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Whitworth Road/St Mary's Gate Junction: Procede with care 01:45 - Nov 22 with 17810 viewsDaley_Lama

Hi all

There have been two accidents at this junction the last two nights, both at approx 22:00

I perceive the following as the reason for both accidents, said without seeing either but asking about the cause of both.

If you are heading from Littleborough and wish to turn right onto Whitworth Road, there is a new filter lane but no filter light.

When the traffic from John St and Whitworth Road have had their turn, it is St Mary's Gates turn.

Traffic heading from Asda to Littleborough get a green light first.
15 seconds later traffic heading from Littleborough to Asda get a green light.

There is no filter light for the right turn onto Whitworth Road. They simply see a green light.

The lights heading from Asda to Littleborough however are still fully on green.

With no filter light cars heading from Littleborough turning onto Whitworth Road naturally do green for go and if a car is coming the other way - accident.

I don't think this presents much of an issue at day time as the weight of traffic along St Mary's gate means cars don't simply proceed

At 22:00 the traffic flow is different. There's little initial queueing traffic and cars are simply travelling at 40 with a green light ploughing into a car turning across them with a perceived green light.

If nothing else, please advise those you know to proceed with care. It's a BIG accident waiting to happen, the one I saw tonight had police, ambulance and fire engines but from what I saw nothing terminal.


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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:31 - Nov 27 with 1574 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:14 - Nov 27 by mingthemerciless

You talk a lot of sense there. Access to the facilities at Oldham are chaotic. The hospital has been allowed to out grow the site. Best not say too much though. Just shut up and accept what your betters have planned for you.


If you accept people as betters? Except I know you don't.

So you, rochdaleriddler and pioneer among others with a left wing agenda still won't accept that the increase in survival rates of major trauma are due to a concentration of specialists who deal with such cases day in day out, despite someone with over 35 years experience in the NHS in several different divisions putting the blunt truth in front of you?

The same applies to survival from myocardial infarction (heart attack). Patients are taken straight to MRI now for specialist treatment which is always available, rather than being sat on a trolley in A&E in Rochdale whilst a heart specialist gets out of bed at 6am in the morning (when a lot of heart attacks occur) and drives bleary-eyed into work then finds his inexperienced juniors haven't even provided the basic treatment (thrombolysis) because they can't read an ECG properly.

Do you want any more examples, or are your blinkers still firmly in place?

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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:40 - Nov 27 with 1545 viewspioneer

Whitworth Road/St Mary's Gate Junction: Procede with care on 12:37 - Nov 27 by D_Alien

I just knew someone with a left wing agenda would post something like this.

Sure, if you wanted every former district general hospital to have a full A&E, staffed with all the attendant facilities for dealing with every type of major trauma, with huge amounts of land available for all of the above and the type of environment that top notch specialists would thrive in from a career point of view - lets just put the basic rate of tax up to 35-40% for everyone, because that's the type of increase we'd be talking about to fund such facilities in every locality. BUT EVEN THEN the top notch specialists wouldn't take up those posts. Why not?

Because top notch specialists, or those seeking to become the best they can be, need to be dealing with dozens, if not hundreds of cases involving different problems/conditions every year to learn what they need to know, and to keep those skills updated. A place like Rochdale simply wouldn't have enough throughput of patients with specific injuries to enable them to do that.

If you want to be treated following a major accident resulting in multiple injuries by someone who's never seen those type of injuries before, or it was more than 12 months ago when they did, then fine, just continue with your blinkered left wing agenda.

As stated before, your chances of surviving a major trauma are now greater than ever before, because the best specialists are concentrated together. The time it takes to deliver you there by ambulance is insignificant in terms of survival rate - in fact, it allows the team at the hospital to be prepared for your arrival. Yes, it's inconvenient for relatives to visit, but at least they won't be visiting a cemetery instead.

[Post edited 27 Nov 2015 12:39]


Why does someone who wants to question anything you type have to be labelled as having a 'left wing agenda'?

You said funded positions were not being filled - surely if we don't need those positions (which seems to be what you are suggesting because regionalised centres of excellence in your view do a better job) in the new model of A&E they shouldn't be funded.

