‘Banning drunks from A&E would create more problems’ say hospital staff

‘Banning drunks from A&E would create more problems’ say hospital staff

‘Banning drunks from A&E would create more problems’ say hospital staff

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EMERGENCY service staff at Bournemouth and Poole hospitals say alcohol is a big issue for A&E but a plan to banish drunks could cause more problems than it solves.

It follows calls to set up US-style “sobering stations” where drunks can sleep it off so staff can concentrate on patients who are in genuine need.

But emergency department consultant, Dr Peter Swallow, based at the Royal Bournemouth Hospital, said it wasn’t a new idea.

“It has been around for many years and has been piloted in some places around the UK with some success.

“But although potentially there is a lot to gain, there is also a lot to lose.”

But Dr Swallow warned that brain injuries could be missed by untrained staff who assumed that patients were drunk.

“Although it is a good concept these ideas don’t usually get the resources and staffing they require to be done safely.”

Dr Swallow who has worked in the service for around 10 years, agreed that alcohol was a big problem.

“The crisis in emergency care has been a topic of discussion for years and it’s not getting any better.

“Attendances went up by 7.5 per cent last year, but this isn’t a Bournemouth-specific problem, it is a national issue.

“Part of the problem is that ED departments are struggling to recruit. The government has tried various schemes to divert people away from ED but it has not been successful and our attendances have continued to go up.

“There is recognition that at some stage over the next few years something has to change and we need to start by making the service more attractive to junior doctors.”

Alcohol problem is getting worse

Dr Brian Lockey, consultant in emergency medicine at Poole Hospital, agreed that alcohol is a persistent problem for emergency departments and is getting worse due to binge drinking.

“However, the issue has not reached a crisis point for Poole Hospital, except during times such as New Year celebrations. “Prevention is key to improving the situation, including greater education for children about the dangers of binge drinking and being ‘pre-loaded’ and then going out to get drunk.

“We take this issue very seriously here and provide support to patients through our alcohol care and treatment service (ACTS) which provides appropriate treatment and information for any individual experiencing an alcohol problem, and carries out alcohol assessments on any patients over 18 years old where alcohol has contributed to their admission to hospital.

Comments (14)

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8:29am Fri 20 Jun 14

Townee says...

Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.
Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time. Townee
  • Score: 20

9:41am Fri 20 Jun 14

raynad says...

I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up?
I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up? raynad
  • Score: 27

10:18am Fri 20 Jun 14

Peroni says...

Townee wrote:
Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.
Maybe you would like to see a charge for people with smoking related problems or over eating related problems ,most people pay into a system that treats people's needs as and when needed. Some never need the system .
But alas some do ,some have mental health problems as well ,you want to charge all these people ?
What ever the problems that people have ,some see drink as a crutch to lean on and can cause catastrophic damage under this influence ,but who are you to judge ?
[quote][p][bold]Townee[/bold] wrote: Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.[/p][/quote]Maybe you would like to see a charge for people with smoking related problems or over eating related problems ,most people pay into a system that treats people's needs as and when needed. Some never need the system . But alas some do ,some have mental health problems as well ,you want to charge all these people ? What ever the problems that people have ,some see drink as a crutch to lean on and can cause catastrophic damage under this influence ,but who are you to judge ? Peroni
  • Score: -8

12:25pm Fri 20 Jun 14

Sir Beachy Head says...

I've never been to a hospital though booze consumption. Although I have had gout a couple of times and had to get some arcoxia 120mg pills from the doc to fix it. I'm trying to cut down to around 100 units s week now.
I've never been to a hospital though booze consumption. Although I have had gout a couple of times and had to get some arcoxia 120mg pills from the doc to fix it. I'm trying to cut down to around 100 units s week now. Sir Beachy Head
  • Score: 1

12:30pm Fri 20 Jun 14

rozmister says...

raynad wrote:
I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up?
I would hope that parents would come to clear up their children's sick but plenty of young kids these days don't have parents that have the time or inclination to come. I was hospitalised as a teenager (not for drinking) and I didn't have contact with my parents to call them, what would happen to kids like that?
[quote][p][bold]raynad[/bold] wrote: I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up?[/p][/quote]I would hope that parents would come to clear up their children's sick but plenty of young kids these days don't have parents that have the time or inclination to come. I was hospitalised as a teenager (not for drinking) and I didn't have contact with my parents to call them, what would happen to kids like that? rozmister
  • Score: 0

12:57pm Fri 20 Jun 14

speedy231278 says...

