Tag Archives: crisis

Hospitals in crisis in Uganda as Middle Eastern countries poach medical staff

The failure to stop a brain drain of almost 2,000 of its best doctors and nurses is exacerbating Uganda’s healthcare crisis, reflecting a growing problem across east Africa, say healthcare workers.

At least 1,963 medics are being recruited to work at one hospital alone in Libya, as Middle Eastern countries turn to the region for highly qualified workers to fill their own vacancies, which have increased amid political instability and migration.

Nurses, laboratory technicians and doctors in different fields are being recruited from public health facilities, private hospitals and the not-for-profit sector, with no clear government plan to mitigate the impact on the domestic health sector, medical workers say.

“This one [Libyan] deal, if executed, will worsen the shortage of health workers, undermining service delivery and the investment by donors to the health sector,” said a statement from the Uganda Civil Society HIV Prevention Advocacy Coalition.

The coalition, a group of workers and patients, wants a temporary halt to recruitment, to allow urgent discussions at government level. “This deal will make the health crisis worse in Uganda – actively facilitating export of critical cadres of health workers will accelerate suffering and death,” said Asia Russell, executive director of the Health Global Access Project (Health Gap). “The government is refusing to increase production, retention and motivation of health workers in order to save lives.”

Dona Anyona, of the health system advocacy partnership at Amref Health Africa, said: “It’s not the right move, given the understaffing and its resultant impact on healthcare service provision.

“Besides, it’s not a good return on investment, given the fact that training a health worker is a costly venture and most health workers are educated using public funds – and at the end of the day the citizens who meet the costs of this education do not benefit from their services.”

Uganda continues to face a severe shortage of critical health workers, according to the health ministry. The national health system performs poorly and staff encounter challenges with accommodation and transport, not to mention months without pay.

On top of that, health facilities lack adequate medicines and proper equipment. Just 69% of health posts are filled (pdf) according to figures for 2015. In 2013, the doctor-to-patient ratio was estimated at 1:24,725, with a nurse-to-patient ratio of 1:11,000. The World Health Organization (WHO) recommends one physician per 1,000 people.

Although the Institute of Public Policy Research Uganda, a thinktank, sued the government in 2014 to stop the loss of 263 health workers to Trinidad and Tobago, that court case is still pending, and some 3,000 medics left the country between March and June this year alone, according to estimates from activists.

The brain drain of health workers from east Africa is caused by local private recruitment agencies that broker deals mainly with Arab countries – arrangements it is difficult to prevent.

“As a government, we can’t stop health workers from going to work abroad if they want to. Since we have free movement of labour in Uganda, there is no reason as to why we can stop them from going,” said health minister Sarah Achieng Opendi.

“We also can’t absorb all [these workers] in our health government system because of the wage bill and [limits on staff levels]. We tried to put a system to bond health worker students who complete studies on government sponsorship. But it doesn’t work – they took us to court. The case is still pending.”

Every year, at least 320 medical students graduate from Ugandan universities, more than in any east African nation. But public hospitals are very short staffed.

“Uganda’s health worker crisis is caused by multiple factors. The government refuses to provide adequate pay, health workers are not deployed to the areas where they are most needed, and many lack the tools and support to do their jobs effectively,” said Russell.

The medical brain drain is not restricted to Uganda – but common across sub-Saharan Africa. A 2011 study found, for example, that 77% of physicians who had trained in Liberia were working in the US.

Meanwhile, HIV activists have criticised the labour ministry for allowing recruitment agencies to insist that applicants undergo an HIV test, which is against Ugandan law on the workplace.

“Mandatory HIV testing deprives someone of their rights to privacy and dignity, and also those taken through the test and found HIV positive are denied the opportunity to work. Despite the fact that they meet the qualifications, their right to equal opportunity is denied,” said Dorah Kiconco, of the Uganda Network on Law, Ethics and HIV–Aids. “This is wrong on all fronts. HIV does not make someone incapable of doing what they can do.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”

Overstretched hospitals face winter flu crisis, doctors warn

Emergency departments risk “grinding to a halt” this winter, say medical leaders. They warn that the number of patients facing long waits for treatment is likely to hit record levels.

Dr Taj Hassan, president of the Royal College of Emergency Medicine, said staff were dangerously overstretched, as NHS figures showed the number of people waiting more than 12 hours for treatment during the coldest months of the year has soared.

From January to March 2012, 15 patients waited for more than 12 hours – in 2017 this figure was 100 times greater, at 1,597.

Last winter was the worst on record for delays, with nearly 200,000 patients waiting for longer than the four-hour target. Hassan said emergency services will be under even greater strain this year, with patients forced to wait longer for basic treatments such as pain relief.

“Winter last year was relatively mild and without a major outbreak of flu. There are indications that the flu vaccine will not be as successful this year and as such we anticipate that conditions will be even more difficult,” said Hassan. Simon Stevens, chief executive of NHS England, has already put hospitals on high alert following major flu outbreaks in Australia and New Zealand, which it is feared may be repeated in the UK.

An extra 5,000 beds are needed to “to get us through what will be a pretty awful winter”, said Hassan. “Over the last five years there has been a continued reduction in bed numbers yet an increase in patients needing to be admitted. As a result, bed occupancy is now at 92% – significantly higher than the safe level of 85% – which is having a knock-on effect on waiting times.”

A lack of funding, especially in social care, and staff shortages are preventing patients from being admitted swiftly and undermining safety, he said. “There is not enough money in the system to get social care packages, patients are delayed in hospital who should be at home, there are not enough acute hospital beds.”

The number of patients waiting for more than 12 hours also increased during the spring months, a time when pressures usually start to ease. From April to June 2017, 311 people waited more than 12 hours for treatment. For the same period in 2012, this was the case for only two patients.

Such figures are likely to underestimate the length of time spent in A&E because they only capture waiting times starting from when a decision to admit is made, not when the patient arrives.

“There can be little doubt that patients are suffering the consequences of this reduction,” said Hassan. “Along with more doctors, we desperately need more beds to stop the system from grinding to a halt.”

A Department of Health spokesperson said A&E departments had received an extra £100m to prepare for winter, in addition to £2bn of social care funding.

The spokesperson added :“This analysis completely overlooks the continued rise in demand on A&Es and the fact that since 2010 hardworking NHS staff are treating 1,800 more patients within four hours each day and are seeing 2.8 million more people each year.”