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Why hospital capacity is more complex than bed capacity

Why hospital capacity is more complex than bed capacity
bmj.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from bmj.com Daily Mail and Mail on Sunday newspapers.

London , City-of , United-kingdom , Northern-ireland , Craigavon , Afghanistan , Afghan , Kamran-abbasi , Kevin-fong , Institute-for-healthcare-improvement ,

NHS hospital capacity during covid-19: overstretched staff, space, systems, and stuff

Kevin Fong, Charlotte Summers, and Tim Cook unpick arguments that the NHS was not overwhelmed by covid-19, highlighting its legacy effects on healthcare and lessons for future health crises

During the UK’s covid-19 inquiry we have heard that “there was an inbuilt reluctance to accept that it was possible to get to a point where the NHS was overwhelmed” and that NHS capacity was regarded as “elastic.”1 The question of whether the NHS was overwhelmed during the covid-19 pandemic has become an important point of debate. Some commentators continue to suggest that the NHS prepared for a surge in admissions that did not threaten NHS capacity and unnecessarily suspended services.234

These comments either misunderstand or misrepresent the nature of the threat, the NHS response to covid-19, and the concept of capacity in healthcare services. NHS capacity is a complex property of a complex sociotechnical system; it cannot be described through simple numerical counts of bed spaces, occupancy rates, equipment, and staff. In particular, the workforce comprises the social component of this system and capacity cannot be assessed without reference to their experience.

The challenge of planning within this framework is described in shorthand as the four S’s: space, staff, systems, and stuff.5 The NHS entered the pandemic after a long period of substantial financial constraint, resulting in eroded operational resilience. Analysis of the four S’s shows this contributed to many intensive care units (ICUs) in the UK experiencing overwhelming pressure during the pandemic, creating harms for both patients and staff.

ICUs provide specialist care to patients with immediate life threatening illness or injury leading to single or multiple organ dysfunction. The term “intensive care bed” does not describe an item of furniture but rather a specialised location, a suite of technology, and the specialist staff …

London , City-of , United-kingdom , Afghanistan , British , Kevinj-fong , Michael-toolan , Timm-cook , Tristan-caulfield , Kevin-fong , Sarah-el-sheikha , Helen-mcnamara

Brendan O'Hara criticised for Israel-linked arms industry reception

Brendan O'Hara criticised for Israel-linked arms industry reception
thenational.scot - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from thenational.scot Daily Mail and Mail on Sunday newspapers.

Iraq , Gaza , Israel-general- , Israel , Libya , United-kingdom , Netherlands , Glenrothes , Fife , South-africa , Israeli , Scotland

Stargazing: Moon Landing Special - BBC Four HD

: Brian Cox and Dara O Briain remember the Apollo 11 mission of 1969. Stargazing: Moon Landing Special airs on BBC Four HD at 11:30 PM, Monday 12 February. Brian Cox and Dara O Briain remember the Apollo 11 mission of 1969

Florida , United-states , Nicole-stott , Buzz-aldrin , Kevin-fong , Darao-briain , Charlie-duke , Brian-cox , Rob-liddell , Helen-thomas , Neil-armstrong ,

Costume-Con - File 770

Costume-Con - File 770
file770.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from file770.com Daily Mail and Mail on Sunday newspapers.

Illinois , United-states , Washington , Hawaii , Kualoa-ranch , Russia , American , Russian , America , Ryan-fleck , Samira-ahmed , Monica-castillo

Book Review: Carlo Rovelli turns time on its head

Bringing Taiwan to the World and the World to Taiwan

Carlo-rovelli , Kevin-fong , Albert-einstein , Book-review , Stephen-hawking , Brief-history , Space-odyssey , White-holes , Noteswhite-holes , Horizon-by-carlo-rovelli , Allen-lane

A juggling act for EPF savings

PETALING JAYA: While some Malaysians welcome having flexible access to their Employees Provident Fund (EPF) accounts, financial experts are calling on the government to come up with a proper plan to ensure that retirement savings will not be compromised in the long run.

Malaysia , Petaling , Malaysia-general- , Malaysians , Geoffrey-williams , Mohd-ikhwan-hanafi , Kevin-fong , Carmelo-ferlito , Mohd-afzanizam-abdul-rashid , Bank-muamalat-malaysia , Centre-for-market-education , Provident-fund

Fire Station 31 in downtown Davis receives approval for critical structural improvements

Approval comes following years of stagnant living conditions for firefighters By HANNAH SCHRADER — city@theaggie.org Item 6 on the City

Bapu-vaitla , Donna-neville , Joseph-tenney , Gloria-partida , Kevin-fong , Davis-fire-department , City-council , Fire-station , South-davis , Will-arnold ,

New fire station a hot topic at Davis Council meeting

New fire station a hot topic at Davis Council meeting
davisenterprise.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from davisenterprise.com Daily Mail and Mail on Sunday newspapers.

Yolo-county , California , United-states , Gloria-partida , Joe-tenney , Mike-webb , Kevin-fong , California-arts-council , Davis-city-council , Design-group , Community-engagement , Davis-city-council-on

Last week of school

Last week of school
politico.eu - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from politico.eu Daily Mail and Mail on Sunday newspapers.

Tehran , Iran , United-kingdom , Hessle , East-riding-of-yorkshire , Kyiv , Kyyiv , Misto , Ukraine , Russia , Spain , Stockholm