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I posted a few weeks ago about a recent MRI at UHW and speaking to nurses, radiologists et al and it was clear they're furious with GPs palming off patients to A&E. It's no wonder the ambulance services are on their arse as well as A&E staff and support services if GPs have effectively shut their doors to their local patients. I haven't had a face-to-face appointment with a GP since the pandemic. As soon as the GPs are criticised for this they get upset about it. The pressure on the ambulance service and A&E isn't mainly because of COVID anymore.
The issues aren't mutually exclusive - funding has increased from Westminster to Wales but maybe not at the right rate but it has not been well used in Wales - for me everyone is culpable including decision makers in the health boards. But austerity for 10 years or so is the major contributor
Additionally you cannot seperate the issues being faced in social care not adding to the issues faced by health in terms of bed blocking and not being able to be discharged to social care services.
Therefore ambulance A takes someone to a and e but has to wait for a someone to be seen because a and e is blocked because they have no beds in the ward to put people in as they are full of people needing discharge but can't. Therefore ambulance a is off the road for x amount of time leading to longer waits for people needing an ambulance
Don't get me started on GPs and their contracts