Waiting list and patients not sleeping on wards in the last 6 weeks
| Authority | Department of Health and Social Care |
|---|---|
| Date received | 2019-07-01 |
| Outcome | Some information sent but not all held |
| Outcome date | 2019-07-19 |
| Case ID | 870565 |
Original Request
Question 1: What is the current waiting list for all treatments? Question 2: How many patients were asked to relocate to Ramsey as it was not safe for them to go home? Question 3: How many agreed and how many refused? Question 4: How many patients did not sleep in the wings? I was a patient and observed this occurring. Question 5: Is it acceptable for a nurse trying to roll over the patient with her feet when the patient was unconscious? Question 6: What action would you take against the nurse in the above incident?
Data Tables (1)
| Specialty | Total live referrals | Total waiting for 1st appointment | Booked 1st appointment | AVG time waiting for 1st appointment total (days) | Max time waiting for 1st appointment total (days) | Waiting for 1st appointment - 2WW ref | AVG time waiting for 1st appointment 2WW (days) | Max time waiting for 1st appointment 2WW (days) | Waiting for 1st appointment - Urgent ref | AVG time waiting for 1st appointment Urgent (days) | Max time waiting for 1st appointment Urgent (days) | Waiting for 1st appointment - Routine ref | AVG time waiting for 1st appointment Routine (days) | Max time waiting for 1st appointment Routine (days) | Waiting for follow up appointment | Booked follow up appointment | Referrals with appointments without an outcome | Total appointments without an outcome |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Acute Internal Medicine | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | ||||
| Adult Mental Illness | 1 | 1 | 0 | 1,166 | 1,166 | 0 | 0 | 0 | 0 | 1 | 1,166 | 1,166 | 0 | 0 | 0 | |||
| Anaesthetics | 3 | 3 | 0 | 658 | 795 | 0 | 0 | 0 | 0 | 3 | 658 | 795 | 0 | 0 | 0 | |||
| Audiological Medicine | 1 | 1 | 0 | 355 | 355 | 0 | 0 | 0 | 0 | 1 | 355 | 355 | 0 | 0 | 0 | |||
| Breast Surgery | 823 | 17 | 49 | 58 | 403 | 5 | 13 | 33 | 0 | 15 | 25 | 12 | 146 | 403 | 163 | 567 | 27 | 27 |
| Cardiology | 3011 | 586 | 197 | 185 | 731 | 0 | 0 | 49 | 42 | 402 | 537 | 214 | 731 | 413 | 1773 | 42 | 42 | |
| Child and Adolescent Psychiatry | 1 | 1 | 0 | 737 | 737 | 0 | 0 | 0 | 0 | 1 | 737 | 737 | 0 | 0 | 0 | |||
| Clinical Oncology | 2 | 2 | 0 | 499 | 997 | 0 | 0 | 0 | 0 | 2 | 499 | 997 | 0 | 0 | 0 | |||
| Clinical Physiology | 218 | 174 | 5 | 200 | 600 | 0 | 0 | 2 | 31 | 59 | 172 | 202 | 600 | 23 | 16 | 0 | 0 | |
| Colorectal Surgery | 9 | 9 | 0 | 62 | 242 | 0 | 0 | 2 | 39 | 69 | 7 | 68 | 242 | 0 | 0 | 0 | ||
| Colposcopy | 181 | 7 | 25 | 41 | 530 | 0 | 8 | 13 | 3 | 17 | 33 | 4 | 74 | 530 | 42 | 104 | 3 | 3 |
| Community Paediatrics | 4 | 4 | 0 | 241 | 640 | 0 | 0 | 1 | 74 | 74 | 3 | 296 | 640 | 0 | 0 | 0 | ||
| Critical Care Medicine | 5 | 3 | 2 | 648 | 1,315 | 0 | 0 | 0 | 5 | 5 | 3 | 808 | 1,315 | 0 | 0 | 0 | 0 | |
