
Guernsey choking woman 'owes life' to man who saved her
A woman says a hotel manager saved her life after she started choking on some food.Nicolau Ferreira, manager at Oak Bar and Bistro, in Guernsey, said he was working his normal shift when he noticed customer Michaela Downton choking.Mr Ferreira said he performed the Heimlich Manoeuvre on Ms Downton and added: "I just reacted, I put in action what I knew."Ms Downton said: "I owe him my life because he did an amazing job."
'Don't panic'
Ms Downton said she often went to the Oak Bar and Bistro and on this occasion had the steak. During her meal she said she found the garlic "a bit too garlicy" and as it hit the back of her throat the meat went down with it. Ms Downton said: "I was running it through my head, cough. "I couldn't cough. My partner was whacking me on the back."Mr Ferreira said he had completed training for scenarios like this before so knew what to do."I acted instinctively, [and did the] Heimlich Manoeuvre. Done and dusted."For someone that hasn't done it before, don't panic just be calm and help."
'Seconds left'
Once the steak was cleared from Ms Downton's throat she was taken to A&EShe said: "I was all blotchy and I kept getting flashbacks of that night."It could have been my last night eating here or with my family. "The doctors said I literally had seconds left of living and thank you to Nico, I owe him my life".She said it was not until a few days later while she was cleaning a mirror at work and saw her reflection that the situation hit her: "I just burst into tears, I thought, oh what happened... It all came down."
To say thanks you, Ms Downton wrote Mr Ferreira a card. She said: "I appreciate what he did. "If he didn't do it, I don't know if anyone else would have. "I owe him my life because he did an amazing job... I don't know how to say thank you enough."
St John Ambulance said: "When someone is choking, their airway is partly or completely blocked, meaning they may be unable to breathe properly."They might be able to clear it by coughing, but if they can't you will need to help them straight away."It said: "It is important to look out for the following symptoms:Difficulty breathing, speaking or coughingA red, puffy faceSigns of distress - they may point to their throat or grasp their neckTrust Me I'm A Doctor: What to do if someone is choking

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Daily Mail
3 hours ago
- Daily Mail
Walking wounded told not to go to A&E as Labour plots £450m shake-up to end 'corridor care' in hospitals
The walking wounded will be told to avoid visiting A&E amid a major NHS shake-up revealed today which aims to divert them to a series of new urgent care centres. The Government has come up with the plan in an attempt to ensure hundreds of thousands fewer patients face long A&E waits in a bid to end 'corridor care'. Almost £450million will be put into creating better care and more facilities with an emphasis on caring for people closer to their homes, according to officials. Some 40 new same day emergency care and urgent treatment centres will also be established across England to treat and discharge patients the same day. The centres will deal with all but the most serious cases, with millions of patients urged to visit them instead of A&E to avoid unnecessary hospital admissions. Units located next to A&Es are likely to be within the network, focusing on patients with issues that are not life threatening who can be discharged the same day. Deteriorations in chronic illnesses and wound infections are among the issues that medics will be able to deal with at the new centres, reported The Telegraph. It is hoped the plan will result in 800,000 fewer patients each year waiting more than four hours at A&E and free up space for genuine emergencies to be dealt with. There are also proposals for 15 mental health crisis assessment centres, which are designed to ensure mentally ill people do not have to wait in A&E for hours for care. It comes after the NHS experienced a crisis over winter, with patients waiting hours for beds and regularly being treated in corridors - so-called corridor care. A&E waiting time targets have not been met for more than a decade, while the 18-minute target for category 2 ambulance calls - such as those suffering stroke, heart attack, sepsis or major trauma - has never been hit outside the pandemic. The new Urgent and Emergency Care Plan for England says more needs to be done to drive down long waits, cut delayed discharges and improve care for patients. An earlier version of the document said NHS trusts would need to show how, by this winter, systems will 'improve flow through hospitals, with a particular focus on patients waiting over 12 hours, and eliminate corridor care'. But the later version does not commit to a timescale for ending corridor care, instead saying systems must 'improve flow through hospitals, with a particular focus on reducing patients waiting over 12 hours and making progress on eliminating corridor care'. Ministers have also set an ambition for a minimum of 78 per cent of patients who attend A&E (up from the current 75 per cent) to be admitted, transferred or discharged within four hours, meaning 'over 800,000 people a month will receive more timely