Eleanor Gondhia

Emergency Medicine and Major Trauma Consultant, ED Mental Health lead. Mother of three. Beauty enthusiast. Pretty terrible at anything else.

[Eleanor Gondhia @EmergencyMummy]

@FrickerRed Good luck today!!

[Eleanor Gondhia @EmergencyMummy]

@OneLongPlait @DrMarkbuchanan ?

[Royal College of Emergency Medicine @RCollEM]

What has been seen today on @C4Dispatches is sadly not isolated.Our members are doing their best in a system in crisis. It should galvanise those who form the next Goverment into action. This is not okay. This should not be normalised. Patients & our members deserve better

[Royal College of Emergency Medicine @RCollEM]

People attending A&E with mental health needs face disproportionately long waits 🏥

RCEM advocates for effective, timely and compassionate care for all 💜

Read our Acute Insight Series on mental health in Emergency Care here 👇
https://t.co/FCdNLvZ6Zp

[Adam Kay @amateuradam]

This is disastrous, hideous news. NHS England are hacking back the mental health support for hospital staff. One doctor takes their life every three weeks. One nurse takes their life every single week. These numbers will now INCREASE. @VictoriaAtkins - please do the right thing.

[Eleanor Gondhia @EmergencyMummy]

@DrJlo29 It would also take most of my shift to make eye contact with the 180 in the dept, and if I did about 10% would try and punch me.

[Sean McGovern @smcg600]

50 people waiting for a bed in the Emergency Department and 3 drunk people in the waiting room. Let’s remove the 3 drunk people and how many have we waiting for a bed ?

[Ian Higginson @RCEMpresident]

Yep

[Ian Higginson 🌈 @RCEM_VP]

Politically driven pressure does nothing to drive long term improvement since the root cause of crowding is exit block caused by full hospitals. Beating up ED teams doesn't improve hospital capacity or improve crowding. It just results in even more beaten up ED teams.@RCollEM 2/3

[Ian Higginson @RCEMpresident]

@LawrenceDunhill 2. 76% applies to all Emergency Departments, but this includes Eye Units, Minor Injury Units and Urgent Treatment Centres. I don't care very much if someone waits 4 hours and 5 minutes with a sprained foot, but I get upset if a 85 year old 12 hours on a trolley in a corridor

[Ian Higginson @RCEMpresident]

@LawrenceDunhill 1. It's really depressing that the focus is on 76%. This will inevitably focus effort on the 'quick wins' and discharged patients. Meanwhile there is deafening silence about the utterly miserable 12 hour (from time of arrival) stays.

[Eleanor Gondhia @EmergencyMummy]

@Joannegajadhar1 Blimey I need to up my footie mum game! I crawled out of bed yesterday looking like a pitch side dog’s dinner. At least we won.

[JPC @jpxan71]

One minute into the New Year and I swear Sadiq Khan has just nailed ‘annoying all the right people’ award for 2024 😂😂😂🔥🔥🔥💥💥

[Eleanor Gondhia @EmergencyMummy]

@OneLongPlait Let me know if you think there is anything missing from the SELKAM trauma in pregnancy SOP as I wrote it.

[Tom Bircher @tombircher]

The “help A&E” narrative 🙄.

A&E doesn’t need help, it needs other parts of the system to step up and do their job.

It’s not ‘extra’ workload, it’s the ward’s actual workload!

[Eleanor Gondhia @EmergencyMummy]

Home! 💙💙

[King's College NHS @KingsCollegeNHS]

🏗️🏥 The Majors area of the #EmergencyDepartment at King’s College Hospital has been refurbished and modernised thanks to investment by the Trust and @supportkings!

Thanks also to @helenhayes_ for visiting and cutting the ribbon last week!