| Dermatology | 2275 | 1021 | 163 | 530 | 1,339 | 2 | 9 | 24 | 24 | 58 | 416 | 995 | 581 | 1,339 | 487 | 589 | 15 | 16 |
| Diabetic Medicine | 1353 | 174 | 38 | 531 | 1,405 | 0 | 0 | 1 | 99 | 804 | 173 | 552 | 1,405 | 65 | 913 | 163 | 168 | |
| Dietetics | 1 | 1 | 0 | 128 | 128 | 0 | 0 | 0 | 0 | 1 | 128 | 128 | 0 | 0 | 0 | |||
| Endocrinology | 865 | 273 | 68 | 607 | 1,831 | 0 | 0 | 17 | 193 | 914 | 256 | 650 | 1,831 | 40 | 399 | 85 | 85 | |
| ENT | 2743 | 1263 | 139 | 293 | 1,116 | 0 | 8 | 12 | 15 | 71 | 620 | 1248 | 309 | 1,116 | 164 | 1152 | 25 | 25 |
| Fertility | 93 | 12 | 11 | 70 | 212 | 0 | 0 | 0 | 0 | 12 | 70 | 212 | 25 | 38 | 7 | 7 | ||
| Gastroenterology | 1643 | 196 | 204 | 148 | 1,314 | 6 | 34 | 75 | 67 | 80 | 801 | 123 | 192 | 1,314 | 150 | 1074 | 19 | 20 |
| General Medical Practice | 5 | 2 | 0 | 1,052 | 1,154 | 0 | 0 | 0 | 0 | 2 | 1,052 | 1,154 | 3 | 0 | 0 | 0 | ||
| General Medicine | 1510 | 33 | 82 | 128 | 3,282 | 0 | 5 | 5 | 10 | 217 | 3,282 | 23 | 108 | 879 | 25 | 1341 | 29 | 29 |
| General Surgery | 3944 | 358 | 339 | 90 | 849 | 15 | 53 | 255 | 43 | 51 | 349 | 300 | 102 | 849 | 2189 | 945 | 113 | 113 |
| Gynaecology | 1658 | 43 | 205 | 48 | 887 | 0 | 11 | 23 | 3 | 21 | 65 | 40 | 52 | 887 | 570 | 809 | 31 | 31 |
| Nephrology | 553 | 12 | 60 | 91 | 753 | 0 | 0 | 1 | 63 | 207 | 11 | 99 | 753 | 93 | 377 | 11 | 11 | |
| Neurology | 1294 | 524 | 25 | 271 | 843 | 0 | 0 | 18 | 62 | 338 | 506 | 282 | 843 | 146 | 553 | 46 | 46 | |
| Obstetrics | 480 | 12 | 112 | 35 | 360 | 0 | 0 | 1 | 27 | 60 | 11 | 36 | 360 | 41 | 289 | 26 | 26 | |
| Old Age Psychiatry | 1 | 1 | 0 | 55 | 55 | 0 | 0 | 0 | 0 | 1 | 55 | 55 | 0 | 0 | 0 | |||
| Ophthalmology | 7519 | 903 | 373 | 274 | 1,291 | 0 | 0 | 58 | 107 | 597 | 845 | 293 | 1,291 | 968 | 4527 | 748 | 755 | |
| Oral Surgery | 1586 | 592 | 209 | 177 | 999 | 1 | 4 | 6 | 18 | 53 | 489 | 573 | 209 | 999 | 33 | 738 | 14 | 14 |
| Orthodontics | 350 | 50 | 0 | 539 | 823 | 0 | 0 | 5 | 516 | 527 | 45 | 542 | 823 | 300 | 0 | 0 | 0 | |
| Orthoptics | 1 | 1 | 0 | 26 | 26 | 0 | 0 | 0 | 0 | 1 | 26 | 26 | 0 | 0 | 0 | |||
| Paediatric Audiology Medicine | 1 | 1 | 0 | 991 | 991 | 0 | 0 | 0 | 0 | 1 | 991 | 991 | 0 | 0 | 0 | |||
| Paediatric Ear Nose and Throat | 11 | 11 | 0 | 124 | 215 | 0 | 0 | 0 | 0 | 11 | 124 | 215 | 0 | 0 | 0 | |||
| Paediatric Neurology | 78 | 9 | 0 | 264 | 877 | 0 | 0 | 0 | 0 | 9 | 264 | 877 | 59 | 0 | 10 | 10 | ||
| Paediatric Ophthalmology | 92 | 5 | 35 | 48 | 116 | 0 | 0 | 1 | 60 | 116 | 4 | 43 | 88 | 8 | 17 | 27 | 27 | |
| Paediatric Trauma and Orthopaedics | 50 | 8 | 20 | 135 | 737 | 0 | 0 | 2 | 30 | 35 | 6 | 143 | 737 | 8 | 14 | 0 | 0 | |
| Paediatrics | 1703 | 26 | 214 | 55 | 773 | 0 | 0 | 5 | 31 | 125 | 21 | 58 | 773 | 250 | 1209 | 4 | 4 | |
| Pain Management | 515 | 131 | 27 | 143 | 1,082 | 0 | 0 | 14 | 123 | 754 | 117 | 145 | 1,082 | 150 | 197 | 10 | 10 | |
| Physiotherapy | 5 | 5 | 0 | 274 | 548 | 0 | 0 | 0 | 0 | 5 | 274 | 548 | 0 | 0 | 0 | |||
