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Leon Farrell/Rollingnews.ie

'Chaos is the reality of our health services': Doctors say a trolley crisis is only ever hours away

The number of people on hospital trolleys was again at a record high today, according to the INMO.

THE IRISH MEDICAL Organisation (IMO) has said that the current crisis in hospitals “exposes the perilous state of Irish health services”.

Today, the Irish Nurses and Midwives Organisation’s trolley count this morning showed a new record high – the 2nd time this week – of 677 patients waiting on trolleys in public hospitals.

With Ireland currently experiencing the “flu season”, many emergency departments are experiencing very high numbers of patients presenting at hospital.

While opposition parties lined up to criticise the government, Health Minister Simon Harris said in a statement this evening that it’s “vital we begin to see an impact from the exceptional measures being undertaken in our emergency departments”.

“Not a temporary blip”

In a statement, the IMO said that solving the current high numbers of people on trolleys requires more beds, more consultants and more investment in GPs to allow more care for patients outside hospitals.

It said: “The shameful situation being experienced this week has its roots in years of underinvestment and cutbacks across the health service. This isn’t a flu crisis or a temporary blip… this chaos is the reality of our health services today.

Department of Health figures confirm that we are effectively running an emergency service only on a year-round basis with elective procedures now down to a trickle… We are only ever hours away from a crisis such as we are experiencing this week.

Similarly, the Irish Association for Emergency Medicine has said it is “gravely concerned but not surprised at what has transpired”.

“This was always going to be how 2018 started in our EDs. Everyone, from the Minister for Health to the clinician at the frontline knew it,” it said.

“Disgraceful”

Social Democrats TD Róisín Shortall described today’s record high as “disgraceful, predictable and avoidable”.

She said: “This latest trolley crisis is a national disgrace and is intolerable for both patients and staff – but it is also absolutely predictable. After a summer when our health services were on a knife-edge, it was inevitable that winter flu and other seasonal illnesses would push our hospitals beyond breaking point.”

Her comments were echoed by Labour’s Alan Kelly, and Sinn Féin’s Louise O’Reilly.

O’Reilly described Minister Harris’ use of lower HSE figures on the trolley crisis as “nothing short of pathetic”, while Kelly said there is “no point in blaming the flu outbreak for the current crisis”.

Planning ahead

In his statement this evening, Minister Harris said he wanted to recognise the “intense efforts of all our staff across the health service”, while acknowledging the “very difficult conditions” patients are experiencing at this time.

He said that he will be updated by each hospital group CEO on the situation tomorrow.

Harris said: “While recognising that there is no one-size-fits-all solution, we must continue to ensure the lessons that can be learned from those hospitals performing better are applied across the system.

I want to reassure the public that all the winter plan measures funded by increased investment by government, like increased access to home care, transitional care and diagnostics along with additional acute bed capacity, are being implemented to deal with the extra pressures our health service is experiencing.

The Minister added that the HSE has his support in any enhanced measures it seeks to take to help alleviate the current crisis.

Supports for older people

Another take on the solutions for the trolley situation came from older people’s charity Alone, which said that older people tend to end up in hospital more due to a lack of support in the community.

Its CEO, Sean Moynihan, said: “With 20,000 people turning 65 years of age each year, our current health system is not equipped to deal with this.

Often, older people are ending up in hospital unnecessarily… As people get older their health requires close monitoring and management. We should also note that there are 170,000 older Irish people living alone, which makes them vulnerable to isolation and ill health.

He said that the shortage of hospital beds is a “complex issue” without one solution, but that there are far more effective, economically viable and compassionate to having sick people on hospital trolleys.

“There are many older people who are well enough to be at home provided they have adequate support,” Moynihan said. “However, they cannot be discharged as there are no options of care available to them or their homes are not suitable adapted for their needs.”

Read: ‘No effort being spared’ says Health Minister after trolley numbers reach record high

Read: Surgeries at Cork hospital cancelled for two weeks as flu and ‘revelry’ make their impact

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    Mute Damian O'Brien
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    Apr 17th 2013, 12:54 PM

    The most interesting thing I heard today was Peter Mandelson being interviewed with Nigel Lawson on BBC Radio 4′s Today programme. He said that he only met her once after he was appointed Secretary for Northern Ireland.

    She came up to him and said “You cannot trust the Irish. They are all liars. Just do not forget it.”

    If true it says a lot about Thatcher. I say if true, after all it was Peter Mandelson.

    110
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    Mute Padriag O'Utraged
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    Apr 17th 2013, 1:02 PM

    If she was referring to the politicians (most likely as they were the only irish she would have dealt with), could anyone disagree?

    In the same interview, he also said

    “Lord Mandelson, one of the central architects of New Labour, has criticised the scale of the funeral but accepted the Iron Lady “reframed British politics”.
    “I think what she was right to do was to bring home to us the reality that Britain could not afford rampant inflation, that state monopolies needed commercialising, that personal tax rates were too high and that enterprise was too unrewarding,” he said.
    “She was also right to argue that deregulation can be a valuable spur to innovation and efficiency and of course she tackled what was then a very disruptive and irresponsible trade union culture.
    “But the truth is also that in cutting back the state necessarily, she overlooked what the state can also do successfully.”