care'. There will also be a focus on seeing more children, according to the Department of Health and NHS England. The Government wants to slash the number of patients waiting more than 12 hours for a hospital bed - or to be discharged from A&E - so this occurs 'less than 10 per cent of the time', according to the new document. Around 1.7million attendances at A&E every year currently exceed this time frame. Further measures in the plan are intended to drive down delayed discharges from hospital, which occur when people are medically fit to leave but care in their homes or community has not yet been put in place. Local performance targets will be set to improve patient discharge times, and 'eliminate internal discharge delays of more than 48 hours in all settings', the plan said. Experts said A&E 'league tables' will be published to drive up performance. Those patients who need an overnight emergency admission will also have their overall stay reduced where appropriate - the average is 'currently nearly a day longer than in 2019'. The plan further sets out how ambulance waiting times for category 2 patients will be cut by more than 14 per cent, from 35 to 30 minutes. A previous target of 18 minutes has been repeatedly missed. In the document, there is an aim to 'eradicate' last winter's lengthy ambulance handover delays by meeting a maximum 45-minute target for patients to be handed over to A&E. This should help 'get 550,000 more ambulances back on the road for patients', it says. According to the document, almost 500 new ambulances will also be rolled out across the country by March 2026. Health Secretary Wes Streeting said: 'No patient should ever be left waiting for hours in hospital corridors or for an ambulance which ought to arrive in minutes. 'We can't fix more than a decade of underinvestment and neglect overnight. 'But through the measures we're setting out today, we will deliver faster and more convenient care for patients in emergencies. 'Far too many patients are ending up in A&E who don't need or want to be there, because there isn't anywhere else available. 'Because patients can't get a GP appointment, which costs the NHS £40, they end up in A&E, which costs around £400 - worse for patients and more expensive for the taxpayer. 'The package of investment and reforms we are announcing today will help the NHS treat more patients in the community, so they don't end up stuck on trolleys in A&E.' Under the plans, paramedics will play a bigger role in the community, with patients given 'more effective treatment at the scene of an accident or in their own homes from ambulance crews'. More patients will also be seen by urgent community response teams in their own homes to try to avoid hospital admission. The NHS is also pledging better use of virtual wards, where patients are monitored by hospital staff from their home, and there are plans to drive up vaccination rates among NHS staff to help protect patients. Royal College of Emergency Medicine president Dr Adrian Boyle said: 'There is some good and some bad - but we wholeheartedly welcome the commitment to publish A&E performance data for each and every hospital and we thank NHS England and the Department of Health for heeding our recommendation. 'In this plan, for possibly the first time, NHS England acknowledges the shameful situation being experienced by patients and clinicians across the country's emergency departments - and that must be commended. 'However, some parts lack ambition - for example accepting that 10 per cent of people will face A&E waits of more than 12 hours, when no patient should. 'Also maintaining the four-hour standard at 78 per cent when the stated aim is that 95 per cent of patients should move through the emergency department within this time - something which hasn't happened for a decade.' He said there were also concerns about how the maximum 45-minute ambulance handover will be achieved 'without exposing patients to risk and increasing overcrowding in our departments'. Association of Ambulance Chief Executives managing director Anna Parry said: 'We are particularly heartened to see the plan's emphasis on the reduction and improved management of hospital handover delays. 'Handover delays have the greatest detrimental impact on ambulance resources and create unnecessary delays and additional harm for thousands of patients each year. 'The elimination of corridor care and the focus on reducing 12-hour waits at emergency departments is also welcomed.' The Liberal Democrats claimed the Government had listened to their calls to end corridor care, but called on ministers to follow through on their promises. Lib Dem health spokesperson Helen Morgan MP said: 'Patients have heard these kinds of promises before only to be led up the garden path. 'We can't bear any more of the shameful neglect and failed delivery that we saw for a decade under the Conservatives. 'It's good to see ministers finally listen to Liberal Democrat demands to end corridor care but the misery in our A&Es will only be prolonged if they continue to move at a snail's pace on social care. 'Until they grasp this nettle, millions are at risk of dangerously long waits in A&E. They must see sense and conclude their review into social care by the end of this year.'