| Plastic Surgery | 303 | 6 | 35 | 82 | 762 | 0 | 0 | 4 | 35 | 151 | 2 | 143 | 762 | 72 | 164 | 26 | 28 | |
| Podiatry | 1 | 1 | 0 | 73 | 73 | 0 | 0 | 0 | 0 | 1 | 73 | 73 | 0 | 0 | 0 | |||
| Respiratory Medicine (Thoracic Medicine) | 1122 | 52 | 148 | 93 | 450 | 2 | 8 | 16 | 6 | 39 | 219 | 44 | 101 | 450 | 235 | 676 | 11 | 11 |
| Respiratory Physiology | 7 | 7 | 0 | 286 | 1,081 | 0 | 0 | 0 | 0 | 7 | 286 | 1,081 | 0 | 0 | 0 | |||
| Restorative Dentistry | 27 | 1 | 1 | 80 | 132 | 0 | 0 | 0 | 0 | 1 | 80 | 132 | 9 | 16 | 0 | 0 | ||
| Rheumatology | 1970 | 253 | 276 | 251 | 941 | 0 | 0 | 13 | 164 | 635 | 240 | 272 | 941 | 202 | 1035 | 204 | 206 | |
| Stroke Medicine | 20 | 1 | 4 | 172 | 503 | 0 | 0 | 0 | 0 | 1 | 172 | 503 | 1 | 14 | 0 | 0 | ||
| Thoracic Surgery | 58 | 0 | 1 | 6 | 6 | 0 | 0 | 0 | 6 | 6 | 0 | 0 | 49 | 8 | 0 | 0 | ||
| Transient Ischaemic Attack | 1 | 1 | 0 | 80 | 80 | 0 | 0 | 1 | 80 | 80 | 0 | 0 | 0 | 0 | 0 | |||
| Trauma & Orthopaedics | 3463 | 1263 | 295 | 236 | 1,038 | 0 | 0 | 20 | 16 | 569 | 1243 | 258 | 1,038 | 868 | 925 | 112 | 112 | |
| Urogynae | 222 | 7 | 11 | 191 | 989 | 0 | 0 | 2 | 31 | 44 | 5 | 212 | 989 | 43 | 157 | 4 | 4 | |
| Urology | 1617 | 524 | 98 | 230 | 1,402 | 5 | 28 | 132 | 33 | 62 | 919 | 486 | 261 | 1,402 | 720 | 260 | 15 | 15 |
| Vascular Surgery | 11 | 11 | 0 | 164 | 450 | 0 | 0 | 2 | 13 | 13 | 9 | 197 | 450 | 0 | 0 | 0 |
Full Response Text
Total live referrals Total waiting for 1st appointment Booked 1st appointment AVG time waiting for 1st appointment total (days) Max time waiting for 1st appointment total (days) Waiting for 1st appointment - 2WW ref AVG time waiting for 1st appointment 2WW (days) Max time waiting for 1st appointment 2WW (days) Waiting for 1st appointment - Urgent ref AVG time waiting for 1st appointment Urgent (days) Max time waiting for 1st appointment Urgent (days) Waiting for 1st appointment - Routine ref AVG time waiting for 1st appointment Routine (days) Max time waiting for 1st appointment Routine (days) Waiting for follow up appointment Booked follow up appointment Referrals with appointments without an outcome Total appointments without an outcome 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1,166 1,166 0 0 0 0 1 1,166 1,166 0 0 0 3 3 0 658 795 0 0 0 0 3 658 795 0 0 0 1 1 0 355 355 0 0 0 0 1 355 355 0 0 0 823 17 49 58 403 5 13 33 0 15 25 12 146 403 163 567 27 27 3011 586 197 185 731 0 0 49 42 402 537 214 731 413 1773 42 42 1 1 0 737 737 0 0 0 0 1 737 737 0 0 0 2 2 0 499 997 0 0 0 0 2 499 997 0 0 0 218 174 5 200 600 0 0 2 31 59 172 202 600 23 16 0 0 9 9 0 62 242 0 0 2 39 69 7 68 242 0 0 0 181 7 25 41 530 0 8 13 3 17 33 4 74 530 42 104 3 3 4 4 0 241 640 0 0 1 74 74 3 296 640 0 0 0 5 3 2 648 1,315 0 0 0 5 5 3 808 1,315 0 0 0 0 2275 1021 163 530 1,339 2 9 24 24 58 416 995 581 1,339 487 589 15 16 1353 174 38 531 1,405 0 0 1 99 804 173 552 1,405 65 913 163 168 1 1 0 128 128 0 0 0 0 1 128 128 0 0 0 865 273 68 607 1,831 0 0 