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Trump executive orders threaten healthcare of millions of Americans

Within his first 48 hours back in office, Donald Trump has signed several executive orders repealing directives expanding healthcare access and options for lower-income and middle-class Americans.

Those people whose coverage is now deemed at risk are the roughly 24 million Americans who have purchased their health insurance via the Affordable Care Act (ACA) this year. The ACA, also known as Obamacare, helped to expand Medicaid benefits and provides affordable health insurance to millions of people.

Trump’s actions this week will affect all aspects of the ACA, including eligibility requirements, federal subsidies and enrolment deadlines, which determine when Americans can apply for insurance, without repealing the act, which would take action from the US Congress. But the actions are expected to create more barriers and result in healthcare coverage becoming less accessible.

Additionally, Trump repealed executive orders aimed at reducing the cost of prescription drugs for people on the government health insurance programs Medicare and Medicaid that chiefly serve older and lower-income Americans.

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Source: The Guardian, 22 January 2025

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Synnovis cyber attack caused two cases of severe patient harm

At least two patients have suffered long-term or permanent damage to their health as a result of the cyber attack on NHS pathology provider Synnovis, latest figures have revealed. 

The ransomware attack on the 4 June 2024, caused widespread disruption to NHS services in London, with 10,152 acute outpatient appointments and 1,710 elective procedures postponed at King’s College Hospital NHS Foundation Trust and Guy’s and St Thomas’ NHS Foundation Trust.

Initial figures released by NHS South East London Integrated Care Board (ICB) in November 2024, recorded five cases of moderate harm and 114 cases of low harm as a result of the attack, but did not report any cases of serious harm. However, NHS data obtained by Bloomberg News revealed that healthcare professionals across at least four London boroughs recorded two cases of severe harm, 11 cases of moderate harm, and more than 120 cases of low harm as a direct consequence of the cyber attack.

Responding to the latest figures, Helen Hughes, Chief Executive at Patient Safety Learning, told Digital Health News: “This latest update highlights the significant risks to patient safety posed by cyber attacks. These events not only disrupt care and treatment but can result in serious avoidable patient harm."

“When cyber attacks occur, healthcare providers need to be vigilant of risks to the safety of vulnerable patients from delays to care and treatment."

“They should also have robust plans to recover services, prioritising patient safety, and must ensure that there are appropriate escalation routes to minimise future harm.”

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Source: Digital Health, 23 January 2025

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High-risk hospitals delayed despite government assurances

At least two trusts whose hospitals rely on high-risk concrete will not open replacements until after 2030, despite theoretically being prioritised by government.

The government previously said replacement of the seven “RAAC” or reinforced autoclaved aerated concrete hospitals would “proceed at pace due to the substantive safety risks” and “exempted” them from its review of the new hospitals programme.

It comes after they were given new construction start dates in the New Hospital Programme.

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Source: HSJ, 23 January 2025

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Adults diagnosed with ADHD have shorter life expectancy, UK study shows

Men with a diagnosis of ADHD die seven years sooner, on average, than similar people without, while for women the life expectancy gap is almost nine years, the first study of its kind has revealed.

Attention deficit hyperactivity disorder can cause difficulties in concentration and problems with impulsiveness, although people with ADHD do not necessarily experience both. While estimates vary, studies suggest 3-4% of adults worldwide have ADHD.

Now researchers have revealed people diagnosed with the disorder tend to have shorter lives. The new study used primary care data from more than 9 million adults across the UK, from 2000 to 2019, to explore whether ADHD was indeed associated with a shorter life. The results reveal that men with a diagnosis of ADHD had a life expectancy 6.8 years shorter on average than those without, while females with a diagnosis of ADHD had a life expectancy 8.6 years shorter on average than those without.

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Source: The Guardian, 23 January 2025

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Norovirus: Winter vomiting bug cases surge to five-year January high

The number of people hospitalised with a winter vomiting bug has surged to a five-year January high amid an ongoing crisis with hospitals across the country struggling to manage high volumes of patients.

Norovirus cases in hospitals are 80 per cent higher than the same period last year, according to new figures from the NHS. Last week there were 784 patients a day in hospital with norovirus, up from 650 cases a day the week prior.

NHS national clinical director for urgent and emergency care Professor Julian Redhead warned this surge in Norovirus was adding pressure to hospitals.

