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Naas Hospital Faces Trolley Crisis: 10 Patients Await Beds
Naas Hospital experienced meaningful strain today, with 10 patients admitted through the Accident adn Emergency (A&E) department forced to wait for beds on trolleys. This figure matches the number of patients on trolleys at St. james’s Hospital, highlighting a widespread issue within the Irish healthcare system.
The Broader Context of Hospital Overcrowding in Ireland
Hospital overcrowding is a recurring problem in Ireland, especially during the winter months. The irish Nurses and Midwives Organisation (INMO) regularly publishes trolley watch reports, revealing the extent of the issue. in October 2023, the INMO reported a national average of 43 patients on trolleys daily, a significant increase compared to the same period last year. This surge is attributed to a combination of factors, including increased demand, staffing shortages, and delays in discharging patients.
The impact of patients waiting on trolleys extends beyond discomfort. Studies have shown a correlation between prolonged trolley wait times and increased rates of hospital-acquired infections, medication errors, and even mortality. The INMO advocates for increased investment in hospital capacity, improved staffing levels, and streamlined discharge processes to alleviate the pressure on A&E departments.
Naas Hospital: Capacity and Recent Trends
Naas Hospital, a key regional hospital serving County Kildare, has a bed capacity of 147. While the hospital has undergone recent expansions,demand continues to outstrip available resources,especially during peak periods. Data from the Health Service Executive (HSE) shows a consistent increase in A&E presentations at Naas Hospital over the past five years.
| Year | Total A&E Presentations | average Daily presentations |
|---|---|---|
| 2018 | 24,500 | 67.1 |
| 2019 | 26,200 | 71.8 |
| 2020 | 22,800 | 62.5 (Impacted by COVID-19) |
| 2021 | 28,100 | 77.0 |
| 2022 | 30,500 | 83.6 |
| 2023 (YTD Oct) | 29,000 | 79.5 |
What Causes A&E Overcrowding?
Several interconnected factors contribute to A&E overcrowding:
- Increased Demand: An aging population and rising rates of chronic illness are driving increased demand for emergency care.
- Staffing Shortages: Recruitment and retention challenges within the healthcare sector lead to staffing shortages, particularly among nurses and doctors.
- Delayed Discharges: Difficulties in arranging appropriate care for patients awaiting discharge, such as home care packages or nursing home placements, contribute to bed blocking.
- Limited Access to Primary Care: Difficulties accessing timely appointments with GPs can lead patients to present at A&E for non-emergency conditions.
Resources and Further Facts
For more information on hospital overcrowding in ireland, please refer to the following resources:
