NHS beds, an explainer

Under normal circumstances, most NHS acute hospitals will have several types of inpatient areas

1. Assessment unit
2. Specialty wards
3. Intensive care

As well as outpatients, emergency department, day case surgery etc.
Patients admitted from A&E would go to 1, then move to 2. Some might go directly to 2, sickest ones to 3.

In many hospitals, the assessment unit is vital to flow of patients out of Emergency Department.
With COVID, several blocks have been introduced. Firstly patients have to be treated as "hot" in 2m apart bed spaces until their test results are back. This reduces an average six bedded bay to four.
There are rapid tests that turn around in around an hour or two, but their availability is limited. PCR still takes up to 24 hours to get back (often quicker), and lateral flow in the population admitted to hospital isn't sensitive enough to pick up silent cases.
On top of which, specialty ward bed availability are limited. Because staff are coming down with COVID, and outbreaks on non-covid areas forces their closure to admissions.

As a result, there is then a backlog on the assessment unit, then A&E.
What's often not mentioned and doesn't immediately become clear when you look at the stats is the number of beds becoming covid positive.

We have taken over wards normally occupied by gynaecology, paediatrics, orthopaedics. This is completely unprecedented.
To give you some idea, on boxing day, we had two COVID positive wards. We are now up to six.

ICU has increased in size out of their base, to take on another entire ward.

Of the non-covid wards, these are now general, a mix of medicine and surgery.
Staff have been redeployed. Community doctors are now back in hospital, specialist nurses are working on general wards, and nurses usually seeing more specialised problems are now dealing with COVID instead.

Elective operations, except for cancer surgery, have been cancelled.
People often say "oh but the corridors are empty" well firstly, we are doing our darnedest to avoid this. Especially because of infection control measures, having COVID positive patients waiting on trollies infecting passing folk is not good.
Secondly, instead they're waiting in ambulances, with crews in a small space. This exposes them to additional risk, is suboptimal for care, and takes an emergency ambulance off the road.

Some hospitals are now considering setting up tents outside A&E.
I don't know how else to explain this. I have nothing to gain from lying about this.

We are all exhausted, we will keep going as long as we can, as long as we can help. We only ask you to stay at home, wear a mask in crowded places, isolate if you're sick.

Thank you.

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@janethooton_ @ErinInTheMorn @fifi_EY 2/…always advocated that trans minors & their families must have no alternative source of care, & subsequent Tory ministers have personally put their signature on renewals of it, and even personally rejected proposals for improvement that have been put forward by NHS England…

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First, the failure last year actually was driven by the White House, the #Trump inner circle. Watch what's happening now, the US' scientific and public health infrastructure is creaking back to life. 2/

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I also am puzzled why Tony gets the blame for not speaking up, etc. Robert Redfield, Brett Giroir, Deb Birx, Jerome Adams, Alex Azar all could have done the same. 4/

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प्राचीन काल में गाधि नामक एक राजा थे।उनकी सत्यवती नाम की एक पुत्री थी।राजा गाधि ने अपनी पुत्री का विवाह महर्षि भृगु के पुत्र से करवा दिया।महर्षि भृगु इस विवाह से बहुत प्रसन्न हुए और उन्होने अपनी पुत्रवधु को आशीर्वाद देकर उसे कोई भी वर मांगने को कहा।


सत्यवती ने महर्षि भृगु से अपने तथा अपनी माता के लिए पुत्र का वरदान मांगा।ये जानकर महर्षि भृगु ने यज्ञ किया और तत्पश्चात सत्यवती और उसकी माता को अलग-अलग प्रकार के दो चरू (यज्ञ के लिए पकाया हुआ अन्न) दिए और कहा कि ऋतु स्नान के बाद तुम्हारी माता पुत्र की इच्छा लेकर पीपल का आलिंगन...

...करें और तुम भी पुत्र की इच्छा लेकर गूलर वृक्ष का आलिंगन करना। आलिंगन करने के बाद चरू का सेवन करना, इससे तुम दोनो को पुत्र प्राप्ति होगी।परंतु मां बेटी के चरू आपस में बदल जाते हैं और ये महर्षि भृगु अपनी दिव्य दृष्टि से देख लेते हैं।

भृगु ऋषि सत्यवती से कहते हैं,"पुत्री तुम्हारा और तुम्हारी माता ने एक दुसरे के चरू खा लिए हैं।इस कारण तुम्हारा पुत्र ब्राह्मण होते हुए भी क्षत्रिय सा आचरण करेगा और तुम्हारी माता का पुत्र क्षत्रिय होकर भी ब्राह्मण सा आचरण करेगा।"
इस पर सत्यवती ने भृगु ऋषि से बड़ी विनती की।


सत्यवती ने कहा,"मुझे आशीर्वाद दें कि मेरा पुत्र ब्राह्मण सा ही आचरण करे।"तब महर्षि ने उसे ये आशीर्वाद दे दिया कि उसका पुत्र ब्राह्मण सा ही आचरण करेगा किन्तु उसका पौत्र क्षत्रियों सा व्यवहार करेगा। सत्यवती का एक पुत्र हुआ जिसका नाम जम्दाग्नि था जो सप्त ऋषियों में से एक हैं।
🌺कैसे बने गरुड़ भगवान विष्णु के वाहन और क्यों दो भागों में फटी होती है नागों की जिह्वा🌺

महर्षि कश्यप की तेरह पत्नियां थीं।लेकिन विनता व कद्रु नामक अपनी दो पत्नियों से उन्हे विशेष लगाव था।एक दिन महर्षि आनन्दभाव में बैठे थे कि तभी वे दोनों उनके समीप आकर उनके पैर दबाने लगी।


प्रसन्न होकर महर्षि कश्यप बोले,"मुझे तुम दोनों से विशेष लगाव है, इसलिए यदि तुम्हारी कोई विशेष इच्छा हो तो मुझे बताओ। मैं उसे अवश्य पूरा करूंगा ।"

कद्रू बोली,"स्वामी! मेरी इच्छा है कि मैं हज़ार पुत्रों की मां बनूंगी।"
विनता बोली,"स्वामी! मुझे केवल एक पुत्र की मां बनना है जो इतना बलवान हो की कद्रू के हज़ार पुत्रों पर भारी पड़े।"
महर्षि बोले,"शीघ्र ही मैं यज्ञ करूंगा और यज्ञ के उपरांत तुम दोनो की इच्छाएं अवश्य पूर्ण होंगी"।


महर्षि ने यज्ञ किया,विनता व कद्रू को आशीर्वाद देकर तपस्या करने चले गए। कुछ काल पश्चात कद्रू ने हज़ार अंडों से काले सर्पों को जन्म दिया व विनता ने एक अंडे से तेजस्वी बालक को जन्म दिया जिसका नाम गरूड़ रखा।जैसे जैसे समय बीता गरुड़ बलवान होता गया और कद्रू के पुत्रों पर भारी पड़ने लगा


परिणामस्वरूप दिन प्रतिदिन कद्रू व विनता के सम्बंधों में कटुता बढ़ती गयी।एकदिन जब दोनो भ्रमण कर रहीं थी तब कद्रू ने दूर खड़े सफेद घोड़े को देख कर कहा,"बता सकती हो विनता!दूर खड़ा वो घोड़ा किस रंग का है?"
विनता बोली,"सफेद रंग का"।
तो कद्रू बोली,"शर्त लगाती हो? इसकी पूँछ तो काली है"।