The crisis in Britain’s A&E departments has been linked to more than 15,000 deaths in six months – with as many as 500 patients a week dying because of long waits for emergency care.
Expert analysis shows that the number of avoidable deaths has been three times as high as it would have been if hospital waits for emergency treatment had stayed at pre-pandemic levels.
Internal NHS data obtained by The Independent shows the number of patients forced to wait for more than 12 hours in A&E has quadrupled since April 2019.
Health leaders have called for the government to step up action to lead the service out of the crisis.
It comes as A&Es and ambulances endure one of the toughest weeks on record with thousands of ambulance staff, nurses, and healthcare workers on strike – with two more nursing walkouts announced on Friday for 18 and 19 January.
Leading up to the strike days, hospitals and ambulance trusts across the country declared critical incidents due to “overwhelming” pressures.
And health leaders warned the NHS was close to “overheating” during one of its darkest-ever winters.
Royal College of Emergency Medicine president Dr Adrian Boyle said: “Multiple scientific studies have shown that long waits in emergency departments are associated with increased mortality. The delay and dilution of medical and nursing care is dangerous.
“These figures from respected independent experts confirm what many emergency physicians have suspected for a long time. This problem is fixable, we had similar problems in the late 1990s and were able to fix this by 2005. It required political will and leadership to tackle the problem.”
LCP Health Analytics looked at the NHS data alongside Office for National Statistics figures on “excess deaths” – deaths over and above what would be expected for the time of year. Its analysis found a widening gap between projections based on pre-pandemic levels of care and the true number of excess deaths. By October, there were 500 excess deaths a week, compared with a prediction of 150 without the emergency care crisis.
The data analysis by LCP Health Analytics’ actuaries Natalie Tikhonovsky and Stuart Macdonald suggests the crisis in A&E started to dramatically deteriorate in April 2021, after a lull between May 2020 – March 2021. Since April, excess deaths linked to A&E have rocketed from 100 to just over 500 a week in October.
Stuart McDonald, head of longevity & demographic insights, at LCP Health Analytics said: “The NHS has been facing extraordinary pressure for a prolonged period, and this can be seen in measures such as ambulance response times and A&E waiting times, which are significantly worse than seasonal norms. Our analysis shows how these pressures are leading directly to hundreds of additional deaths each week, with little chance of the situation improving over the winter months.”
A link between the crisis in emergency care and excess deaths was previously analysed by the Financial Times.
LCP Health Analytics also compared excess deaths to ambulance delays, but it did not find a significant correlation between the two. However, monthly data from the Association of Ambulance Chief Executives suggests more than 4,000 patients a month are coming to harm due to ambulance delays outside of A&E and response delays.
Senior clinical fellow for think tank the Nuffield Trust, Dr Louella Vaughan, said: “More patients are waiting longer in NHS accident and emergency departments to be admitted into hospital than at any time since records began.
“The consequences of increasing waits are felt right across health and care. Overcrowded emergency departments and overworked staff are struggling to provide timely care. Ambulance crews are unable to hand over patients due to lack of space in A&E which delays them responding to other life-threatening conditions. It is a vicious cycle to which urgent solutions are needed.
“The deterioration of the social care system and lack of investment in care outside of hospital is the root of the problem. Staff are simply unable to free up beds fast enough by discharging patients, who are medically well, home safely or fast enough. This has been compounded by the exodus of medical and nursing staff due to concerns over pay and the increasingly unsafe conditions, high rates of staff sickness, and ongoing Covid precautions, which slows down the delivery of services.”
The Department for Health and Social Care was contacted for comment.
