{"cards":[{"_id":"669a976d32629faa21000026","treeId":"669a83d132629faa21000021","seq":6760743,"position":1,"parentId":null,"content":"`Staff shortage of Chorley Hospital in Lancashire` has forced its `A&E service to temporary close`, amid `similar pressures across England`."},{"_id":"669a996232629faa21000027","treeId":"669a83d132629faa21000021","seq":6760871,"position":0.25,"parentId":"669a976d32629faa21000026","content":"# Staffing problem in Chorley Hospital\n\nChorley Hospital has 8 out of 14 doctors it requires and have faced `difficulty in staffing the rotas. \n"},{"_id":"669aa7a691af1c7a1a00002f","treeId":"669a83d132629faa21000021","seq":6760875,"position":0.5,"parentId":"669a976d32629faa21000026","content":"# Temporary closure\n\nFrom Monday, the emergency department at Chorley Hospital will be temporarily replaced by an urgent care service until the staffing crisis is resolved, as `it risks patients' safety`\n"},{"_id":"669aa7c591af1c7a1a000032","treeId":"669a83d132629faa21000021","seq":6760113,"position":3,"parentId":"669aa7a691af1c7a1a00002f","content":""},{"_id":"669aa7c791af1c7a1a000033","treeId":"669a83d132629faa21000021","seq":6760114,"position":4,"parentId":"669aa7a691af1c7a1a00002f","content":""},{"_id":"669aa7c991af1c7a1a000034","treeId":"669a83d132629faa21000021","seq":6760115,"position":5,"parentId":"669aa7a691af1c7a1a00002f","content":""},{"_id":"669aa7cb91af1c7a1a000035","treeId":"669a83d132629faa21000021","seq":6760116,"position":6,"parentId":"669aa7a691af1c7a1a00002f","content":""},{"_id":"669aa7cc91af1c7a1a000036","treeId":"669a83d132629faa21000021","seq":6760117,"position":7,"parentId":"669aa7a691af1c7a1a00002f","content":""},{"_id":"669b45665183c7886300003f","treeId":"669a83d132629faa21000021","seq":6760885,"position":11,"parentId":"669aa7a691af1c7a1a00002f","content":"\"We simply cannot staff the rotas, and it is an unacceptable risk to patient safety to attempt to provide an emergency department service with no doctors available to see people.\"\n### -- Professor Mark Pugh, Consultant anaethetist and medical director of Lancashire Teaching Hospitals NHS Foundation Trust\n#### on Chorley Hospital A&E temporary closure"},{"_id":"669aa7bf91af1c7a1a000031","treeId":"669a83d132629faa21000021","seq":6761017,"position":1.25,"parentId":"669a976d32629faa21000026","content":"# Pressures across England\n\nFigures that came out today show `A&E performance in England is at a record low` and there has been a constant struggle on the `lack of medical staff`. "},{"_id":"669a9c6032629faa21000028","treeId":"669a83d132629faa21000021","seq":6760978,"position":1,"parentId":"669aa7bf91af1c7a1a000031","content":"#### A&E closure in Lancashire\n# Staff shortage across England\nA `cap on spending on NHS agency staff` came into force in England last November despite many who worry over existing `shortage of doctors and nurses`."},{"_id":"669aa7d591af1c7a1a00003c","treeId":"669a83d132629faa21000021","seq":6760815,"position":1,"parentId":"669a9c6032629faa21000028","content":"# Cap on spending on NHS agency staff\nThe `much debated` rule came into force in England in November and it meant by April, NHS trusts are not able to pay agency staff more than 55% per shift than a permanent staff."},{"_id":"669aa7d191af1c7a1a000039","treeId":"669a83d132629faa21000021","seq":6760611,"position":1,"parentId":"669aa7d591af1c7a1a00003c","content":"#### Cap on spending on NHS agency staff\n# Agencies and NHS\nNHS trusts say the cap is to `remove pressure on the health service's finances`.\n\nHowever, agencies say they are being demonised when the problem lies in a `shortage of trained staff`."},{"_id":"669aa7d391af1c7a1a00003a","treeId":"669a83d132629faa21000021","seq":6760950,"position":1,"parentId":"669aa7d191af1c7a1a000039","content":"#### Cap on spending on NHS agency staff\n# Cap and NHS finances\nAgency spending is one of the biggest costs to NHS trusts and the cap is `said to save £1bn` over the next three years. "},{"_id":"669aa7b691af1c7a1a000030","treeId":"669a83d132629faa21000021","seq":6760902,"position":1,"parentId":"669aa7d391af1c7a1a00003a","content":"# The cap to save £1bn\nThe cap was introduced following reports showing that NHS trusts in England have overspent by £1.6bn so far this year (2015-2016). "},{"_id":"669aa7ce91af1c7a1a000037","treeId":"669a83d132629faa21000021","seq":6760615,"position":2,"parentId":"669aa7d191af1c7a1a000039","content":"# -> Doctors and nurses shortages"},{"_id":"669aa7d091af1c7a1a000038","treeId":"669a83d132629faa21000021","seq":6760945,"position":1.5,"parentId":"669a9c6032629faa21000028","content":"# Doctors and nurses shortages\nThere has been constant lack of doctors and nurses to fill vacancies of hospitals across England. "},{"_id":"669aa7d391af1c7a1a00003b","treeId":"669a83d132629faa21000021","seq":6760947,"position":1,"parentId":"669aa7d091af1c7a1a000038","content":"#### Doctors and nurses shortages\n# Statistics\n- In England and Wales, for registered nurses in emergency departments there were 1,265 vacancies - 11% of the total.\n- For consultants in emergency medicine there were 243 vacancies - 11% of the total.\n- Paediatric consultants - specialists in the care of babies, children and young people - there were 221 vacancies - 7% of the total.\n- More than two-thirds of trusts and health boards in the UK are actively trying to recruit from abroad since they struggle to cope with a shortage of qualified staff.\n(Figures from BBC FOI request)\n"},{"_id":"669aa2a932629faa21000029","treeId":"669a83d132629faa21000021","seq":6760979,"position":2,"parentId":"669aa7bf91af1c7a1a000031","content":"# -> A&E delays (Amy)"}],"tree":{"_id":"669a83d132629faa21000021","name":"Lancashire A&E closure","publicUrl":"lancashire-a-e-closure"}}