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During the COVID-19 pandemic, families of patients faced several difficulties for getting admission in the healthcare centres. Patients faced challenges to have enough connections to admit in the long-term care centres that caused the situation to become even worse. In this section an extensive discussion will be done to understand that situation.
The mortality cases during the first month after the pandemic hit rose significantly. In addition, the number of hospital admissions dropped substantially in England. Rates of admission to nursing home residents dropped around 36% and emergency admission due to sudden coronary syndrome decreased around 29% in these nursing homes. The families of patients did not have a clue what to do in that situation (Grimm et al., 2020). In this situation, different care services came to the rescue. The noble services of Rush and other Non-profit Organisations (NPOs)did not stop during the global crisis and some of them opened a special care service unit for critically ill patients. The opening of the Alternative Care Facility (ACF) centre helped to serve quickly at the same time reduced the burdens on local healthcare centres (Rush Stories, 2020).
In March 2020 the number of COVID cases rose significantly and the number of new cases expanded to around 5000 and the number of dead was 73. The patient families had been facing a lot of difficulties admitting their loved ones in the hospitals. In this situation, a lot of NGOs and NPOs came as a saviour. The unused or unutilised areas of the care facility was converted into an ACF for those having mild symptoms of Coronavirus. The authorities arranged for sufficient resources to care for at least 3000 patients at once in a well-known hospital (News Wtta, 2020). The underutilised place of the facility was completely utilised to manage the panic situation to some extent. Moreover, it was ensured that all the clinicians and other caregivers had access to the necessary information of the patients so that necessary steps could be taken to prevent emergencies. Other than that, official websites of different healthcare facilities provided regular updates for the concerned family members of the patients admitted so that they do not get panicked.
In England, there are two main types of care facilities. Residential care homes provide personalised care services and on the other hand, nursing homes provide additional care support mainly served by qualified nurses. The number of total deaths other than coronavirus rose significantly in that situation (Raleigh, 2020). People were dying without getting emergency treatment for sudden myocardial attacks, strokes, etc. Critical patients such as diabetic patients especially those who were insulin-dependent could not find medications or insulin to support their lives. In addition, patients with dementia, Alzheimer disease faced difficulties finding care services resulting in increased numbers of deaths. (Grimm et al., 2020). However, in this crisis, a lot of small organisationstook a collaborative initiative to care for some of the mild symptomatic patients. Although some of them did not have any facilities for intensive care for patients at that time and only medical care was provided by the hospital. In addition, the numbers of total increased beds were not enough to accommodate such huge numbers of new cases (Bloom et al., 2021). Hence, people having emergencies could not get a scope to receive intensive care and admit them to the long-term care facilities as well.
The care services to the people staying in long-term care facilities in the UK is commendable. The hospitals as well as NGOs and NPOs of this country offer one of the largest, high-quality programs for supporting patients suffering from this mental condition. They offer dedicated professionals including the director, day program manager, nursing manager, recreation program specialist, administrative assistants as well as volunteers who work closely with the patient's family to ensure care and other facilities. The NHS or National Health Service is the main regulatory body under which all the public hospitals come. Hence, residents are entitled to opt for free public health services for treating their physical as well as mental disorders (Miles, Stedman & Heald, 2021). Therefore, the main strength of these hospitals is their dedications to working that is too free of cost. The services they provide are funded by“The parliament of England”, “State secretary of health” as well as “Health department”. Other than that, they provide “Community Support Services (CSS)” and the aim is to promote independent living by promoting disease prevention instead of treatment (Common Wealth Fund, 2020). With their huge network, they manage to provide these services. Various CSSshelp in connecting people with the resources available in the community and support staying at home with the family members in the community. They help in hospital transition as well. Moreover, some of the NPOs offer private pay services as well including housekeeping as well as “Personal Care support”. In addition, they provide “Long-term care” for those who are eligible and are willing to get additional help.
The main weakness of this hospital is the lack of diversity in the services offered by some of the hospitals and NPOs. In addition, the hospitals do not have enough resources to support crises situations like the pandemic (Gadoud et al., 2020). During COVID-19 almost all the hospitals faced challenges to arrange basic needs of the patients. There was a significant lack of sufficient arrangements like beds and other facilities to admit patients in long-term care units. In addition, admitting the people in need of “Long-term care” has always been a little difficult for family members and the reason why most people believe in home-based treatments until severity of the situation rises (Wardman, 2020). They did not have enough infrastructure to cure other diseases or treat the patient when in an emergency or needs long-term care during the pandemic.
Being already quite difficult to get admission permission in the “Long-term care” service it is quite certain that patients faced a lot of difficulties during the crises of “COVID-19”. This research specifically aims to fill the gap and get information regarding admission process complexity in McCormick hospital and understand the situation in depth.
This section has critically discussed the pros and cons of hospitals and other small and large NGOs and NPOs during the pandemic crisis. In addition, the general strengths and weaknesses of these organisations have been discussed followed by a literature gap.
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