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News imageBBC News' Fergus Walsh
"There aren't the nurses to staff intensive care beds"
News image real 28k
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News imageSir Alan Langlands
"Every one who needs care is getting it"
News image real 28k
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News imageThe BBC's Phil Mackey
"Most people are heeding advice and are not visiting doctors unless symptoms are chronic"
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News imageMark Hutchins in Cardiff
"Politicians have been playing down what is a dire situation"
News image real 28k
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News imageHealth Minister John Denham
We are not performing as well as other countries in some areas
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Monday, 10 January, 2000, 09:15 GMT
Nurse shortage blamed for flu crisis

Hospital ward Hospitals are under intense pressure


Extra intensive care beds would have been available for flu victims if more specialist nurses had been recruited and trained, say nurse leaders.

Flu nightmareNews image
Pressure on the UK's intensive care units is expected to ease within the next week as flu cases reach their seasonal peak.

However, at one stage only a handful of beds were available, with none free in London.


Christine Hancock: 'more nurses needed'
Christine Hancock, general secretary of the Royal College of Nursing, told the BBC that the problem lay not in a shortage of actual beds, but in hospitals having too few nurses to accompany them.

Intensive care nursing involves having more than one nurse - each fully trained in specialist skills - assigned to each patient at any one time.

Ms Hancock said: "If nurses get sick and patients get sicker there is a real crisis, because there aren't enough to deal with these large numbers of people."

The government has attempted to stem the flow of nurses from the NHS, as well as improve nurse recruitment by encouraging more flexible working arrangements and pay incentives for experienced nurses to return to the NHS.

The number of flu infections has increased, according to the latest figures, but experts say there is little risk of an epidemic.


News image Flu: numbers of cases (per 100,000 population)
News image England (400 = epidemic) 144
News image Northern Ireland (400) 145
News image Wales (400) 128
News image Scotland (1,000) 540
The weekly statistics released by the Public Health Laboratory Service (PHLS) showed a small increase in the number of people suffering from the virus in England.

In England, the number of reported cases rose from 124 per 100,000 population last week to 144 this week.

Anything less than 400 is not classed as an epidemic.


News image Flu: have you got it?
News image Symptoms: sudden onset, high temperature, shivers, 'too ill to move' feeling, muscle and joint pain, deep cough causing restricted breathing
News image Treatment: self-medicate with paracetamol to reduce temperature, increase consumption of fluids, rest completely for a few days
News image Vulnerable: the elderly, the very young, those with existing respiratory problems, for example, severe asthma or chronic obstructive pulmonary disease
News image Hospital: the above people may need hospital attention if breathing problems worsen
News image Remember: antibiotics do not help flu - unless you are a vulnerable patient it is pointless taking them


In Scotland, the number of cases has almost doubled over the last week.

The low number of people going to their GPs earlier in the winter for flu vaccinations has been partly blamed for the problem.

Hospitals are using operating theatre recovery rooms and casualty department resuscitation units to ventilate seriously ill patients.

Many hospitals have already been forced to cancel planned surgery because no intensive care facilities are available for patients following their operations.

Sir Alan Langlands, chief executive of the NHS, told the BBC he was confident people were getting the right care.

He said: "Anyone who will benefit from intensive care is getting that care from the health service."


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There is a particularly nasty viral chest condition going around which is affecting all age groups and causing pneumonia.News image
London NHS spokesman
A spokesman for the London region NHS said: "What we are finding is that there is a particularly nasty viral chest condition going around which is affecting all age groups and causing pneumonia.

"People are coming in very ill and are needing to be ventilated but they respond very well to treatment and after a couple of hours can be transferred back to an ordinary bed."

Some of the pressure had been eased by the NHS Direct telephone advice service which is currently taking 17,000 calls a day - four times the normal level.

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