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Brighton NHS trust on highest state of alert for weeks Brighton NHS trust on highest state of alert for weeks
(35 minutes later)
A hospital trust has been on the highest possible state of alert every day since Christmas, it has emerged.A hospital trust has been on the highest possible state of alert every day since Christmas, it has emerged.
Brighton and Sussex University Hospitals NHS Trust has told patient groups it is expecting to continue in that state all winter.Brighton and Sussex University Hospitals NHS Trust has told patient groups it is expecting to continue in that state all winter.
At this state of alert patient safety could be compromised, NHS England guidelines say.At this state of alert patient safety could be compromised, NHS England guidelines say.
The trust said its staff were "working hard" to give patients the emergency care they needed and give them a bed.The trust said its staff were "working hard" to give patients the emergency care they needed and give them a bed.
In a statement it said: "Our emergency departments are extremely busy with very high numbers of acutely unwell people.In a statement it said: "Our emergency departments are extremely busy with very high numbers of acutely unwell people.
"[This] is coupled with low numbers of patients who no longer need acute hospital care being discharged, and this inevitably impacts on the availability of beds.""[This] is coupled with low numbers of patients who no longer need acute hospital care being discharged, and this inevitably impacts on the availability of beds."
Slept on trolleySlept on trolley
The trust runs two acute hospitals, the Royal Sussex County Hospital in Brighton and the Princess Royal Hospital. It treats over three quarters of a million patients each year. The trust runs two acute hospitals, the Royal Sussex County Hospital in Brighton and the Princess Royal Hospital in Haywards Heath. It treats more than three quarters of a million patients each year.
One patient, Barry Salvage, said he had to sleep on a trolley in A&E all night and it made him feel "terrible".One patient, Barry Salvage, said he had to sleep on a trolley in A&E all night and it made him feel "terrible".
When he asked a nurse for bed, he was told they did not have any.When he asked a nurse for bed, he was told they did not have any.
David Liley of Healthwatch said patients were being sent home "as soon as they are ready", increasing pressure on support systems in the community, which were forced to "swing into action".David Liley of Healthwatch said patients were being sent home "as soon as they are ready", increasing pressure on support systems in the community, which were forced to "swing into action".
Opel 4: What it meansOpel 4: What it means
Brighton and Sussex University Hospitals NHS is at the highest level of alert - known as Opel 4Brighton and Sussex University Hospitals NHS is at the highest level of alert - known as Opel 4
NHS England's Operational Pressures Escalation Levels (Opel) Framework aims to bring consistency nationally in times of pressure.NHS England's Operational Pressures Escalation Levels (Opel) Framework aims to bring consistency nationally in times of pressure.
It means the trust:It means the trust:
At least three other trusts in Kent and Sussex were at the highest level of alert last week - Medway Foundation Trust, Dartford and Gravesham NHS Trust and East Kent Hospitals University NHS Foundation Trust.At least three other trusts in Kent and Sussex were at the highest level of alert last week - Medway Foundation Trust, Dartford and Gravesham NHS Trust and East Kent Hospitals University NHS Foundation Trust.
Patricia Marquis of the Royal College of Nursing said its members were "at the end of their tether".Patricia Marquis of the Royal College of Nursing said its members were "at the end of their tether".
She said: "They have been working at these really high levels of intensity for weeks and weeks."She said: "They have been working at these really high levels of intensity for weeks and weeks."
Last year, Brighton and Sussex University Hospitals NHS Trust was placed in special measures after inspectors deemed it unsafe and poorly-led.Last year, Brighton and Sussex University Hospitals NHS Trust was placed in special measures after inspectors deemed it unsafe and poorly-led.
On Friday a spokesman said it was "making improvements" to help with the flow and discharge of patients.On Friday a spokesman said it was "making improvements" to help with the flow and discharge of patients.
He asked that people use A&E appropriately and considered "the many alternative services available".He asked that people use A&E appropriately and considered "the many alternative services available".