Perhaps if they all died from alcohol poisoning the problem WOULD go away? ;-)
Perhaps if they all died from alcohol poisoning the problem WOULD go away? ;-) speedy231278
  • Score: 0

3:05pm Fri 20 Jun 14

Marty Caine UKIP says...

Drunks differ as much as sober people differ but when drunk people are less conscious of their current surroundings and accidents are more likely to happen. Where would they draw the line? If someone is in need of hospital treatment then they should not be refused it no matter what the circumstances are. Duty of care has to be the number one priority.
Drunks differ as much as sober people differ but when drunk people are less conscious of their current surroundings and accidents are more likely to happen. Where would they draw the line? If someone is in need of hospital treatment then they should not be refused it no matter what the circumstances are. Duty of care has to be the number one priority. Marty Caine UKIP
  • Score: 3

3:36pm Fri 20 Jun 14

breamoreboy says...

Townee wrote:
Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.
I agree, but to keep it fair you'd also have to charge smokers for their cancer treatment, sport(wo)men for their self inflicted injuries and so on and so forth.
[quote][p][bold]Townee[/bold] wrote: Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.[/p][/quote]I agree, but to keep it fair you'd also have to charge smokers for their cancer treatment, sport(wo)men for their self inflicted injuries and so on and so forth. breamoreboy
  • Score: 2

4:17pm Fri 20 Jun 14

Hessenford says...

Peroni wrote:
Townee wrote:
Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.
Maybe you would like to see a charge for people with smoking related problems or over eating related problems ,most people pay into a system that treats people's needs as and when needed. Some never need the system .
But alas some do ,some have mental health problems as well ,you want to charge all these people ?
What ever the problems that people have ,some see drink as a crutch to lean on and can cause catastrophic damage under this influence ,but who are you to judge ?
The difference would be that smokers, or over eating problems do not cause these people to become violent when entering hospital, more often than not drunks who enter A/E become aggressive towards the staff because of the booze..
[quote][p][bold]Peroni[/bold] wrote: [quote][p][bold]Townee[/bold] wrote: Perhaps the drunks should get a bill for treatment, that might make them think next time. If not then double the bill for a second time.[/p][/quote]Maybe you would like to see a charge for people with smoking related problems or over eating related problems ,most people pay into a system that treats people's needs as and when needed. Some never need the system . But alas some do ,some have mental health problems as well ,you want to charge all these people ? What ever the problems that people have ,some see drink as a crutch to lean on and can cause catastrophic damage under this influence ,but who are you to judge ?[/p][/quote]The difference would be that smokers, or over eating problems do not cause these people to become violent when entering hospital, more often than not drunks who enter A/E become aggressive towards the staff because of the booze.. Hessenford
  • Score: 0

4:51pm Fri 20 Jun 14

Sir Beachy Head says...

Last year more pensioners were admitted to English hospitals for alcohol-related injuries and illnesses than 16 to 24-year-olds, according to the NHS Health and Information Centre.


http://www.telegraph
.co.uk/health/health
news/9526047/Minimum
-price-for-alcohol-w
ill-save-50000-pensi
oners.html
Last year more pensioners were admitted to English hospitals for alcohol-related injuries and illnesses than 16 to 24-year-olds, according to the NHS Health and Information Centre. http://www.telegraph .co.uk/health/health news/9526047/Minimum -price-for-alcohol-w ill-save-50000-pensi oners.html Sir Beachy Head
  • Score: 6

5:17pm Fri 20 Jun 14

bobthedestroyer says...

As per article sometimes people aren't drunk but have a brain trauma of some description. It has happened where they thought someone was drunk and subsequently died due to delay in treatment. This isn't fair on anyone.

Maybe two PCSOs should be stationed at every A&E (or specials) to show a visible deterrent to troublemakers and reassurance to others. They can call for assistance if they feel there will be trouble.

I also think anyone who causes physical abuse through drink or drugs until they make a formal apology.
As per article sometimes people aren't drunk but have a brain trauma of some description. It has happened where they thought someone was drunk and subsequently died due to delay in treatment. This isn't fair on anyone. Maybe two PCSOs should be stationed at every A&E (or specials) to show a visible deterrent to troublemakers and reassurance to others. They can call for assistance if they feel there will be trouble. I also think anyone who causes physical abuse through drink or drugs until they make a formal apology. bobthedestroyer
  • Score: 2

11:00pm Fri 20 Jun 14

Peroni says...

bobthedestroyer wrote:
As per article sometimes people aren't drunk but have a brain trauma of some description. It has happened where they thought someone was drunk and subsequently died due to delay in treatment. This isn't fair on anyone.

