Map · Why does A&E make people wait for hours?

Every group built its own map from its own wall; these are folded into one. The same claim raised in two groups is one item, and each connection shows how many groups found it. Where groups found opposite things, that is published as a conflict.

2 links found by several rooms · 0 contested · 75 links in all.

found by two or more independent rooms one room another room agrees in its own words, or by a path only rooms that do not count a dispute between rooms

THE ROOMS IN THIS MAP

Why is the emergency department always behind?

⚠ demo · up to 4 cards word for word the same as in 2 other rooms here

counts its verdicts weigh on this map — steward trusted by this instance

Why are waits in the emergency department so long?

demo · stands 1 vouch from its source, trusted steward admin

⚠ demo · up to 4 cards word for word the same as in 2 other rooms here

counts its verdicts weigh on this map — vouched for by the steward of “Why does A&E make people wait for hours?”

Why does A&E make people wait for hours?

⚠ demo · up to 4 cards word for word the same as in 2 other rooms here

counts its verdicts weigh on this map — steward trusted by this instance

A room counts once someone accountable stands behind it. ● settled before any map was public; ○ after.

As a list — 75 links, graded by how many rooms found each; and 9 claims raised in more than one room

RAISED IN MORE THAN ONE ROOM

◆ People wait hours in a corridor before anyone sees them 3 rooms

◆ Beds are full because nobody can be discharged 3 rooms

◆ Staff leave faster than we can hire them 3 rooms

◆ The same patients come back within a week 3 rooms

◆ There is nowhere else open after six 2 rooms

◆ Patients come here because they cannot get an appointment 2 rooms

◆ Social care and the hospital are funded from different budgets 2 rooms

◆ The specialist on call is covering two sites 2 rooms

◆ Every improvement project ends when its funding does 2 rooms

EVERY LINK · solid and thicker: found by more rooms · dashed grey: one room

Beds are full because nobody can be discharged → People wait hours in a corridor before anyone sees them 3 rooms

People wait hours in a corridor before anyone sees them → The same patients come back within a week 2 rooms

A decision to admit waits for a consultant round in the morning → Beds are full because nobody can be discharged 1 room

A patient waits for one test that takes ten minutes to run → The same patients come back within a week 1 room

A pharmacy could have handled a third of today → Staff leave faster than we can hire them 1 room

A saving in social care is a cost here and nobody nets it → Staff leave faster than we can hire them 1 room

A trolley in a different corridor stops the clock → Staff leave faster than we can hire them 1 room

A trolley in a different corridor stops the clock → The same patients come back within a week 1 room

An incident report goes into a system nobody reads back → A patient waits for one test that takes ten minutes to run 1 room

An incident report goes into a system nobody reads back → The people who know the fix are never asked 1 room

Beds are full because nobody can be discharged → The interpreter was booked for twenty minutes 1 room

Beds are full because nobody can be discharged → The GP said six weeks and it has been five months 1 room

Beds are full because nobody can be discharged → I was sent home at midnight with no way to get there 1 room

Beds are full because nobody can be discharged → Social care and the hospital are funded from different budgets 1 room

Beds are full because nobody can be discharged → Nobody explained what the test was for 1 room

Being frightened makes everything take longer → I did not know a pharmacy could have helped 1 room

Every part of the system optimises its own budget → Winter money arrives in November for a plan needed in June 1 room

Every part of the system optimises its own budget → A saving in social care is a cost here and nobody nets it 1 room

Experienced staff leave and take the workarounds with them → Two systems hold the same patient under different numbers 1 room

Experienced staff leave and take the workarounds with them → People wait hours in a corridor before anyone sees them 1 room

I came here because I could not get seen anywhere else → Being frightened makes everything take longer 1 room

I came here because I could not get seen anywhere else → My mother came home with no one to help her stand up 1 room

I did not come sooner because I could not afford the trip → I came here because I could not get seen anywhere else 1 room

I did not come sooner because I could not afford the trip → Staff leave faster than we can hire them 1 room

I did not come sooner because I could not afford the trip → Nobody tells you how long the wait will be 1 room

I did not know a pharmacy could have helped → I came here because I could not get seen anywhere else 1 room

I did not know a pharmacy could have helped → My mother came home with no one to help her stand up 1 room

I did not know a pharmacy could have helped → Staff leave faster than we can hire them 1 room

I have been in this corridor before and nothing changed → Being frightened makes everything take longer 1 room