17 193 914 256 650 1,831 40 399 85 85 2743 1263 139 293 1,116 0 8 12 15 71 620 1248 309 1,116 164 1152 25 25 93 12 11 70 212 0 0 0 0 12 70 212 25 38 7 7 1643 196 204 148 1,314 6 34 75 67 80 801 123 192 1,314 150 1074 19 20 5 2 0 1,052 1,154 0 0 0 0 2 1,052 1,154 3 0 0 0 1510 33 82 128 3,282 0 5 5 10 217 3,282 23 108 879 25 1341 29 29 3944 358 339 90 849 15 53 255 43 51 349 300 102 849 2189 945 113 113 1658 43 205 48 887 0 11 23 3 21 65 40 52 887 570 809 31 31 553 12 60 91 753 0 0 1 63 207 11 99 753 93 377 11 11 1294 524 25 271 843 0 0 18 62 338 506 282 843 146 553 46 46 480 12 112 35 360 0 0 1 27 60 11 36 360 41 289 26 26 1 1 0 55 55 0 0 0 0 1 55 55 0 0 0 7519 903 373 274 1,291 0 0 58 107 597 845 293 1,291 968 4527 748 755 1586 592 209 177 999 1 4 6 18 53 489 573 209 999 33 738 14 14 350 50 0 539 823 0 0 5 516 527 45 542 823 300 0 0 0 1 1 0 26 26 0 0 0 0 1 26 26 0 0 0 1 1 0 991 991 0 0 0 0 1 991 991 0 0 0 11 11 0 124 215 0 0 0 0 11 124 215 0 0 0 78 9 0 264 877 0 0 0 0 9 264 877 59 0 10 10 92 5 35 48 116 0 0 1 60 116 4 43 88 8 17 27 27 50 8 20 135 737 0 0 2 30 35 6 143 737 8 14 0 0 1703 26 214 55 773 0 0 5 31 125 21 58 773 250 1209 4 4 515 131 27 143 1,082 0 0 14 123 754 117 145 1,082 150 197 10 10 5 5 0 274 548 0 0 0 0 5 274 548 0 0 0 303 6 35 82 762 0 0 4 35 151 2 143 762 72 164 26 28 1 1 0 73 73 0 0 0 0 1 73 73 0 0 0 1122 52 148 93 450 2 8 16 6 39 219 44 101 450 235 676 11 11 7 7 0 286 1,081 0 0 0 0 7 286 1,081 0 0 0 27 1 1 80 132 0 0 0 0 1 80 132 9 16 0 0 1970 253 276 251 941 0 0 13 164 635 240 272 941 202 1035 204 206 20 1 4 172 503 0 0 0 0 1 172 503 1 14 0 0 58 0 1 6 6 0 0 0 6 6 0 0 49 8 0 0 1 1 0 80 80 0 0 1 80 80 0 0 0 0 0 3463 1263 295 236 1,038 0 0 20 16 569 1243 258 1,038 868 925 112 112 222 7 11 191 989 0 0 2 31 44 5 212 989 43 157 4 4 1617 524 98 230 1,402 5 28 132 33 62 919 486 261 1,402 720 260 15 15 11 11 0 164 450 0 0 2 13 13 9 197 450 0 0 0 Urogynae Urology Vascular Surgery Restorative Dentistry Rheumatology Stroke Medicine Thoracic Surgery Transient Ischaemic Attack Trauma & Orthopaedics Respiratory Physiology Paediatric Audiology Medicine Paediatric Ear Nose and Throat Paediatric Neurology Paediatric Ophthalmology Paediatric Trauma and Orthopaedics Paediatrics Pain Management Physiotherapy Plastic Surgery Podiatry Respiratory Medicine (Thoracic Medicine) Orthoptics General Medical Practice General Medicine General Surgery Gynaecology Nephrology Neurology Obstetrics Old Age Psychiatry Ophthalmology Oral Surgery Orthodontics Gastroenterology Clinical Physiology Colorectal Surgery Colposcopy Community Paediatrics Critical Care Medicine Dermatology Diabetic Medicine Dietetics Endocrinology ENT Fertility Clinical Oncology Consultant outpatient referral data as at - 07/07/2019 23:59:59 Specialty Acute Internal Medicine Adult Mental Illness Anaesthetics Audiological Medicine Breast Surgery Cardiology Child and Adolescent Psychiatry
Chief Executive: Angela Murray Freedom of Information Team DHSC Crookall House Demesne Road Douglas IM1 3QA