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Source: The Independent, 23 January 2025

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MHRA issues guidance on medical device surveillance regulation

The MHRA has published new guidance to medical device manufacturers on upcoming requirements around post-market surveillance

New Post-market surveillance regulation for medical devices comes into force across England, Scotland and Wales on 16 June 2025 and introduces key new requirements around the monitoring of medical devices after they’ve entered the market.

This includes more comprehensive data collection; shorter timeframes for reporting serious incidents and summary reporting to identify safety issues; and clearer obligations around risk mitigation and communication to protect user safety.

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Source: Digital Health, 22 January 2025

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Trump officials pause health agencies’ communications, citing review

The Trump administration has instructed federal health agencies to pause all external communications, such as health advisories, weekly scientific reports, updates to websites and social media posts, according to nearly a dozen current and former officials and other people familiar with the matter.

The instructions were delivered Tuesday to staff at agencies inside the Department of Health and Human Services, including officials at the Food and Drug Administration, the Centers for Disease Control and Prevention (CDC) and National Institutes of Health, one day after the new administration took office.

The health agencies are charged with making decisions that touch the lives of every American and are the source of crucial information to health-care providers and organizations across the country.

The pause on communications includes scientific reports issued by the CDC, known as the Morbidity and Mortality Weekly Report (MMWR); advisories sent out to clinicians on CDC’s health alert network about public health incidents; data updates to the CDC website; and public health data releases from the National Center for Health Statistics, which tracks myriad health trends, including drug overdose deaths.

The CDC was scheduled to publish several MMWR reports this week, including three about the H5N1 avian influenza virus outbreak, according to one federal health official who spoke on the condition of anonymity to share internal discussions.

It was not clear from the guidance given by the new administration whether the directive will affect more urgent communications, such as foodborne disease outbreaks, drug approvals and new bird flu cases.

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Source: The Washington Post, 21 January 2025

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US exit from WHO could see fifth of budget disappear

US President Donald Trump has signed an executive order to begin the process of withdrawing the US from the World Health Organization (WHO).

The order said the US was withdrawing "due to the organisation's mishandling of the Covid-19 pandemic that arose out of Wuhan, China, and other global health crises, its failure to adopt urgently needed reforms, and its inability to demonstrate independence from the inappropriate political influence of WHO member states".

The executive order also said the withdrawal was the result of "unfairly onerous payments" the US made to the WHO, which is part of the United Nations.

When Trump was still in office the first time around, he was critical of the organisation for being too "China-centric" in its tackling of the Covid-19 pandemic.

Trump accused the WHO of being biased towards China in how it issued guidance during the outbreak.

Under the Biden administration the US continued to be the largest funder of the WHO and in 2023 it contributed almost one-fifth of the agency's budget.

A US withdrawal could have an impact on WHO's ability to respond to emergencies such as an Ebola outbreak, or MPOX – let alone another Covid-19-style pandemic.

Public health experts have suggested there could be other consequences for Americans' health if progress is reversed on fighting infectious diseases such as malaria, tuberculosis, HIV and Aids.

Ashish Jha, who formerly worked as Covid-19 response co-ordinator under President Biden, previously warned leaving would "harm not only the health of people around the world, but also US leadership and scientific prowess".

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Source: BBC News, 21 January 2025

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‘Devastating’ delays to new hospitals revealed

Eighteen of the 40 ‘new hospital’ schemes which were originally due to open in 2030 will now not even start construction until then – with some potentially facing a wait of until 2039 to even get spades in the ground.

NHS Providers said the announcement was a “major blow to trusts, their staff, patients, and communities, many of whom now face even longer delays getting desperately needed new hospitals”.

Interim CEO Saffron Cordery added: “Trusts who are part of the new hospital programme account for more than 40 per cent (£5.7bn) of the total bill for backlog repairs and maintenance. Today’s announcement will make a difficult situation even more challenging.

“While today’s announcement finally gives trusts some certainty and clarity over their long-awaited building projects, this is still a bitter pill to swallow.”

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Source: HSJ, 20 January 2025

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Man had unnecessary chemotherapy for 14 years

A cancer patient has spent more than 14 years receiving unnecessary chemotherapy, hospital bosses have admitted.

Lawyers representing the man claim they know of 12 more patients - all in Coventry - saying his case is the "tip of the iceberg".

NHS Guidelines recommend the chemotherapy drug he was originally prescribed, temozolomide, should not be used for more than six months.

