Saturday 14 March 2020

Corona Virus and the NHS

I am receiving grave concerns from NHS staff as to the lack of preparation for Corona virus. First is testing: there is no testing at UK borders. In hospital testing of patients with respiratory problems is only performed if there is also a history of recent travel.
There is no change in procedures. At ward and community level, it is business as usual. People with breathing difficulties (status unknown because they haven’t recently travelled) are interacting with cleaners, carers, pharmacists and porters as normal.
There is no additional PPE being issued for staff, at whatever level. Cleaners are not being given special instructions when clearing up after patients with respiratory problems. Community health workers and carers could become prime transmitters of infection as they move from home to home looking after their charges. Staff are not being tested either.
Appeals to senior management is falling on deaf ears as they claim that they are following government procedures, who are following the herd-immunity theory. This is NHS Scotland I am talking about but have no reason to think it is different elsewhere in the UK.
Health workers are seriously worried. They want the tests available to check any patient that is presenting symptoms, not just those who have also recently been abroad. They also want to have the PPE to protect themselves and their colleagues, regardless of their status in the hospital or community. Plus they need to be able to test each other to confirm they are not becoming spreaders themselves.
The procedures need to be updated, quickly, to reflect the growing threat. Resources need to increased rapidly: not just money from the government but the actual materials and medicines. This would be similar mobilisation to a wartime emergency. 
Finally they need understanding and help. NHS staff will do their best to help everyone but they also need public support in order to get what they need to help our communities. Who will protect us when NHS workers and social carers become sick? They need our support.