Since everyone who disagrees with or questions your position is labelled as left wing I am amazed the labour party wasn't returned to office with a record majority.

Do you think you could limit your many contributions to debating issues and avoid name calling and labelling?

I couldn't give a toss about your political leanings. But I strongly disagree with your diagnosis of the problems of the NHS.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:41 - Nov 27 with 1542 viewsisitme

Don't let the facts get in the way of a good political rant.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:44 - Nov 27 with 1533 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:40 - Nov 27 by pioneer

Why does someone who wants to question anything you type have to be labelled as having a 'left wing agenda'?

You said funded positions were not being filled - surely if we don't need those positions (which seems to be what you are suggesting because regionalised centres of excellence in your view do a better job) in the new model of A&E they shouldn't be funded.

Since everyone who disagrees with or questions your position is labelled as left wing I am amazed the labour party wasn't returned to office with a record majority.

Do you think you could limit your many contributions to debating issues and avoid name calling and labelling?

I couldn't give a toss about your political leanings. But I strongly disagree with your diagnosis of the problems of the NHS.


Why?

"As always with the NHS thepopuation are being told what is good for them by the provider elites who have a vested interest."

That's a left wing agenda, rather than being conversant with the facts.

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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:45 - Nov 27 with 1519 viewsmingthemerciless

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:31 - Nov 27 by D_Alien

If you accept people as betters? Except I know you don't.

So you, rochdaleriddler and pioneer among others with a left wing agenda still won't accept that the increase in survival rates of major trauma are due to a concentration of specialists who deal with such cases day in day out, despite someone with over 35 years experience in the NHS in several different divisions putting the blunt truth in front of you?

The same applies to survival from myocardial infarction (heart attack). Patients are taken straight to MRI now for specialist treatment which is always available, rather than being sat on a trolley in A&E in Rochdale whilst a heart specialist gets out of bed at 6am in the morning (when a lot of heart attacks occur) and drives bleary-eyed into work then finds his inexperienced juniors haven't even provided the basic treatment (thrombolysis) because they can't read an ECG properly.

Do you want any more examples, or are your blinkers still firmly in place?


That's if you can get there in time. I wouldn't have liked to try to even get across town whilst the roadworks referred to earlier were on going. I wouldn't have fancied my chances after a heart attack then. I takes me 30 minutes to walk to work, maybe two miles. My wife decided to drive me one day as I'd got a sore foot. It took her 25 minutes, to get there and 25 minutes to get back.

I accept what you're saying in principle but I do think in this area mistakes have been made. Rochdale in particular has drawn the short straw once more.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:50 - Nov 27 with 1494 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:45 - Nov 27 by mingthemerciless

That's if you can get there in time. I wouldn't have liked to try to even get across town whilst the roadworks referred to earlier were on going. I wouldn't have fancied my chances after a heart attack then. I takes me 30 minutes to walk to work, maybe two miles. My wife decided to drive me one day as I'd got a sore foot. It took her 25 minutes, to get there and 25 minutes to get back.

I accept what you're saying in principle but I do think in this area mistakes have been made. Rochdale in particular has drawn the short straw once more.


I've been involved in the collation of data from Pennine Acute for patients with MI which contributed to national studies, and the overwhelming evidence from hundreds of thousands of cases was that specialist treatment (known as PCI) at a dedicated centre improves survival rates - and not just marginally, but by a huge margin. And not just survival rates, but long term survival with increased quality of life.

Ignore the evidence, in favour of parochialism, at your peril.

[Post edited 27 Nov 2015 16:51]

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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:53 - Nov 27 with 1486 viewspioneer

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:44 - Nov 27 by D_Alien

Why?

"As always with the NHS thepopuation are being told what is good for them by the provider elites who have a vested interest."

That's a left wing agenda, rather than being conversant with the facts.


What is left wing about it? The NHS is an organisation funded by the population (you might say they are the shareholders) but unlike other organisations the shareholders have little if any voice in the decisions for example to regionalise A&E. If the population want to have more localised A&E services given the best information available why should the provider elites be able to stop that happening.

I suspect its more about providers wanting to work in regional centres of excellence because that gives them access to the high tech toys.