University Hospitals Coventry and Warwickshire NHS Trust (UHCW) said it was carrying out an internal review into what happened, and stressed it was committed to providing the best care for its patients.

Lawyers for the patient claim that long-term treatment with temozolomide risks secondary cancer, chronic liver problems and reinforces the fear of death.

The patient, who was originally treated for a cancerous brain tumour, said he had suffered fatigue, joint pain, gastrointestinal distress, recurrent mouth ulcers and nausea, because of the ongoing treatment.

His prolonged chemotherapy programme was only discovered when the consultant treating him, Prof Ian Brown, retired.

A consultant who took over his care then confirmed the four-week cycles of chemotherapy he was undertaking were not needed.

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Source: BBC News, 22 January 2025

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Treat eating disorders as an emergency, MPs urge

Lives are being lost and families torn apart because of "woefully inadequate care" for people with eating disorders, according to a group of MPs.

The "alarming" rise in disorders such as anorexia and bulimia, over the past decade, has now become an "emergency", the All-Party Parliamentary Group on Eating Disorders says in a report.

And greater awareness about different types of eating disorders and how they affect males and females of all ages and ethnicities is urgently needed.

The MPs, external spent six months listening to "harrowing" experiences from patients, bereaved families, clinicians and academics.

Eating disorders are often misunderstood and seen as a lifestyle choice affecting only white teenage girls, the report says. In reality, they are serious but treatable mental illnesses.

The report says services are "grossly" underfunded, there are barriers to accessing treatment and wide variations in care quality across the UK.

Campaigner Hope Virgo worries some people with long-term and complex eating disorders are being viewed as "untreatable" and "being sent home to die".

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Source: BBC News, 22 January 2025

Read the blog from Hope Virgo published on the hub today: Hope Virgo: What needs to happen to stop people with eating disorders being failed by the healthcare system?

 

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Former vaccines tsar describes ‘open warfare’ within UK government during Covid pandemic

There was “open warfare” between UK government departments during the pandemic, the former vaccines tsar has said, adding the failure to prioritise the needs of clinically vulnerable, immunocompromised individuals was ethically and morally wrong.

Dame Kate Bingham led the vaccine taskforce (VTF) – based in the Department for Business, Energy and Industrial Strategy (BEIS) – between May and December 2020, and played a pivotal role in persuading the government to back the development of a portfolio of potential jabs, as well as securing contracts for millions of doses.

But Bingham has told the Covid inquiry that when initially establishing the remit of the VTF she discovered conflict.

“Therapeutics is obviously my background, so that is the natural area for me to have included in the remit,” she said. “What I did is what I would always do, which is to go and talk to the people involved, including in industry. And it was quite clear there was open warfare between BEIS and the Department of Health.”

The government did not make an advance purchase of Evusheld and it was never supplied, much to the consternation of charities who warned of the impact on immunocompromised individuals, although it was available privately.

Bingham said the direction of travel on Evusheld was clear to her before she left her post in December 2020, adding she vehemently disagreed with it.

“I felt very strongly that we were conducting a strategy that was not following the prime minister’s goals,” she said. “So the government was following a very clear two-tier strategy where the clinically vulnerable, immunocompromised patients were being deprioritised in favour of those who were able to receive vaccines. And I felt that was manifestly wrong, both ethically and morally, but also did not follow the goals that we’d been set, which was to protect the entire population.”

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Source: The Guardian, 21 January 2025

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Influential figures call for ‘single UEC service’ for NHS

The NHS should create a “single 24/7 service” for urgent and emergency care for every A&E department’s catchment area to address what is currently a “fragmented and disjointed” system, six expert groups have said.

The recommendation is part of a wide-ranging plan to reform the urgent and emergency care system, which has been jointly authored by bodies including the Royal College of Emergency Medicine, the Royal College of GPs and the Association of Ambulance Chief Executives.

The expert groups’ reform blueprint, titled Our Urgent and Emergency Care Improvement Proposals, comes ahead of the government’s anticipated “improvement plan” for the sector.

It concludes the NHS has “got the winter it prepared for” and has “normalised and accepted” poor care. 

Proposed actions in the plan include creating a “single 24/7 service” for each emergency department catchment area, bringing together teams in EDs, urgent community response services and virtual wards, which would be focused on caring for people in their communities.

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Source: HSJ, 22 January 2025

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Late delivery of equipment linked to patient’s death

The late supply of defective equipment used by care staff to reduce harm from a pressure ulcer contributed to the death of a vulnerable patient, a coroner has concluded.

