Shifting attention to acute medical wards would benefit staff and patients Organising care at the NHS front line, a report from The King’s Fund, focuses on the logistical barriers to delivering the best care for acutely ill medical patients. Its starting point is the lived experiences of clinical staff based on acute medical units, and general medical and geriatric inpatient wards.
These clinical areas are in the eye of a perfect storm, created by rising emergency attendances, falling bed numbers and more patients stranded in hospital due to increasingly inadequate community health and social care capacity. Acute care staff are often the ‘shock absorbers’ for these system problems – the one place that can never say no, yet often feeling unable to influence solutions outside the hospital walls. Their own morale, retention and engagement can suffer, perpetuating a vicious circle. But are some of the solutions in their own gift? The King's Fund
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