I think it was Margaret Thatcher who set out to crush the hegemony of the professional elites . . . no doubt another left winger in your mind.

By the way - could you declare your interest in this debate - do you draw your income from the NHS? I don't.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 16:59 - Nov 27 with 1473 viewsdeeplishblue

Sorry for mentioning the infirmary.....

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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:01 - Nov 27 with 1471 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:53 - Nov 27 by pioneer

What is left wing about it? The NHS is an organisation funded by the population (you might say they are the shareholders) but unlike other organisations the shareholders have little if any voice in the decisions for example to regionalise A&E. If the population want to have more localised A&E services given the best information available why should the provider elites be able to stop that happening.

I suspect its more about providers wanting to work in regional centres of excellence because that gives them access to the high tech toys.

I think it was Margaret Thatcher who set out to crush the hegemony of the professional elites . . . no doubt another left winger in your mind.

By the way - could you declare your interest in this debate - do you draw your income from the NHS? I don't.


I'm happy to declare my interest, but it's not what you'd call vested.

I've had a decent career in the NHS, making a reasonable living but always with the view that the only thing that matters is for patients and their relatives to be enabled to receive the best treatment we can possibly deliver. Of course, the NHS isn't always able to live up to that standard, but I've said before on here that healthcare is one of the most complex aspects of modern life, and that's reflected in the increasing specialisms where top consultants can only keep up with a smaller area of specialist knowledge and expertise as the body (if you'll excuse the pun) of medical evidence increases.

Therefore, the need to have specialists concentrated together has got f*ck all to do with your beloved provider elites and a great deal to do with common sense in increasing the survivability of major illnesses and trauma.

[Post edited 27 Nov 2015 17:03]

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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:17 - Nov 27 with 1440 viewspioneer

Whitworth Road/St Mary's Gate Junction: Procede with care on 17:01 - Nov 27 by D_Alien

I'm happy to declare my interest, but it's not what you'd call vested.

I've had a decent career in the NHS, making a reasonable living but always with the view that the only thing that matters is for patients and their relatives to be enabled to receive the best treatment we can possibly deliver. Of course, the NHS isn't always able to live up to that standard, but I've said before on here that healthcare is one of the most complex aspects of modern life, and that's reflected in the increasing specialisms where top consultants can only keep up with a smaller area of specialist knowledge and expertise as the body (if you'll excuse the pun) of medical evidence increases.

Therefore, the need to have specialists concentrated together has got f*ck all to do with your beloved provider elites and a great deal to do with common sense in increasing the survivability of major illnesses and trauma.

[Post edited 27 Nov 2015 17:03]


Well thats cleared that up then, even if your success in avoiding labelling for once was accompanied by your failure to engage in debates free of abusive language.

Your patients must love you - particular the ones who might not agree with what you see as in their best interests - but I expect you label them as left wingers anyway.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:23 - Nov 27 with 1430 viewsnumber30

Whitworth Road/St Mary's Gate Junction: Procede with care on 11:55 - Nov 27 by roccydaleian

Can't believe that about ambulance crews, can you be more specific please.


when an ambulance attends any patient, whether in Rochdale or any area, they no longer automatically take people to hospital. After assessment, if the patient fits within certain criteria then instead of going to A&E the patient is offered referral to an alternative healthcare provider. This could be a GP, or where one is available as in Rochdale, an Urgent Care Centre.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:27 - Nov 27 with 1426 viewsnumber30

Whitworth Road/St Mary's Gate Junction: Procede with care on 11:51 - Nov 27 by roccydaleian

This doesn't make sense, please explain.


for a patient to be suitable to be taken to RI, the patient must be able to mobilise as they normally would be able to
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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:33 - Nov 27 with 1419 viewsnumber30

Whitworth Road/St Mary's Gate Junction: Procede with care on 11:49 - Nov 27 by roccydaleian

Incorrect about Ri patients needing surgical/trauma and medical issues going to Fairfield, they all now go to Oldham.They will be assessed in A&E and then a decision made where to admit.Oldham has orthopaedic trauma ward and emergency surgery.If the hospital is full then patients may be sent to NMGH if beds are available there.