Private provider NRS Healthcare supplies dozens of local authorities with equipment for patients in the community and contracts directly with NHS trusts providing community services.

A prevention of future deaths notice issued by a coroner in north London last week said the court had heard evidence of “numerous and ongoing delays and ‘problems’ in the service provided by NRS Healthcare. While I heard that there had been some improvement, I was told that the service provided was still ‘not great’.”

The inquest was into the death of Sheila Wexler, whom coroner Ian Potter found died of “natural causes, contributed to by increased immobility as a result of delayed and defective turning equipment being supplied for the treatment of a pressure ulcer”.

Trust board papers presented to directors in January said: “There are known issues with NRS (pressure ulcer-relieving equipment company) for a number of equipment types since the contract implementation. Concerns were escalated to the integrated care board and the commissioners of this service. Although there [have] been some improvements it remains inconsistent.”

The Whittington would not release its incident report or confirm how many people came to harm. It said: “Disclosing this incident report into the public domain could seek to damage our relations with the supplier in question, and possibly that with our other suppliers, which would not be in the public good.”

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Source: HSJ, 21 January 2025

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'Concerns remain' at trust where patients abused

A mental health trust where a "toxic culture" saw patients abused in 2022 has been rated as inadequate again despite some improvements.

The secure unit the Edenfield Centre in Prestwich, Greater Manchester, was the subject of a BBC Panorama investigation which revealed how patients were humiliated and bullied.

In its latest report into forensic inpatient and secure wards at the Greater Manchester Mental Health NHS Foundation Trust (GMMH), the Care Quality Commission (CQC) found issues with patient safety and pressures on staff and said some still felt unable to speak up about their concerns.

GMMH, which runs Edenfield, said it accepted the findings and had "worked at pace" to address the problems identified.

Inspectors from the CQC made an unannounced inspection in April and May 2024, giving the trust an overall rating of inadequate.

Alison Chilton, its deputy director of operations in the north, said: "The trust's processes didn't always ensure the environment was safe for people.

"We found some wards which carried out 15-minute security checks to keep people safe had gaps and missing signatures in their records."

Other issues included staff being asked to carry out observations for hours without a break, ligature risks not being identified and unsafe management of medicines.

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Source: BBC News, 18 January 2025

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Roof leaks and derelict buildings at hospitals with most empty space

More than 10,000 square metres of hospital space is being left vacant across some of England’s largest hospitals because of disrepair and decay.

HSJ asked the 15 acute hospitals with the most empty space what areas were vacant and why.

The analysis reveals for the first time why so much space is going unused in the worst-affected hospitals.

Leeds Teaching Hospitals Trust said entire floors of a wing were closed at Leeds General Infirmary because of a faulty roof. The site has the most vacant space of any nationally.

The trust said the 9,500 square metres of unused space at Leeds General Infirmary — 5% of its footprint — included two floors of the Brotherton Wing that previously housed outpatient services.

It said the integrity of the original roof had failed and led to water ingress, with the top floor shut for 10 years, and the one below closed more recently due to leaks.

LTH’s other major hospital, St James’ University Hospital, has a further 3,200sqm vacant because it is “not suitable for modern healthcare”.

Craige Richardson, director of estates and facilities, said the trust had closed some of its worst-impacted areas and relocated clinical services, but added this was “not sustainable”.

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Source: HSJ, 20 January 2025

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‘Fragile’ IT blamed for critical incidents and patient harm

Outdated clinical IT systems at a large Midlands hospital trust are harming patients and causing delayed diagnoses and cancelled appointments, its CEO has admitted.

University Hospitals of North Midlands Trust’s chief executive Simon Constable warned the trust was continuing to experience “significant challenges with our digital clinical systems” and described an “excessive number of ‘priority 1’ [serious] incidents over the last 24 months.”

He said the incidents — linked to a long-term lack of funding for upgrades — had been escalated to the Stoke-On-Trent and Staffordshire Integrated Care Board and NHS England.

Mr Constable, who took over as CEO in the autumn, said the digital services team had worked to troubleshoot and create short-term fixes, but the trust’s systems were “highly complex and extremely fragile”, with one platform, called iPortal, more than a decade old and running on “unsupported code”.

He told the board: “As a result, we have experienced ongoing disruption, numerous periods of working in business continuity, and a loss of clinical confidence – all alongside significant winter pressures.” 

