Urgent care in North East London

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Summary of report content

Healthwatch Barking & Dagenham, Healthwatch City of London, Healthwatch Hackney, Healthwatch Havering, Healthwatch Newham, Healthwatch Redbridge, Healthwatch Tower Hamlets and Healthwatch Waltham Forest analysed the comments they received about access to urgent and emergency care for the period October 2021 and February 2023.  During this period they heard from 1,448 people.

Patient struggle to get urgent GP appointments. This results in diminished trust in their GP and more negative perception of surgeries.

Urgent care services such as A&E or Urgent Treatment Centres cannot deal with in-depth treatment of long-term conditions and cannot give specialist referrals. People who cannot get GP appointments remain without treatment until they experience a (possibly avoidable) acute episode.

Urgent Treatment Centres are often accessed after a call to 111. Despite patients understanding that they made an appointment through 111, they have to wait multiple hours. Patients say that UTCs are disorganised, reception staff are rude and the service is generally unsupportive.

Ambulances take a long time to arrive, but once they do arrive they provide a good, caring and efficient service.

People wait for a long time in A&E, often in very uncomfortable conditions Some patients report that their symptoms are not taken seriously.

Waiting for a hospital bed can take even longer, because of shortages- but once admitted, patients usually get reasonably good care.

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General details

Local Healthwatch
Healthwatch City of London
Healthwatch Barking And Dagenham
Healthwatch Tower Hamlets
Healthwatch Waltham Forest
Healthwatch Havering
Healthwatch Hackney
Healthwatch Redbridge
Healthwatch Newham
Publication date
Date evidence capture began
Date evidence capture finished
Key themes
Access to services
Booking appointments
Caring, kindness, respect and dignity
Integration of services and communication between professionals
Quality of treatment
Remote appointments and digital services
Service organisation, delivery, change and closure
Staffing - levels and training
Waiting times- punctuality and queuing on arrival

Methodology and approach

Was the work undertaken in partnership with another organisation?
No
Primary research method used
General feedback
If an Enter and View methodology was applied, was the visit announced or unannounced?
N/A

Details of health and care services included in the report

Details of health and care services included in the report
Ambulances and paramedics
Emergency department (inc A&E)
General Practice (GP)
NHS 111
Urgent primary care, including Urgent Treatment Centres, walk-in care, out of hours GP services, minor injury and treatment centres

Details of people who shared their views

Number of people who shared their views
1,448
Age group
25 to 49 years
50 to 64 years
65 to 79 years
80+ years
Gender
Women
Men
Ethnicity
Arab
Asian / Asian British: Bangladeshi
Asian / Asian British: Chinese
Asian / Asian British: Indian
Asian / Asian British: Pakistani
Asian / Asian British: Any other Asian / Asian British background
Black / Black British: African
Black / Black British: Caribbean
Black / Black British: Any other Black / Black British background
Mixed / Multiple ethnic groups: Asian and White
Mixed / Multiple ethnic groups: Black African and White
Mixed / Multiple ethnic groups: Black Caribbean and White
Mixed / Multiple ethnic groups: Any other Mixed / Multiple ethnic groups background
White: British / English / Northern Irish / Scottish / Welsh
White: Irish
White: Gypsy, Traveller or Irish Traveller
White: Roma
White: Any other White background
Any other ethnic group
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