Adult medical patients in the Rochdale area who would have gone to RI when it was an A&E should be taken to Fairfield not Oldham.
Minor trauma can also go to Fairfield (eg lacerations requiring sutures, strains/sprains).
You are correct about the surgical aspect, but that is not always an easy call on scene if a patient MAY need surgery. And the more serious trauma also should go to Oldham but like I said all adult medical,minor trauma etc should go to Fairfield and not Oldham
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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:35 - Nov 27 with 1418 viewsrochdaleriddler

Whitworth Road/St Mary's Gate Junction: Procede with care on 17:17 - Nov 27 by pioneer

Well thats cleared that up then, even if your success in avoiding labelling for once was accompanied by your failure to engage in debates free of abusive language.

Your patients must love you - particular the ones who might not agree with what you see as in their best interests - but I expect you label them as left wingers anyway.


yes the abuse is never far away, the man is always right. so you crunch numbers? you are not a senior medic then?, You didn't address the point about oldham royal not being able to cope. you wouldn't need to sit in a and e with a heart attack, even when birch hill was open patients who weren't old got sent straight to ccu. oldpeople were sent to die at the infirmary. I too have many years experience of the NHS, and was involved in the community health council for a long time

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Whitworth Road/St Mary's Gate Junction: Procede with care on 17:42 - Nov 27 with 1409 viewsnumber30

Whitworth Road/St Mary's Gate Junction: Procede with care on 16:50 - Nov 27 by D_Alien

I've been involved in the collation of data from Pennine Acute for patients with MI which contributed to national studies, and the overwhelming evidence from hundreds of thousands of cases was that specialist treatment (known as PCI) at a dedicated centre improves survival rates - and not just marginally, but by a huge margin. And not just survival rates, but long term survival with increased quality of life.

Ignore the evidence, in favour of parochialism, at your peril.

[Post edited 27 Nov 2015 16:51]


That is completely correct. Previously people suffering from an MI (heart attack) went to the local A&E for thrombolisation (a drug to break up the clot/blockage) but now if the patients ECG is indicative of an acute MI then the patient goes direct to a cardiac centre. Even though it may take longer to get to the specialist centre, the survival rates and prognosis is massively greater.
This is also why the major trauma network was set up. Getting the specialist trauma treatment, even if it takes longer to get there, increases survival rates drastically
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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:09 - Nov 27 with 1365 viewsroccydaleian

Whitworth Road/St Mary's Gate Junction: Procede with care on 17:33 - Nov 27 by number30

Adult medical patients in the Rochdale area who would have gone to RI when it was an A&E should be taken to Fairfield not Oldham.
Minor trauma can also go to Fairfield (eg lacerations requiring sutures, strains/sprains).
You are correct about the surgical aspect, but that is not always an easy call on scene if a patient MAY need surgery. And the more serious trauma also should go to Oldham but like I said all adult medical,minor trauma etc should go to Fairfield and not Oldham


You're wrong pal. Bury patients go to Fairfield or NMGH .Rochdale patients go to Oldham.There are a few circumstances when this may not be the case but minor traumas are also transferred to Oldham and the medical wards at Oldham,including their coronary care unit always seem pretty busy and do include Rochdale patients.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:15 - Nov 27 with 1354 viewsmingthemerciless

The case that upset me the most was the one reported in the Rochdale Observer a while ago. A guy had a heart attack and the ambulance was called. He wife had two kids to look after and no immediate family in the area. The ambulance left without her to take him to Fairfield.

She finally got someone to look after her kids and set off walking to Fairfield because she couldn't afford a taxi !

Eventually, when she got to Fairfield she found out her husband had died.

2015 ? Charles Dickens would have a field day.
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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:20 - Nov 27 with 1345 viewsnumber30

Whitworth Road/St Mary's Gate Junction: Procede with care on 18:09 - Nov 27 by roccydaleian

You're wrong pal. Bury patients go to Fairfield or NMGH .Rochdale patients go to Oldham.There are a few circumstances when this may not be the case but minor traumas are also transferred to Oldham and the medical wards at Oldham,including their coronary care unit always seem pretty busy and do include Rochdale patients.