Telegraph
5 hours ago
- Telegraph
Don't go to A&E, walking wounded told
The walking wounded will be told to stay away from A&E in the biggest shake-up since the NHS was founded. Wes Streeting said a raft of changes would bring the health service 'out of the dark ages', promising more care closer to home. The urgent and emergency care plan was first promised in January, when ministers came under fire over 'catastrophically' long trolley waits. On Friday, health officials will promise to create a network of around 40 same-day emergency care and urgent treatment centres to deal with all but the most serious crises. The rapid rollout this year will see millions of patients encouraged to visit the centres instead of A&E. Health chiefs said the measures, which would cost £450 million, would 'resuscitate' the system. The units aim to focus on cases that are not life-threatening, with treatment and discharge of patients the same day, to avoid unnecessary hospital admissions. The network is likely to include units sited next to A&Es. They will be able to carry out a raft of tests, dealing with deteriorations in chronic illnesses, and problems such as wound infections. Officials said the plans would mean 800,000 fewer patients each year waiting more than four hours at A&E. At least one in five people who attended A&E did not need urgent or emergency care at all, officials said, while a still larger number could fare better with help elsewhere. Mr Streeting has been inspired by a visit to Australia, where he saw same-day centres in action. He said far too many people were ending up in A&E for want of GP appointments, comparing the average £400 cost of an A&E visit with the £40 cost of a GP slot. New mental health centres and ambulances The plan will also include the rollout of up to 15 mental health crisis assessment centres, to divert such patients away from casualty units to specialist support. In addition, 500 new ambulances will be promised. The plan will also set out new ways of working, so paramedics can give the right help sooner after accessing patient data 'on the spot'. Currently, many ambulance crews are unable to find out the most basic details of patients' medical history, other than what they are told at the call-out. As a result, thousands of patients are automatically taken to hospital when, with the right information, they could be better treated elsewhere. Under a system of 'connected care records', paramedics will be able to access patients' treatment histories on smartphones, laptops and other devices. Mr Streeting said the plan would take the NHS 'out of the dark ages'. He told The Telegraph: 'Many patients who end up in A&E don't need to be there and could get better treatment elsewhere. 'By giving paramedics access to the latest technology on the go, they'll be able to make better decisions and deliver better outcomes for patients.' The Health Secretary said too many patients had ended up stuck on trolleys or facing 'unacceptably long waiting times' for ambulances, for want of care elsewhere. He said: 'Far too many patients are ending up in A&E who don't need or want to be there, because there isn't anywhere else available. Because patients can't get a GP appointment, which costs the NHS £40, they end up in A&E, which costs around £400; worse for patients and more expensive for the taxpayer.' He added that the plan would tackle ambulance handover delays and corridor care. Mr Streeting said: 'No patient should ever be left waiting for hours in hospital corridors or for an ambulance which ought to arrive in minutes. 'We can't fix more than a decade of underinvestment and neglect overnight. But through the measures we're setting out today, we will deliver faster and more convenient care for patients in emergencies,' he said. Sir Jim Mackey, the NHS chief executive, promised a 'radical change in approach'. He said: 'This major plan sets out how we will work together to resuscitate NHS urgent and emergency care, with a focus on getting patients out of corridors, keeping more ambulances on the road, and enabling those ready to leave hospital to do so as soon as possible.' A&E waiting time standards have not been met for more than a decade, while the 18-minute target for category 2 ambulance calls has never been hit outside the pandemic. The document sets out plans for 'making progress towards eliminating corridor care', amid growing concerns that patients are being treated in unsafe environments. It will say the number facing trolley waits of more than 12 hours should be slashed, so that fewer than 10 per cent of patients face such delays. Around 1.7 million attendances at A&E every year currently exceed this time frame. However, the language appears to have been watered down from an earlier draft of NHS plans, which promised 'elimination'. The plan will also aim to reduce ambulance handovers to less than 45 minutes. Officials said league tables would be used to drive improvements. Dr Adrian Boyle, president of the Royal College of Emergency Medicine, said the plan acknowledged the 'shameful situation' facing A&E patients. But he said the aim to cut trolley waits 'lacks ambition'. The senior A&E doctor expressed concern that introducing a maximum 45-minute ambulance handover could end up with more patients piled up in casualty departments. Mr Streeting is already at loggerheads with the British Medical Association, with resident doctors (previously known as junior doctors) threatening to strike, despite being awarded the highest pay rise of all public sector workers. The plan aims to drive up A&E performance to 78 per cent, up from 75 per cent this year, meaning 'over 800,000 people a month will receive more timely care'. It follows a relentless rise in pressures on services, with ambulance usage up by 61 per cent since 2010-11. Rachel Power, chief executive of the Patients Association, said the investment was welcome, but said the plans risked 'missing the point' that so many people end up at A&E units because they could not get a GP appointment. She said: 'The system is broken, and this plan addresses the symptoms of a struggling system without tackling the root causes. It accepts that people are turning to A&E because they can't get GP appointments, but without imminently expanding access to timely support closer to home, there's a real risk of simply shifting the pressure elsewhere in the system.'