(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc
Our ref: 870565 19th July 2019
Dear ###
We write further to your request which was received on the 1st July 2019 and states:
"Question 1: What is the current waiting list for all treatments? Question 2: How many patients were asked to relocate to Ramsey as it was not safe for them to go home? Question 3: How many agreed and how many refused? Question 4: How many patients did not sleep in the wings? I was a patient and observed this occurring. Question 5: Is it acceptable for a nurse trying to roll over the patient with her feet when the patient was unconscious? Question 6: What action would you take against the nurse in the above incident?" While our aim is to provide information whenever possible, in this instance the public authority does not hold or cannot, after taking reasonable steps to do so, find some of the information that you have requested.
I have enclosed copies of the information that is held.
Question 1: What is the current waiting list for all treatments? Please find attached our current waiting times report as at the 7th July 2019. Question 2: How many patients were asked to relocate to Ramsey as it was not safe for them to go home? Ramsey District Cottage Hospital is used as a step down facility as a midway point between acute care and discharge. It is therefore, not a facility to be used as a safe haven. Question 3: How many agreed and how many refused? Please see Question 2 above. Question 4: How many patients did not sleep in the wings? I was a patient and observed this occurring. While our aim is to provide information whenever possible, in this instance Department of Health and Social Care (“the Department”) is unable to provide the information you have requested. This is in line with section 11(3)a of the Act, as a practical refusal reason applies; namely we do not hold or cannot, after taking reasonable steps to do so, find the information that you have requested. Question 5: Is it acceptable for a nurse trying to roll over the patient with her feet when the patient was unconscious? As per the Standards and Regulation of Care Act 2013 this is not acceptable behaviour. Please see the links below for our care standards and the Regulation of Care Act 2013 https://www.gov.im/about-the-government/departments/health-and-social- care/registration-and-inspection-unit/care-standards/ https://www.gov.im/media/815765/regulation-of-care-act-2013v2.pdf Question 6: What action would you take against the nurse in the above incident? Any complaints received from patients, staff or a member of the public would be dealt with under the Noble’s Hospital Complaints procedure. Please see the link for our complaints process. https://www.gov.im/media/1351267/complaints-procedure-a-patients-guide.pdf Please quote the reference number 870565 in any future communications.
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