Sorry Roccy but I'm not. Adult medical should be taken to Fairfield by ambulance as per the Pennine Acute Trust/ambulance policy and not Oldham if the patient would normally have gone to RI when an A&E (there can be some discretion by the crew if the patient requests Oldham or an alternative hospital to FGHO). This also includes cardiac patients who do not fulfill the criteria for PCI. RI UCC refer ALL non PCI cardiac patients to FGHO
Trauma eliciting a "Red" pathway goes to Oldham but "Amber" can go to FGHO, and can go to RI UCC
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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:23 - Nov 27 with 1343 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 17:17 - Nov 27 by pioneer

Well thats cleared that up then, even if your success in avoiding labelling for once was accompanied by your failure to engage in debates free of abusive language.

Your patients must love you - particular the ones who might not agree with what you see as in their best interests - but I expect you label them as left wingers anyway.


If you think my language is abusive, you should hear a bunch of senior medics when they get together.

For chrissake man, start living in the real world. Accusing me of using so-called "abusive" language is pretty pathetic by any standards.

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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:23 - Nov 27 with 1343 viewsSuddenLad

I was taken suddenly and quite seriously ill earlier this year and took myself to the UGC at Rochdale Infirmary. I was seen within minutes, stabilised, a variety of blood tests were taken, ECG, etc, etc and after 3 hours I was transferrred to Fairfield hospital by Ambulance.

I made a full and quick recovery. I have absolutely no doubts that the system in place works and works well.

The horror stories we were promised when the changes took place seem to be a complete myth.

“It is easier to fool people, than to convince them that they have been fooled”

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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:34 - Nov 27 with 1329 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 17:35 - Nov 27 by rochdaleriddler

yes the abuse is never far away, the man is always right. so you crunch numbers? you are not a senior medic then?, You didn't address the point about oldham royal not being able to cope. you wouldn't need to sit in a and e with a heart attack, even when birch hill was open patients who weren't old got sent straight to ccu. oldpeople were sent to die at the infirmary. I too have many years experience of the NHS, and was involved in the community health council for a long time


The "abuse" as you call it, is concomitant with having explained the facts and then posters allowing their political prejudice to blind them to those facts.

There is no such thing in the NHS as a "number cruncher" - or any other organisation for that matter. It really does show how ignorant you are. #abuse

I really don't need to explain myself to you or anyone else but as it happens I've worked on the front line - have you ever shovelled shit? - and also in management roles working alongside clinicians at every level to provide the information they need to deliver the best quality of care possible. The reason I was successful and trusted at every level is because I know what the pressures are, I talk their language, I don't give them any bullshit if the standards aren't being delivered and because I f*cking well care. Is that OK?

So you can stuff your political shite up your jacksie. #abuse

As for patients being sent straight to CCU at BHH, the survival rates are far higher now due to improvements in the system. For someone who's worked in the NHS you should know that. And as for circumstances at ROH A&E, there's been a 20% increase in numbers attending over the past two years alone, often with quite trivial complaints. More than 90% are treated within the 4 hours, which is a fabulous achievement by any standards compared to how things used to be, and anyone who needs seeing more quickly will be.
[Post edited 27 Nov 2015 18:42]

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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:46 - Nov 27 with 1309 viewsSuddenLad

Whitworth Road/St Mary's Gate Junction: Procede with care on 18:15 - Nov 27 by mingthemerciless

The case that upset me the most was the one reported in the Rochdale Observer a while ago. A guy had a heart attack and the ambulance was called. He wife had two kids to look after and no immediate family in the area. The ambulance left without her to take him to Fairfield.

She finally got someone to look after her kids and set off walking to Fairfield because she couldn't afford a taxi !

Eventually, when she got to Fairfield she found out her husband had died.

2015 ? Charles Dickens would have a field day.


The 'duty of care' of the Ambulance crew was wholly due to the patient, regardless of family circumstances.

It's sad that he passed away, but his wife & kids were very much a secondary consideration in the circumstances.

Priorities are absolutely vital and by taking hm as quickly as possible, they optimised his chances, however slight.