South Wales Guardian
9 hours ago
- South Wales Guardian
Government promises quicker A&E times under plan to help end corridor care
Almost £450 million will be put into creating better care and more facilities, with an emphasis on caring for people closer to their homes, according to the Department of Health and NHS England. The new Urgent and Emergency Care Plan for England says more needs to be done to drive down long waits, cut delayed discharges and improve care for patients. An earlier version of the document said NHS trusts would need to show how, by this winter, systems will 'improve flow through hospitals, with a particular focus on patients waiting over 12 hours, and eliminate corridor care'. But the later version does not commit to a timescale for ending corridor care, instead saying systems must 'improve flow through hospitals, with a particular focus on reducing patients waiting over 12 hours and making progress on eliminating corridor care'. Ministers have also set an ambition for a minimum of 78% of patients who attend A&E (up from the current 75%) to be admitted, transferred or discharged within four hours, meaning 'over 800,000 people a month will receive more timely care'. There will also be a focus on seeing more children. The Government wants to slash the number of patients waiting more than 12 hours for a hospital bed – or to be discharged from A&E – so this occurs 'less than 10% of the time', according to the new document. Around 1.7 million attendances at A&E every year currently exceed this time frame. Further measures in the plan are intended to drive down delayed discharges from hospital, which occur when people are medically fit to leave but care in their homes or community has not yet been put in place. Local performance targets will be set to improve patient discharge times, and 'eliminate internal discharge delays of more than 48 hours in all settings', the plan said. Experts said A&E 'league tables' will be published to drive up performance. Those patients who need an overnight emergency admission will also have their overall stay reduced where appropriate – the average is 'currently nearly a day longer than in 2019'. The plan further sets out how ambulance waiting times for category 2 patients – such as those suffering stroke, heart attack, sepsis or major trauma – will be cut by more than 14%, from 35 to 30 minutes. A previous target of 18 minutes has been repeatedly missed. In the document, there is an aim to 'eradicate' last winter's lengthy ambulance handover delays by meeting a maximum 45-minute target for patients to be handed over to A&E. This should help 'get 550,000 more ambulances back on the road for patients', it says. According to the document, around 40 new same day emergency care and urgent treatment centres will also be established to treat and discharge patients the same day, avoiding unnecessary admissions to hospital. Almost 500 new ambulances will also be rolled out across the country by March 2026. The plan details 15 mental health crisis assessment centres, which are designed to ensure mentally ill people do not have to wait in A&E for hours for care. It comes after the NHS experienced a crisis over winter, with patients waiting hours for beds and regularly being treated in corridors – so-called corridor care. A&E waiting time targets have not been met for more than a decade, while the 18-minute target for category 2 ambulance calls has never been hit outside the pandemic. Health Secretary Wes Streeting said: 'No patient should ever be left waiting for hours in hospital corridors or for an ambulance which ought to arrive in minutes. 'We can't fix more than a decade of underinvestment and neglect overnight. 'But through the measures we're setting out today, we will deliver faster and more convenient care for patients in emergencies. 'Far too many patients are ending up in A&E who don't need or want to be there, because there isn't anywhere else available. 'Because patients can't get a GP appointment, which costs the NHS £40, they end up in A&E, which costs around £400 – worse for patients and more expensive for the taxpayer. 'The package of investment and reforms we are announcing today will help the NHS treat more patients in the community, so they don't end up stuck on trolleys in A&E.' Under the plans, paramedics will play a bigger role in the community, with patients given 'more effective treatment at the scene of an accident or in their own homes from ambulance crews'. More patients will also be seen by urgent community response teams in their own homes to try to avoid hospital admission. The NHS is also pledging better use of virtual wards, where patients are monitored by hospital staff from their home, and there are plans to drive up vaccination rates among NHS staff to help protect patients. Royal College of Emergency Medicine president Dr Adrian Boyle said: 'There is some good and some bad – but we wholeheartedly welcome the commitment to publish A&E performance data for each and every hospital and we thank NHS England and the Department of Health for heeding our recommendation. 'In this plan, for possibly the first time, NHS England acknowledges the shameful situation being experienced by patients and clinicians across the country's emergency departments – and that must be commended. 'However, some parts lack ambition – for example accepting that 10% of people will face A&E waits of more than 12 hours, when no patient should. 'Also maintaining the four-hour standard at 78% when the stated aim is that 95% of patients should move through the emergency department within this time – something which hasn't happened for a decade.' He said there were also concerns about how the maximum 45-minute ambulance handover will be achieved 'without exposing patients to risk and increasing overcrowding in our departments'. Association of Ambulance Chief Executives managing director Anna Parry said: 'We are particularly heartened to see the plan's emphasis on the reduction and improved management of hospital handover delays. 'Handover delays have the greatest detrimental impact on ambulance resources and create unnecessary delays and additional harm for thousands of patients each year. 'The elimination of corridor care and the focus on reducing 12-hour waits at emergency departments is also welcomed.' The Liberal Democrats claimed the Government had listened to their calls to end corridor care, but called on ministers to follow through on their promises. Lib Dem health spokesperson Helen Morgan MP said: 'Patients have heard these kinds of promises before only to be led up the garden path. 'We can't bear any more of the shameful neglect and failed delivery that we saw for a decade under the Conservatives. 'It's good to see ministers finally listen to Liberal Democrat demands to end corridor care but the misery in our A&Es will only be prolonged if they continue to move at a snail's pace on social care. 'Until they grasp this nettle, millions are at risk of dangerously long waits in A&E. 'They must see sense and conclude their review into social care by the end of this year.'