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The Guardian - UK
The Guardian - UK
Politics
Denis Campbell Health policy editor

‘Locked in a death spiral’: the state of the NHS at 75

Ambulances in London
Ambulances outside a hospital in London. Patients struggling to get urgent and emergency care is a key problem facing the NHS. Photograph: David Levene/The Guardian

Dr Nick Scriven can pinpoint the exact day he realised the NHS could no longer cope. “I first noticed it when I was on call on New Year’s Day 2012. We ran out of beds in our hospital. As a result medical patients had to occupy the beds in a surgical ward meant for people with broken bones waiting to have planned orthopaedic surgery.

“We’d always had ‘outliers’, the occasional medical patient who’d ended up in a surgical bed. But this was the first time cases like that had ended up taking over almost all the 30 beds on the orthopaedic ward. This went on for a month and was a massive stress for everyone as we’d never had to cope with this amount of patients being looked after elsewhere before.

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