Mr Constable said at a “virtual risk summit” held last month about the issues, clinicians “described cancelled appointments, delayed discharges, diagnosis and treatment, staff impact and potential harm”. He said the trust’s business case for a new electronic patient record system had been updated to include the current high risk. 

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Source: HSJ, 20 January 2025

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Where is the flu surging across the US? Hospitals restrict access as cases spike

U.S. hospitals are feeling the strain of this flu season, with many announcing visitor restrictions as cases remain elevated nationwide.

Minnesota hospitals are leaning on triage systems to deal with the influx of patients and hospitals in North Carolina and South Carolina have prohibited visits from children and teenagers.

Hospital visitors in Indiana have been strongly encouraged to wear face masks, and Washington state health officials reported that local emergency departments are seeing five times the threshold of flu visits that would alert officials to increased transmission.

The latest data from federal health officials estimates that there have been at least 9.1 million illnesses and 110,000 hospitalizations thus far this flu season. Emergency room visits are now very high.

There have also been 4,700 deaths, including 16 children who have died.

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Source: The Independent, 17 January 2025

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My treatment was delayed so long I got cancer – and there are tens of thousands like me

Delays in NHS care have led to almost 40,000 compensation claims since 2010, costing more than £8bn

Sharni Marks endured multiple rounds of chemotherapy, leaving her weak and sick. She has lost her hair and her nails and suffers painful mouth ulcers. Now doctors have told her that her cancer treatment has probably made her infertile and she might need a hysterectomy.

All this was avoidable.

Marks, 31, was diagnosed with cancer last March after waiting more than a year and a half for the double mastectomy meant to reduce her risk of getting the disease.

The NHS has now accepted in a letter to her GP that her cancer developed during her long time on the waiting list. She is not alone.

Since 2010, there have been almost 40,000 compensation claims for injury and deaths caused by delays in care, costing more than £8.3 billion — enough to build 15 hospitals the size of the Queen Elizabeth Hospital in Birmingham.

The data comes from NHS Resolution, which handles compensation claims against the health service, and includes routine surgery and emergency care. The 39,686 successful compensation claims over the past 15 years are attributed to one of eight categories of delay such as surgery or diagnosis. Delay in treatment was the single largest category, costing the NHS £3.9 billion for 19,199 cases. Delays in diagnosis was the next biggest group at 16,164 claims, worth a total of £3.4 billion.

The government has been repeatedly warned about patients coming to harm from long waits. Coroners in England and Wales sent at least 192 warnings about the issue by the end of 2024, up from 62 in 2013.

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Source: The Times, 19 January 2025

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Cervical screening knowledge gap 'costing lives'

A knowledge gap around cervical screenings is currently "costing lives", a cancer charity says.

The Eve Appeal says more women need to know they can ask for adjustments to their cervical screenings, which can be painful, uncomfortable or distressing for some.

The test is thought to save about 5,000 lives every year in the UK, but many women do not get tested.

Research commissioned by the charity suggests most women do not know they can make the test easier by asking for longer appointments, smaller speculums, or move to more comfortable positions.

According to latest NHS England data, more than five million eligible women are not up to date , external with their routine screening, with the lowest uptake being among women aged between 25 and 29 (58%).

Eve Appeal chief executive Athena Lamnisos said this was "worrying" and that any barriers people experience around the screenings could be "easily overcome".

"There are really simple, straightforward things that you can ask for that patients just aren't aware of....basically, you can take control."

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Source: BBC News, 20 January 2025

Further reading on the hub:

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NHS trusts warned that ‘legacy debt’ could pose patient safety risk

Clinical safety officers (CSOs) have warned that patient safety could be put at risk by healthcare organisations’ historical failure to comply with digital clinical safety standards.

The Digital Health Networks CSO Council has issued an advisory statement for NHS trusts and integrated care boards about the potential consequences of not completing tasks such as hazard logging and safety case reporting for software.

It follows a BBC investigation, published in May 2024, which found 126 instances of serious harm linked to IT issues across 31 trusts, including three patient deaths. 

“There will be a lot of trusts which have this ‘legacy debt’ of systems that they have had for many years, where they either haven’t asked the manufacturer for their side of the deal (which is required under DCB 0129) or they haven’t done their side of the deal in house (which is required under DCB 0160),” said Faye Clough, lead clinical safety engineer and CSO at Northumbria Healthcare NHS Foundation Trust.

