The NHS is falling over. Not everywhere, but in some places and in some services the signs of extreme stress are manifest. These signs are the result of the irresistible force of rising demand for care meeting the immovable object of constrained capacity. Something has to give. For an increasing number of patients, timely access to acceptable standards of care is no longer possible. For staff the challenge is to deal with unprecedented workloads when vacancy and sickness levels among their colleagues remain high. The psychological safety of staff is at risk with consequences for themselves and the patients they treat. Evidence of stress can be found in many places. University Hospitals Birmingham NHS Foundation Trust was recently downgraded by the Care Quality Commission with standards of care in emergency departments a particular concern. At Brighton and Sussex University Hospitals NHS Trust surgeons and anaesthetists have expressed concerns about delays in the treatment of time-critical emergency and trauma cases. Nottingham University Hospitals NHS Trust has restricted the provision of chemotherapy services because of staff shortages and has been downgraded by the Care Quality Commission, with emergency services and maternity services both being a concern. General practices are also in the …

中文翻译：

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还有时间拯救 NHS，但时间已经不多了

NHS 正在崩溃。并非无处不在，但在某些地方和某些服务中，极端压力的迹象很明显。这些迹象是不可抗拒的力量的结果，即不断增长的护理需求满足了能力受限的不可移动对象。有些东西必须给予。对于越来越多的患者来说，及时获得可接受的护理标准已不再可能。对于员工而言，面临的挑战是在同事的空缺和疾病水平仍然很高的情况下处理前所未有的工作量。工作人员的心理安全处于危险之中，会给他们自己和他们治疗的患者带来后果。压力的证据可以在许多地方找到。University Hospitals Birmingham NHS Foundation Trust 最近被护理质量委员会降级，急诊科的护理标准尤其令人担忧。在布莱顿和苏塞克斯大学医院，NHS Trust 的外科​​医生和麻醉师对时间紧迫的急诊和创伤病例的治疗延误表示担忧。由于人员短缺，诺丁汉大学医院 NHS 信托基金限制了化疗服务的提供，并已被护理质量委员会降级，急诊服务和产科服务都是一个问题。一般做法也在…… 紧急服务和产科服务都是一个问题。一般做法也在…… 紧急服务和产科服务都是一个问题。一般做法也在……