Following on from this fantastic rant by @ShaunLintern , I would like to say a few things

1. The leaked email from Royal London hospital is actually fantastic

They’re trying to be honest with staff, reassuring them that help from other hospitals is coming: not over promising 1/ https://twitter.com/shaunlintern/status/1344981883000676352
2. They’re acknowledging that the situation is less than idea

3. Informing staff about what they’ve done to open mew beds, and staffing

4. Apologising for diluting nursing ratios

5. Additional staff: anaes will do stuff outside ICU, for instance

2/
Then we get to the troubling bit about not being able to provide a high standard of intensive care

Hell, YES!

If you’re nursing patients at 1:2 or 1:3, you’re not proving high standard critical care. You’re doing crisis medicine

3/
One of the things we pride ourselves on is looking after our staff, and patients’ families

If no one can visit except at end of life, that ain’t high quality critical care

If our staff are feeling burned out, stressed, that’s not great

4/
At the @ICS_updates , we have launched a campaign for staff well-being, which will hopefully expand next year

We have provided education- 20 webinars, most with speakers that deliver frontline healthcare

New learning resources coming soon

6/
What do we need?

1. Vaccines: staff need to have priority in vaccination
2. People to be careful with masks and social distancing
3. Stop telling us that hospitals are empty
4. Accept this is a tough time, and we will do the best we can, as will colleagues in EM/Resp/ID
7/
5. But this is mot going to stop next month
The backlog, the waiting lists, may take years to recover

6. Staff will need support

7. We will need a new paradigm of looking after the old and the vulnerable

8/
This was perhaps another rant.

But please do not be alarmed. If you’re sick, come to hospital.

We will do our best to look after you.

There is a light at the end of the tunnel, but it is a bit further than we think

9/
You can follow @aroradrn.
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