Maybe two PCSOs should be stationed at every A&E (or specials) to show a visible deterrent to troublemakers and reassurance to others. They can call for assistance if they feel there will be trouble.

I also think anyone who causes physical abuse through drink or drugs until they make a formal apology.
You obviously don't know what happens to people when they get older then, the hospitals are full,of older people with dementia and such ,these people should not be in hospital but in proper care homes .If you witness such behaviour from these (and I have ,and was total shocked ) you would understand.The nurses do a fantastic job ,all credit to them, The goverment should be ashamed that they don't put forward any pay rises .
People with drink related problems are casualties of life ,like all other problems.Who do you think you are to pick and choose who has treatment and not, I was shocked to the core when I see about 4 nurses dealing with a elderly gent .....who was spitting and hitting them, instant thoughts are leave him to his own devices .....but he had problems .
[quote][p][bold]bobthedestroyer[/bold] wrote: As per article sometimes people aren't drunk but have a brain trauma of some description. It has happened where they thought someone was drunk and subsequently died due to delay in treatment. This isn't fair on anyone. Maybe two PCSOs should be stationed at every A&E (or specials) to show a visible deterrent to troublemakers and reassurance to others. They can call for assistance if they feel there will be trouble. I also think anyone who causes physical abuse through drink or drugs until they make a formal apology.[/p][/quote]You obviously don't know what happens to people when they get older then, the hospitals are full,of older people with dementia and such ,these people should not be in hospital but in proper care homes .If you witness such behaviour from these (and I have ,and was total shocked ) you would understand.The nurses do a fantastic job ,all credit to them, The goverment should be ashamed that they don't put forward any pay rises . People with drink related problems are casualties of life ,like all other problems.Who do you think you are to pick and choose who has treatment and not, I was shocked to the core when I see about 4 nurses dealing with a elderly gent .....who was spitting and hitting them, instant thoughts are leave him to his own devices .....but he had problems . Peroni
  • Score: 1

1:12am Sat 21 Jun 14

raynad says...

rozmister wrote:
raynad wrote:
I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up?
I would hope that parents would come to clear up their children's sick but plenty of young kids these days don't have parents that have the time or inclination to come. I was hospitalised as a teenager (not for drinking) and I didn't have contact with my parents to call them, what would happen to kids like that?
We would look after them, as we do already. Rocket science it is not! Sorry but you are a bit silly.
[quote][p][bold]rozmister[/bold] wrote: [quote][p][bold]raynad[/bold] wrote: I work in the NHS and do see the bad side of alcohol most weekends but charging people just will not work, most of the patients could not afford to pay (even though they can afford the alcohol!) and many have no fixed abode, as for the younger drunks surely we have a law called drunk and disorderly which includes a fine! When I was a lad sure i got drunk but my parents looked after me and educated me on the effects of alcohol, maybe the parents could be called into A&E to clean the puke up?[/p][/quote]I would hope that parents would come to clear up their children's sick but plenty of young kids these days don't have parents that have the time or inclination to come. I was hospitalised as a teenager (not for drinking) and I didn't have contact with my parents to call them, what would happen to kids like that?[/p][/quote]We would look after them, as we do already. Rocket science it is not! Sorry but you are a bit silly. raynad
  • Score: 0

7:59am Sat 21 Jun 14

guisselle says...

I fully appreciate the nurses and Doctors at Poole hospital. I was looked after
extremely well and have no complaints. A&E diagnosed my illness and have
also had CT scan. The young radiographers were brilliant and even brought
me a nice cup of tea and biscuit after! Also my daughter's life was saved
after having her baby recently in Poole Maternity having been transferred
from Bournemouth.
I fully appreciate the nurses and Doctors at Poole hospital. I was looked after extremely well and have no complaints. A&E diagnosed my illness and have also had CT scan. The young radiographers were brilliant and even brought me a nice cup of tea and biscuit after! Also my daughter's life was saved after having her baby recently in Poole Maternity having been transferred from Bournemouth. guisselle
  • Score: 1

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