I have been in this corridor before and nothing changed → Nobody tells you how long the wait will be 1 room

I have been in this corridor before and nothing changed → I came here because I could not get seen anywhere else 1 room

I was sent home at midnight with no way to get there → The same patients come back within a week 1 room

I was sent home at midnight with no way to get there → There is no water and no food after ten 1 room

Imaging closes at six and reopens at eight → A patient waits for one test that takes ten minutes to run 1 room

Managers are judged on the target too, so nobody questions it → The target changes what we do more than the illness does 1 room

Managers are judged on the target too, so nobody questions it → An incident report goes into a system nobody reads back 1 room

My mother came home with no one to help her stand up → Nobody tells you how long the wait will be 1 room

My mother came home with no one to help her stand up → Staff leave faster than we can hire them 1 room

Nobody has ever asked me what would have kept me away → I have been in this corridor before and nothing changed 1 room

Nobody has ever asked me what would have kept me away → Staff leave faster than we can hire them 1 room

Nobody is paid for the patient who did not need to come → The incentive is to treat, never to prevent 1 room

Nobody is paid for the patient who did not need to come → The same patients come back within a week 1 room

Nobody may discharge at night, so a bed is lost for twelve hours → Beds are full because nobody can be discharged 1 room

Nobody may discharge at night, so a bed is lost for twelve hours → Social care and the hospital are funded from different budgets 1 room

Nobody measures whether the patient got better → Nobody may discharge at night, so a bed is lost for twelve hours 1 room

Nobody owns the whole patient journey → People wait hours in a corridor before anyone sees them 1 room

Nobody tells you how long the wait will be → Being frightened makes everything take longer 1 room

Nobody tells you how long the wait will be → I did not know a pharmacy could have helped 1 room

One-year funding buys agency staff, not permanent ones → Staff leave faster than we can hire them 1 room

Patients come here because they cannot get an appointment → Experienced staff leave and take the workarounds with them 1 room

Patients come here because they cannot get an appointment → People wait hours in a corridor before anyone sees them 1 room

People wait hours in a corridor before anyone sees them → An improvement takes two years and a chief executive lasts eighteen mo 1 room

People wait hours in a corridor before anyone sees them → Experienced staff leave and take the workarounds with them 1 room

People wait hours in a corridor before anyone sees them → The incentive is to treat, never to prevent 1 room

Social care and the hospital are funded from different budgets → Two systems hold the same patient under different numbers 1 room

Staff leave faster than we can hire them → Every part of the system optimises its own budget 1 room

Staff leave faster than we can hire them → A saving in social care is a cost here and nobody nets it 1 room

Staff leave faster than we can hire them → Nobody tells you how long the wait will be 1 room

The GP said six weeks and it has been five months → The interpreter was booked for twenty minutes 1 room

The data we report is a year old by the time it is published → We have never once been asked to plan for ten years 1 room

The estate is older than anyone working in it → The incentive is to treat, never to prevent 1 room

The form asks questions I cannot answer about my own body → Nobody explained what the test was for 1 room

The form asks questions I cannot answer about my own body → You are moved three times and explain yourself three times 1 room

The form asks questions I cannot answer about my own body → People wait hours in a corridor before anyone sees them 1 room

The incentive is to treat, never to prevent → The same patients come back within a week 1 room

The incentive is to treat, never to prevent → An improvement takes two years and a chief executive lasts eighteen mo 1 room

The interpreter was booked for twenty minutes → Nobody explained what the test was for 1 room

The same patients come back within a week → Imaging closes at six and reopens at eight 1 room

Vacancies are counted as savings in the same month they are a crisis → We are measured on activity, so activity is what we produce 1 room

We have had four reorganisations and no more beds → Beds are full because nobody can be discharged 1 room

We report to eleven bodies and none of them to each other → The same patients come back within a week 1 room

We report to eleven bodies and none of them to each other → Nobody owns the whole patient journey 1 room

We report to eleven bodies and none of them to each other → Politics changes the target every election 1 room

Winter money arrives in November for a plan needed in June → Every part of the system optimises its own budget 1 room

Winter money arrives in November for a plan needed in June → One-year funding buys agency staff, not permanent ones 1 room

Connections several groups found (2 of 75)

Beds are full because nobody can be discharged	→	People wait hours in a corridor before anyone sees them	3 groups
People wait hours in a corridor before anyone sees them	→	The same patients come back within a week	2 groups

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