    34
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    Mute Jason Naughton
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    Apr 17th 2013, 1:47 PM

    She was referring to Haughey and his ilk. To suggest CJH was untrustworthy. God forbid!

    48
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    Mute Scott Hazel
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    Apr 17th 2013, 12:45 PM

    We’ve all made our opinions one way or another over the week. Time to move on….she gone!

    63
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    Mute Derek Durkin
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    Apr 17th 2013, 1:05 PM

    No but her policies are more alive than ever. Thats what i think most people have an issue with.

    44
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    Mute Scott Hazel
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    Apr 17th 2013, 1:08 PM

    Agreed, but she’s gone..

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    Mute Oscar Brophy
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    Apr 17th 2013, 12:43 PM

    man, cameron has a beor of a wife

    62
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    Mute Leslie Alan Rock
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    Apr 17th 2013, 1:43 PM

    Ye would never think she’s had four kids….homina homina.

    23
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    Mute Leonard Annett
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    Apr 17th 2013, 12:47 PM

    My hate for her has died with her.

    48
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    Mute Isaac Hunt ©
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    Apr 17th 2013, 12:34 PM

    Seemed pretty dignified to me

    42
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    Mute Marist '59
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    Apr 17th 2013, 12:56 PM

    A charade foisted on the British people. A unique opportunity for the Establishment to exert their authority over the common man. The usual plethora of people dressed in funny hats, wigs and medieval garb. It seemed fitting that the chief mourner was a convicted criminal and the church had the required smattering of right wing politicians, homophobics and reactionaries. Wonder what the old queen said to Philip as the coffin passed her by? She didn’t seem too happy with the whole shebang. Anyway, as someone said above, it’s over and as the incumbent government has not experienced the Thatcher bounce, hopefully Thatcherism, which has blighted so many people’s lives has heard its death knell.

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    Mute grassyknoll
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    Apr 17th 2013, 1:20 PM

    We’ve literally heard the death knell but Cameron and his cohorts are attempting to outdo her.

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    Mute Mister Jingles
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    Apr 17th 2013, 1:21 PM

    Surely the best way to protest the iron lady’s funeral would be to show up with a giant magnet?

    37
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    Mute grassyknoll
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    Apr 17th 2013, 12:43 PM

    Yeeeeeugh – a monster.

    35
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    Mute Derek Durkin
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    Apr 17th 2013, 1:10 PM

    A who’s who of war criminals and tyrants attended. Solve a lot of the worlds problems by sending half of the people there with her.

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    Mute Jason Naughton
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    Apr 17th 2013, 1:46 PM

    They can’t all be like sunshine and ice cream like El Comandante Hugo Chavez now can they?

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    Mute Derek Durkin
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    Apr 17th 2013, 1:54 PM

    Chavez a war criminal amd tyrant?? Good one. Come back 2 me when u know what the f**k ur talking about.

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    Mute Jason Naughton
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    Apr 17th 2013, 2:07 PM

    300,000 dead people. He killed them. The man was a tyrant.

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    Mute Aran Fitzpatrick
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    Apr 17th 2013, 4:04 PM

    Explain how he killed 300,000 people ?

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    Mute Ocean Wave
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    Apr 17th 2013, 10:27 PM

    You should say PINOCHET instead

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    Mute Ted Power
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    Apr 17th 2013, 1:01 PM

    I think the initial hype of the hatred towards her has faded during the week and these “rot in hell” people have become tiresome. She’s dead and that it end if story!

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    Mute Ru Ni Digs
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    Apr 17th 2013, 3:40 PM

    Margaret Thatcher is dead,when did this happen ???

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    Mute Dave Harris
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    Apr 17th 2013, 1:58 PM

    Everyone will come, everyone will come
    To her funeral to make sure that she stays dead
    Everyone will come, everyone will come
    To her funeral to make sure that she stays dead, dead DEAD
    (Marilyn Manson – Rusted Horses )

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    Mute Ian Mac Eochagáin
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    Apr 17th 2013, 4:12 PM

    Does anybody know who was invitied from Ireland?

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    Mute Kevin Murnaghan
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    Apr 17th 2013, 5:15 PM

    Ruairí Quinn I think….

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    Mute Hilary McDuffy
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    Apr 17th 2013, 1:48 PM

    Go dté tú Slán

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    Mute Uncle Mort
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    Apr 17th 2013, 4:38 PM

    “There was twice as many security as mourners with some 4,000 police officers deployed at the event”

    250,000 people turned out to mourn and pay their respects [ plus a handful of misfits].

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    Mute Gina_ius
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    Apr 17th 2013, 1:32 PM

    The unattended crowd barriers (photo 2) would remind you of a certain other individual’s funeral…. closer to home?? Maybe they’ll be comparing turnout figures tonight…

    2
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