS does not have an oxygen supply problem.

A warning emerged from Southend Hospital yesterday that medics were lowering the threshold at which patients should get supplementary oxygen.

They said patients should be weaned off the gas – which is used to help Covid-19 patients breathe – when they get to 92 per cent saturation in their blood and kept off it unless that drops below 88 per cent.

But Mr Hancock said in the Commons chamber today that there was no national shortage of oxygen.

‘The limitation is not the supply of oxygen itself, it is the ability to get the oxygen… through the physical oxygen supply systems within hospitals, and that essentially becomes a constraint on an individual hospital’s ability to take more Covid patients,’ he told MPs.

‘There is no constraint – that we are anywhere near – on the national availability of oxygen or oxygenated beds. 

‘It does mean that sometimes we have to move patients to a different part – as local as possible – but occasionally across the country, to make sure they get the treatment that they need.’ 

Moving patients could become a dramatic reality for people on the Isle of Wight, where hospitals are preparing to send Covid patients to the mainland in Army helicopters, The Guardian reports.

The medical director for the island’s NHS trust, Stephen Parker, said he was having to consider ‘unthinkable options’ including evacuating patients.

There is only one hospital on the island – St Mary’s – with a total of 246 beds. 

Covid patient numbers have surged over the Christmas and new year period from just five inpatients on December 22 to 40 on January 5, the most recent data.

Facing the prospect of a significant proportion of its beds filling up with Covid patients, the hospital may have to send some people across the Solent to hospitals on the mainland. The closest ones are in Portsmouth, Southampton and Bournemouth.

The hospital trust has already done a trial run with a Chinook military helicopter landing on a playing field beside the hospital.

Mr Parker told The Guardian: ‘These are unprecedented times for the NHS and they are unprecedented times for the island.

‘I think it really is important to realise that we are one of the smallest hospitals in the country; we are challenged about moving patients and we could be overwhelmed.’