Skip to comments.Premature babies are 'blocking beds' - UK medical college wants debate on keeping them alive
Posted on 03/27/2006 9:08:03 AM PST by NYer
PREMATURE babies requiring expensive hospital care have been described as bed blockers by one of the countrys leading medical colleges.
The Royal College of Obstetricians and Gynaecologists (RCOG) says that the ability of doctors to keep alive babies born under 25 weeks presents difficulties for the treatment of other infants. Its comments were made in a submission to an inquiry by the Nuffield Council on Bioethics into the ethics of prolonging life in foetuses and the newborn.
The RCOG paper states: Some weight should be given to economic considerations as there is a real issue in neonatal units of bed blocking, whereby women have to be transferred in labour to other units compromising both their and their babies care.
One of the problems of the success of neonatal intensive care is that the practitioners are always pushing boundaries. There has been a constant need to expand numbers of cots to cover the increasing tendency to try and rescue babies at lower and lower gestations.
The colleges paper was submitted in July 2005 but its content has been highlighted as NHS trusts come under growing pressure to cut costs and use resources more efficiently.
The RCOG said last night: There is a proper professional concern around the high death and handicap rate in babies born under 25 weeks. A wellinformed and considered debate is welcomed.
Patricia Hewitt, the Health Secretary, said yesterday that admitting patients who were unfit for surgery or arrived early for operations was blocking beds and costing the NHS up to £200 a day each.
Some trusts are admitting up to 60 per cent of patients the day before surgery. Ms Hewitt said that if all the trusts with above-average early admissions met the national average it would save at least 390,000 bed days a year at a saving of £78 million.
Improved patient care and increased efficiency go hand in hand, she said.
Finding out a patient is unfit for surgery, which could have been established by a separate assessment before the operation, is another example of a wasted bed day.
A pilot scheme in Croydon where orthopaedic patients waiting for surgery at Mayday Healthcare NHS Trust visited the hospital for routine pre-surgery tests and administration two weeks before their operationsaved 13 beds and £270,000 in the first year while treating the same number of patients.
Dr Gill Morgan, chief executive of the NHS Confederation, said: Reducing inpatient admissions and lengths of stay in hospitals will result in real savings, but only if capacity is reduced as a result which may mean closing beds and wards.
A fixation with hospital buildings is preventing the development of new and imaginative services. We will have to work hard to convince the public that, with technological advances and a shift to providing more care out of hospitals, the loss of beds and wards doesnt necessarily equate to a decline in services for patients.
These AH's are lower than reptile crap
Yes, that makes perfect sense.
Pity some merciless tyrant inflicted a socialized medical system on them or there would be enough beds.
In this country, hospitals close wings because there aren't enough patients to fill all of the beds.
Maybe we should Lend-Lease them to the Brits?
Yes, and we can also start euthanizing all seniors immediately upon their retirement from active work.
That would relieve an immense burden on society (no pensions!)
Plus all handicapped, blind, deaf, etc. (sorry, not enough resources to go around)
Only the young and healthy can be permitted to occupy space.
(now why did anything think that legalizing abortion would lead to this?)
"Premature babies are 'blocking beds' - UK medical college wants debate on keeping them alive"
NONE of us are safe from the Culture of Death and their evil eugenics agenda.
To be included in or removed from the MORAL ABSOLUTES PINGLIST, please FreepMail wagglebee.
That's what happens when you have the state providing health care.
The Nazis didn't start with the Jews or the gypsies. They started with terminal patients and the mentally ill.
"Ethics" separated from morality is just a means of justifying the grotesque.
It becomes more and more plain to me that once you let go of God, there is no bright line to separate you from ghoulishness. If enough people let go of God the whole society is lost.
Read Christian Josi's Tract on Hillary Clinton's record. He boils it all down for you. Its then you realize just what a monster she can be and how she has been able to foster such horrendous ideas.
She didnt get it through, but I have noticed in the last decade that the lawyers in the insurance companies have been working it where its less and less about the person needing medical support, and more about how much money they can steal without actually having to put back out.
Gotta love that Socialized Medicine. Brought to you by liberals right here in this country if we let them....
The only ethical thing to do is take all ethicists out and have them summarily executed.
Of course, the common sense solution would be to expand the hospitals, but I guess killing 'em all would be more cost-efficient. After all, who said hospitals are about saving as many lives as possible anyway. I thought they were just there to keep up appearances!
But wasn't socialism supposed to be about, you know, equality and fairness for all the people? Doesn't look likes it's working quite the way the intended it.
I'm sorry, is this responsive to my post?
It makes sense to me that if people don't need to be in the hospital for a day before surgery, they shouldn't be there. If they're not in a fit condition before surgery, that should be determined by an outpatient checkup, not after admission and scheduling for surgery.
These are simple management issues that are the policy of any system with a concern for effective use of resources.
Unbelievable sad. That is just sick.
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