➡️ https://t.co/DhX7t0aNi7

[Eleanor Gondhia @EmergencyMummy]

Middle class menopausal women have Davina McCall fighting for them.
Who cares about these patients and their families other than those of us looking after them in awful circumstances?
Time for change and advocacy long overdue
@Channel4News @DrRosena @DavidHarewood @RCollEM

[Channel 4 News @Channel4News]

Exclusive: Mental health patients are spending days - and sometimes longer than a week - stuck in A&E, FOI data obtained by Channel 4 News can reveal - as health chiefs say they’re struggling to provide the care patients need.

[Royal College of Emergency Medicine @RCollEM]

📢There is a crisis in mental health emergency care. Mental health patients are more than twice as likely to wait more than 12 hours in A&E.

We shared our shocking FOI data with @Channel4News @vsmacdonald, see more in the thread below ⬇️.

[Rob Galloway @DrRobgalloway]

We need to solve the overcrowding crisis in A&E. I may have the solution!

It came to me whilst reading my son " A squash and a squeeze" by Julia Donaldson (author of the Gruffalo)

A&E Squash and a Squeeze, adapted by Rob Galloway

A little old A&E, lived all by itself , with cubicles and chairs and a water jug on the shelf.

A wise old health secretary heard her grumble and grouse, “There’s not enough room in my A&E house.

Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.”

“Take in your drunk and disorderly patients” said the wise old health secretary man

“Take in my drunk and disorderly patients? What a curious plan.”

Kept in A&E, instead of a cell, they vomited on the rug,

And flapped round the cubicle, knocking over the jug.
.
The little old A&E cried, “I implore? It was poky before and it’s tiny for more.

My nose has a tickle and there’s no room to sneeze. My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a squash and a squeeze.”

“Take in your awaiting medical bed patients,” said the wise old health secretary man.
.
“Take in my awaiting medical bed patients? What a curious plan.”

Well, the awaiting medical bed patients pulled back the curtains and trod on the bed,

``then sat down to eat via her long term peg.

The little old A&E cried, “Glory be! It was tiny before and it’s titchy for more.

The drunks attacked the awaiting medical bed patients and the awaiting medical bed patients got fleas. My house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My A&E house is a
squash and a squeeze.”

“Take in your awaiting mental health bed patients ” said the wise old health secretary man.

“Take in my awaiting mental health bed patients ? What a curious plan.”

So she took in awaiting mental health bed patients who kept pressing the alarms in cubicle ten

And raising everyone’s blood pressure again and again.

The little old A&E cried, “Stop, I implore! It was titchy before and it’s teeny for more.

Even the mental health patients in the cubicles agrees, My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary, won’t you help me, please? My house is a
squash and a squeeze.”

“Open an urgent care centre,” said the wise old health secretary man
.
“Open an urgent care centre? What a curious plan.”

Well, the urgent care centre attracted the 111 referred worried well,

Whose long waits created an unpleasant waiting room smell

The little old A&E cried, “Heavens alive! It was teeny before and it’s weeny for more

I’m tearing my hair out, I’m down on my knees. My A&E house is a squash and a squeeze.”

And she said, “Wise old health secretary , won’t you help me, please? My house is a squash and a squeeze.”

“Take them all out,” said the wise old health secretary man.

“But then I’ll be back where I first began.”

So she persuade the police to remove the aggressive men

“That’s better – at last I can sneeze again.”

They opened up ward beds and she gave a jig

“My A&E house is beginning to feel pretty big.”

She persuaded the 111 patients to self discharge where safety would allow.

“Just look at my A&E house, it’s enormous now”.

“Thank you, old health secretary for saving the day, Our A&E is so big now, our staff might just stay.
.
There’s no need to grumble and there’s no need to grouse. There’s plenty of room in my A&E house.”

And now she’s full of frolics and fiddle-de-dees. It isn’t a squash and it isn’t a squeeze.

Yes, she’s full of frolics and fiddle-de-dees.

It isn’t a squash or a squeeze.

[Gareth Grier @gareth_grier]

Nice article, and this is one important part of the solution. Burnout is largely due to working in an environment where your aspirations and values are throttled, in a ecosystem where ambitions are thwarted rather than nurtured, and where there is apathetic and toxic leadership /