once more into the breach...

2 years on and the government target as set continues to create tension across the full spectrum of hospital staff. Granted the four hour target intially improved the patients journey from ED to admission or discharge,but the creation of the rubber walled( I Can't make a fucking Decision Unit) stalled the medical decisions further. Doctors become ever more junior ( or am I getting old), and consultants seem more grumpy. Whilst the public refuse to take responsibility for there own health,and rock up in ED at 04.00 with a long standing or minor problem, our resources will never be enough. Friday clinical management meetings regularly hilight the expected crap bed state by Sunday night.Then most of them toddle off home for the weekend. Monday morning,the post mortem begins.What a surprise- ED was BUSY on a hot,school holiday weekend!! No shit sherlock!! There.Now I feel better. Nothing like a bloody good moan!! I am sure it is the same country wide,but wouldn't it be nice to think that there is an end in sight?