• Staff shortage of Chorley Hospital in Lancashire has forced its A&E service to temporary close, amid similar pressures across England.

  • Staffing problem in Chorley Hospital

    Chorley Hospital has 8 out of 14 doctors it requires and have faced `difficulty in staffing the rotas.

  • Temporary closure

    From 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

  • Pressures across England

    Figures 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.

  • “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.”

    — Professor Mark Pugh, Consultant anaethetist and medical director of Lancashire Teaching Hospitals NHS Foundation Trust

    on Chorley Hospital A&E temporary closure

  • A&E closure in Lancashire

    Staff shortage across England

    A 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.

  • -> A&E delays (Amy)

  • Cap on spending on NHS agency staff

    The 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.

  • Doctors and nurses shortages

    There has been constant lack of doctors and nurses to fill vacancies of hospitals across England.

  • Cap on spending on NHS agency staff

    Agencies and NHS

    NHS trusts say the cap is to remove pressure on the health service's finances.

    However, agencies say they are being demonised when the problem lies in a shortage of trained staff.

  • Doctors and nurses shortages

    Statistics

    • In England and Wales, for registered nurses in emergency departments there were 1,265 vacancies - 11% of the total.
    • For consultants in emergency medicine there were 243 vacancies - 11% of the total.
    • Paediatric consultants - specialists in the care of babies, children and young people - there were 221 vacancies - 7% of the total.
    • 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.
      (Figures from BBC FOI request)
  • Cap on spending on NHS agency staff

    Cap and NHS finances

    Agency spending is one of the biggest costs to NHS trusts and the cap is said to save £1bn over the next three years.

  • -> Doctors and nurses shortages

  • The cap to save £1bn

    The cap was introduced following reports showing that NHS trusts in England have overspent by £1.6bn so far this year (2015-2016).

{"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"}}