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| Version 1 | Version 2 |
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| Disparities in out-of-hours emergency care across Northern Ireland | Disparities in out-of-hours emergency care across Northern Ireland |
| (35 minutes later) | |
| There is a dramatic difference in the way hospitals that deal with A&E admissions across Northern Ireland operate at night and weekends, compared to weekdays, a review has found. | There is a dramatic difference in the way hospitals that deal with A&E admissions across Northern Ireland operate at night and weekends, compared to weekdays, a review has found. |
| The review of out-of hours provision in all NI hospitals with A&E departments was carried out by the Regulation and Quality Improvement Authority (RQIA). | The review of out-of hours provision in all NI hospitals with A&E departments was carried out by the Regulation and Quality Improvement Authority (RQIA). |
| The issues it highlighted include the availability of patients' medical records and staff handovers. | |
| The review has made 29 recommendations. | The review has made 29 recommendations. |
| It also found that noise and temperature control were among some of the complaints made by patients. | It also found that noise and temperature control were among some of the complaints made by patients. |
| However, despite breached waiting times and unmet targets, the RQIA report is on the whole positive. | However, despite breached waiting times and unmet targets, the RQIA report is on the whole positive. |
| Among its recommendations is that better career pathways should be put in place to allow nurses to take on the key role of senior nurse lead outside of regular hours. | Among its recommendations is that better career pathways should be put in place to allow nurses to take on the key role of senior nurse lead outside of regular hours. |
| Also during these times, the review highlighted that better protocols should be in place for nurses to contact senior managers. | Also during these times, the review highlighted that better protocols should be in place for nurses to contact senior managers. |
| It said managers should be more visible to their staff, especially outside of normal hours. | It said managers should be more visible to their staff, especially outside of normal hours. |
| Praise was given to those trusts who have emergency nursing teams to cover potential gaps in services, but the RQIA stressed that all health trusts in Northern Ireland should review weekend access to services including pharmacy and social workers. | Praise was given to those trusts who have emergency nursing teams to cover potential gaps in services, but the RQIA stressed that all health trusts in Northern Ireland should review weekend access to services including pharmacy and social workers. |
| At Belfast's Royal Victoria, Antrim Area and Causeway hospitals, staff advised that access to cleaning services had improved, but at times there were issues with accessing this service at nights and weekends. | At Belfast's Royal Victoria, Antrim Area and Causeway hospitals, staff advised that access to cleaning services had improved, but at times there were issues with accessing this service at nights and weekends. |
| At the Downe and Lagan Valley hospitals, cleaning services were available up to either 20:00 BST or 21:00 BST and after that time nurses would assume responsibility for cleaning. | At the Downe and Lagan Valley hospitals, cleaning services were available up to either 20:00 BST or 21:00 BST and after that time nurses would assume responsibility for cleaning. |