The side issues have nothing to do with the treatment of patients or the running of the NHS.

“It is easier to fool people, than to convince them that they have been fooled”

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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:49 - Nov 27 with 1305 viewspioneer

Whitworth Road/St Mary's Gate Junction: Procede with care on 18:34 - Nov 27 by D_Alien

The "abuse" as you call it, is concomitant with having explained the facts and then posters allowing their political prejudice to blind them to those facts.

There is no such thing in the NHS as a "number cruncher" - or any other organisation for that matter. It really does show how ignorant you are. #abuse

I really don't need to explain myself to you or anyone else but as it happens I've worked on the front line - have you ever shovelled shit? - and also in management roles working alongside clinicians at every level to provide the information they need to deliver the best quality of care possible. The reason I was successful and trusted at every level is because I know what the pressures are, I talk their language, I don't give them any bullshit if the standards aren't being delivered and because I f*cking well care. Is that OK?

So you can stuff your political shite up your jacksie. #abuse

As for patients being sent straight to CCU at BHH, the survival rates are far higher now due to improvements in the system. For someone who's worked in the NHS you should know that. And as for circumstances at ROH A&E, there's been a 20% increase in numbers attending over the past two years alone, often with quite trivial complaints. More than 90% are treated within the 4 hours, which is a fabulous achievement by any standards compared to how things used to be, and anyone who needs seeing more quickly will be.
[Post edited 27 Nov 2015 18:42]


Its becoming a lot clearer now - you don't treat patients, you 'worked alongside' those who treat patients. Part of the workforce not involved in direct patient care. So everything is a number to you. You take the results of clinical studies performed in highly controlled situations and tell clinicians this is what they should do in their non-controlled every day workloads. Difficult to see why we bother paying to put them through med school when you can tell them what they should be doing.

I hope those you 'worked alongside' never challenged you - I hate to think what those numbers (patients) would think about your interpersonal skills.

In fact I'd be worried that your tendency to abuse posters might be a symptom of a wider issue. Have you ever tried anger management? Or is that something for leftys?
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Whitworth Road/St Mary's Gate Junction: Procede with care on 18:55 - Nov 27 with 1298 viewsD_Alien

Whitworth Road/St Mary's Gate Junction: Procede with care on 18:49 - Nov 27 by pioneer

Its becoming a lot clearer now - you don't treat patients, you 'worked alongside' those who treat patients. Part of the workforce not involved in direct patient care. So everything is a number to you. You take the results of clinical studies performed in highly controlled situations and tell clinicians this is what they should do in their non-controlled every day workloads. Difficult to see why we bother paying to put them through med school when you can tell them what they should be doing.

I hope those you 'worked alongside' never challenged you - I hate to think what those numbers (patients) would think about your interpersonal skills.

In fact I'd be worried that your tendency to abuse posters might be a symptom of a wider issue. Have you ever tried anger management? Or is that something for leftys?


Did you not read the bit about front line work? The roles I undertook in the latter part of my career came about through a long and thorough grounding in direct patient care during the earlier part, in several specialties.

Look, you're out of your depth here. I've tried my best to explain the complexities and you're not even capable of reading what's been posted.

You wouldn't last two minutes in the same environment, so you can also stick your "anger management" point further up your jacksie as far as your duodenum. the only thing I get angry about is sheer bloody ignorance.

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Whitworth Road/St Mary's Gate Junction: Procede with care on 19:12 - Nov 27 with 1263 viewsroccydaleian

Whitworth Road/St Mary's Gate Junction: Procede with care on 18:20 - Nov 27 by number30

Sorry Roccy but I'm not. Adult medical should be taken to Fairfield by ambulance as per the Pennine Acute Trust/ambulance policy and not Oldham if the patient would normally have gone to RI when an A&E (there can be some discretion by the crew if the patient requests Oldham or an alternative hospital to FGHO). This also includes cardiac patients who do not fulfill the criteria for PCI. RI UCC refer ALL non PCI cardiac patients to FGHO
Trauma eliciting a "Red" pathway goes to Oldham but "Amber" can go to FGHO, and can go to RI UCC


Ok, we'll have to agree to disagree, and leave it at that..
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