NHS beds, an explainer

Under normal circumstances, most NHS acute hospitals will have several types of inpatient areas

1. Assessment unit
2. Specialty wards
3. Intensive care

As well as outpatients, emergency department, day case surgery etc.
Patients admitted from A&E would go to 1, then move to 2. Some might go directly to 2, sickest ones to 3.

In many hospitals, the assessment unit is vital to flow of patients out of Emergency Department.
With COVID, several blocks have been introduced. Firstly patients have to be treated as "hot" in 2m apart bed spaces until their test results are back. This reduces an average six bedded bay to four.
There are rapid tests that turn around in around an hour or two, but their availability is limited. PCR still takes up to 24 hours to get back (often quicker), and lateral flow in the population admitted to hospital isn't sensitive enough to pick up silent cases.
On top of which, specialty ward bed availability are limited. Because staff are coming down with COVID, and outbreaks on non-covid areas forces their closure to admissions.

As a result, there is then a backlog on the assessment unit, then A&E.
What's often not mentioned and doesn't immediately become clear when you look at the stats is the number of beds becoming covid positive.

We have taken over wards normally occupied by gynaecology, paediatrics, orthopaedics. This is completely unprecedented.
To give you some idea, on boxing day, we had two COVID positive wards. We are now up to six.

ICU has increased in size out of their base, to take on another entire ward.

Of the non-covid wards, these are now general, a mix of medicine and surgery.
Staff have been redeployed. Community doctors are now back in hospital, specialist nurses are working on general wards, and nurses usually seeing more specialised problems are now dealing with COVID instead.

Elective operations, except for cancer surgery, have been cancelled.
People often say "oh but the corridors are empty" well firstly, we are doing our darnedest to avoid this. Especially because of infection control measures, having COVID positive patients waiting on trollies infecting passing folk is not good.
Secondly, instead they're waiting in ambulances, with crews in a small space. This exposes them to additional risk, is suboptimal for care, and takes an emergency ambulance off the road.

Some hospitals are now considering setting up tents outside A&E.
I don't know how else to explain this. I have nothing to gain from lying about this.

We are all exhausted, we will keep going as long as we can, as long as we can help. We only ask you to stay at home, wear a mask in crowded places, isolate if you're sick.

Thank you.

More from Health

🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.

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The chorus of this song uses the shlokas taken from Sundarkand of Ramayana.

It is a series of Sanskrit shlokas recited by Jambavant to Hanuman to remind Him of his true potential.

1. धीवर प्रसार शौर्य भरा: The brave persevering one, your bravery is taking you forward.


2. उतसारा स्थिरा घम्भीरा: The one who is leaping higher and higher, who is firm and stable and seriously determined.

3. ुग्रामा असामा शौर्या भावा: He is strong, and without an equal in the ability/mentality to fight

4. रौद्रमा नवा भीतिर्मा: His anger will cause new fears in his foes.

5.विजिटरीपुरु धीरधारा, कलोथरा शिखरा कठोरा: This is a complex expression seen only in Indic language poetry. The poet is stating that Shivudu is experiencing the intensity of climbing a tough peak, and likening

it to the feeling in a hard battle, when you see your enemy defeated, and blood flowing like a rivulet. This is classical Veera rasa.

6.कुलकु थारथिलीथा गम्भीरा, जाया विराट वीरा: His rough body itself is like a sharp weapon (because he is determined to win). Hail this complete

hero of the world.

7.विलयगागनथाला भिकारा, गरज्जद्धरा गारा: The hero is destructive in the air/sky as well (because he can leap at an enemy from a great height). He can defeat the enemy (simply) with his fearsome roar of war.
कुंडली में 12 भाव होते हैं। कैसे ज्योतिष द्वारा रोग के आंकलन करते समय कुंडली के विभिन्न भावों से गणना करते हैं आज इस पर चर्चा करेंगे।
कुण्डली को कालपुरुष की संज्ञा देकर इसमें शरीर के अंगों को स्थापित कर उनसे रोग, रोगेश, रोग को बढ़ाने घटाने वाले ग्रह


रोग की स्थिति में उत्प्रेरक का कार्य करने वाले ग्रह, आयुर्वेदिक/ऐलोपैथी/होमियोपैथी में से कौन कारगर होगा इसका आँकलन, रक्त विकार, रक्त और आपरेशन की स्थिति, कौन सा आंतरिक या बाहरी अंग प्रभावित होगा इत्यादि गणना करने में कुंडली का प्रयोग किया जाता है।


मेडिकल ज्योतिष में आज के समय में Dr. K. S. Charak का नाम निर्विवाद रूप से प्रथम स्थान रखता है। उनकी लिखी कई पुस्तकें आज इस क्षेत्र में नए ज्योतिषों का मार्गदर्शन कर रही हैं।
प्रथम भाव -
इस भाव से हम व्यक्ति की रोगप्रतिरोधक क्षमता, सिर, मष्तिस्क का विचार करते हैं।


द्वितीय भाव-
दाहिना नेत्र, मुख, वाणी, नाक, गर्दन व गले के ऊपरी भाग का विचार होता है।
तृतीय भाव-
अस्थि, गला,कान, हाथ, कंधे व छाती के आंतरिक अंगों का शुरुआती भाग इत्यादि।

चतुर्थ भाव- छाती व इसके आंतरिक अंग, जातक की मानसिक स्थिति/प्रकृति, स्तन आदि की गणना की जाती है


पंचम भाव-
जातक की बुद्धि व उसकी तीव्रता,पीठ, पसलियां,पेट, हृदय की स्थिति आंकलन में प्रयोग होता है।

षष्ठ भाव-
रोग भाव कहा जाता है। कुंडली मे इसके तत्कालिक भाव स्वामी, कालपुरुष कुंडली के स्वामी, दृष्टि संबंध, रोगेश की स्थिति, रोगेश के नक्षत्र औऱ रोगेश व भाव की डिग्री इत्यादि।