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Commissioners’ concern over increase in A&E demand at N&N

PUBLISHED: 17:28 22 July 2014 | UPDATED: 17:32 22 July 2014

Norfolk and Norwich University Hospital at Colney.

Norfolk and Norwich University Hospital at Colney.

Archant Norfolk Photographic © 2009

Fears have been raised that spending at Norfolk’s busiest Accident and Emergency department could be more than £2m over budget this year, if demand continues to exceed expectations.

The GP-led group in charge of NHS purse strings in the Norwich area today heard that A&E activity at the Norfolk and Norwich University Hospital was almost 9pc above plan during April and May.

Members of the Norwich Clinical Commissioning Group (CCG) heard that the increase in emergency admissions and attendances during the first two months of the 2014/15 financial year placed the group more than £200,000 over budget.

Jo Smithson, chief finance officer for the CCG said a “significant” increase in A&E activity at the N&N in May was “extremely worrying.”

Chris Price, chairman of the CCG, said GP services were under “incredible pressure” and some people may be going straight to A&E because they could not get an appointment to see their doctor or believed they could not get an appointment.

Chris Francis added that the increase in demand at A&E was an ongoing trend and CCGs needed to put NHS winter pressures money in place to halt the rise in admissions and attendances. He added that an urgent care unit - staffed by GPs and community health staff - needed to return to ease pressure on the front door. The unit was run as a three month pilot earlier this year.


  • The laughable attempts by this government to tinker with the problems the NHS is facing by replacing PCT's with CCG's hasn't and doesn't alter the fact that the NHS is facing meltdown. An ageing population, rising demand and inefficient and bloated management structure are all factors. However, the biggest factor of all is that the NHS in its present guise is unaffordable. Like it or not either taxation has to go up or charges must be brought in. Personally, I believe that charging patients for breaking a routine GP or hospital appointment is essential. Other countries charge for seeing your GP and I can't see any reason for not doing so in the UK. If people had to face a fee for non essential visits to A&E then the demand there would go down dramatically. I don't believe that increasing taxation will be a viable proposition as that isn't a disincentive to people who already waste time in GP surgeries and A&E departments. Something dramatic has to be done or we'll all suffer when the NHS collapses completely under the unrelenting strain it's under.

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    Thursday, July 24, 2014

  • Hurry up, Commissioner, and ensure that Broadland DC gets to know of your plans to build another hospital to the east of Norwich. What, you have not asked for a space to be reserved? what a pity, because the development of housing will come as soon as the inquiery has been shimmied and developers don't like to share space.

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    ingo wagenknecht

    Tuesday, July 22, 2014

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