She told Digital Health News that this could lead to “patient safety incidents, reports of IT incidents, IT errors, and the reputational damage that could come out of that for trusts”.

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Source: Digital Health News, 20 January 2025

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'I fear I'll die on hospital waiting list'

A man fears he will die before he reaches the top of a year-long waiting list to see a heart specialist.

John Crockford, 77, from Bridlington in East Yorkshire, has a history of cardiac problems and suffered three heart attacks in 2022.

He has had four stents fitted to open blocked arteries but said he had become so unwell he suspects another is needed.

York and Scarborough Teaching Hospitals NHS Foundation Trust said its patients were "prioritised by doctors according to clinical need", but recognised some were waiting longer than it would like.

Mr Crockford said he asked his GP practice to refer him to a cardiologist at Scarborough Hospital before Christmas, when he started to feel so breathless he was unable to do any physical activity.

The retired foster carer and retail worker said his symptoms were the same as those he experienced before previous operations to fit a stent.

Mr Crockford needs a scan to establish if the procedure is needed, but said he was alarmed when he received a letter from the hospital stating "patients are waiting up to 52 weeks" for their cardiology appointments.

He said: "That's before I can go and see a cardiologist, let alone have the scan.

"I don't know whether I'm going to snuff it before I get this year over, because all the time they're not doing it, these arteries are getting clogged up."

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Source: BBC News, 20 January 2025

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Top A&E doctors criticise ‘dangerous’ suggestion that corridor care can be delivered safely

Top emergency doctors have criticised a new guide on how to treat patients in corridors, warning it is “normalising the dangerous”.

New guidance produced by NHS England in September on how to provide “safe and good quality care” in “temporary” spaces.

The Royal College of Emergency Medicine (RCEM) has denounced the guide as “nonsensical” and “out of touch”, saying that it is “not possible to provide safe and good quality care” in corridors and cupboards in a new position statement.

While acknowledging that corridor care is “not acceptable”, the guidance says hospitals are having to use temporary spaces more regularly - and use is no longer “in extremis”. It advises staff on how they can deliver the “safest, most effective and highest quality care possible” in such circumstances.

The RCEM’s new statement on the guidance said: “Advice from arm’s length bodies that appear out of touch with what is happening in our departments was always going to be poorly received.”

Using corridors will result in long emergency department waits which are “associated with measurable harm to patients”, it said.

Use of corridors will lead to long waits in emergency departments which is “associated with measurable harm to patients”, it added.

Patient dignity and privacy is “not maintained” when they are cared for in corridors, with sleep “difficult, if not impossible” and unfeasible circumstances for maintaining patient confidentiality.

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Source: The Independent, 16 December 2024

Related reading on the hub:

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Hospital advertises for ‘corridor care’ nurses to ease NHS crisis

A hospital is recruiting nurses to work 12-hour shifts in its corridors caring for sick patients stuck waiting for a bed.
In a sign of the deepening capacity crisis facing the health service, Whittington Hospital in Archway, north London, posted several adverts for registered nurses last week where the role was specifically described as “corridor care” or for a “corridor RN”.

Across the country, doctors and nurses have reported NHS trusts installing power sockets and oxygen lines in corridor walls, in anticipation of large numbers of patients needing to be stacked there on trolleys while they wait for a bed.
Professor Nicola Ranger, head of the Royal College of Nursing, said: “Recruiting tired nurses to do extra shifts solely in corridors is desperate. It shows just how normalised this practice has become.

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Source: Telegraph, 11 January 2025

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Death risk doubles for long A&E waits

Patients who spent more than 12 hours in A&E were twice as likely to die within 30 days as those treated, transferred or discharged within two hours, a landmark study has found.

From April to December this year there have been over 1.2 million instances of patients spending 12 hours or longer in A&E – a 19% rise on the same period the year before. Twelve-hour waits from arrival were relatively rare until recent years, and data was not previously published by NHSE.

The study revealed that, for patients who spent 12 hours or more in the department, the risk of post-discharge death was 2.1 times higher than those who spent two hours or less.

Mortality was 1.9 times higher for those who spent nine hours in A&E, 1.6 times for those who spent six hours, and 1.1 times for three hour stays, the ONS found.

The study also discovered the risk of death after 12 hours stays was greatest for older patients, those in the North East of England, those who presented with airway and breathing difficulties, and those who were admitted to inpatient care. 

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Source: HSJ, 17 January 2025

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