NHS 直面するing difficult winter as system 'can't 対処する' with 患者 numbers
The ability of the NHS to 対処する with winter has become worse over the past three years, によれば a new 投票 of doctors.
A 調査する of 457 medics for the British 医療の 協会 (BMA) 設立する that 78% believe the 圧力 on the health service means it is struggling more now than ever.
Winter is usually a 堅い time for the NHS, with 需要・要求する for services 増加するing, 特に around 突発／発生s of flu and very 冷淡な （一定の）期間s.
The NHS could be under 増加するd 圧力 this winter in part 予定 to low staffing numbers
The festive break also places hospitals under more 圧力 as community services to support the 無能にするd and 年輩の may be run with より小数の staff.
On 最高の，を越す of that, 延期するd 移転s of care - when 患者s are medically fit to leave hospital but are stuck in beds while their social care 一括 in the community is arranged - are at their highest levels.
Last month, MPs on the ありふれたs Health 委員会 said p oor 業績／成果 in A&E has "become the norm" for some NHS 信用s.
They 警告するd the NHS could 直面する a "大幅に more difficult" winter this year than last, with 増加するing 需要・要求する for services, 信用s 苦しむing 予定 to too few staff and 延期するd 発射する／解雇するs.
証拠 submitted to MPs showed that A&E departments are now routinely 行方不明の the 国家の 的 to を取り引きする 95% of 患者s within four hours.
Major type 1 A&E departments - those that are 位置を示すd in hospitals - 成し遂げる the worst, with just 87.9% of 患者s 認める, 発射する／解雇するd or transferred within that time でっちあげる，人を罪に陥れる in 2015/16.
MPs said that w hile in the past, NHS 信用s would experience their most 激しい problems in the winter and would enjoy a 一時的休止，執行延期 in the summer, now "圧力s are high year-一連の会議、交渉／完成する and just reach a more 激しい 頂点（に達する） during the winter".
They said: "The winter of 2015/16 was 穏やかな and the flu ワクチン worked. We heard of a 恐れる amongst leaders of 激烈な／緊急の NHS 信用s that 2016/17 could be 大幅に more difficult.
"It is both 重要な and 関心ing that, compared to previous years, hospitals are working from a much lower base ーに関して／ーの点でs of their 業績／成果 as we enter the winter period.
"The 拒絶する／低下する in 業績／成果 of 緊急 departments, whi ch is usually associated with winter 圧力s, has become the norm for some NHS 信用s."
In the new BMA 投票, m edics said previous winters had already seen them with unmanageable workloads, 含むing in GP 外科s.
Dr 示す Porter, chairman of the BMA's 会議, said: "These 人物／姿／数字s are 原因（となる） for serious 関心 as, while there is an ever-増加するing 需要・要求する for health services across the NHS, this is hugely 悪化させるd during the winter months. 需要・要求する is now so 広大な／多数の／重要な that hospitals are experiencing a year-一連の会議、交渉／完成する 危機, with a 欠如（する） of 利用できる beds 妨げるing the system from 対処するing with a seasonal spike in 需要・要求する.
"Frontline staff are working flat-out but the system can't 対処する with the number of 患者s needing to move through 激烈な／緊急の care, as the entire system is congested.
"It is 決定的な that there is 十分な capacity across the entire health and social care system, 含むing in 事故 and 緊急 departments, general practice and social and community care. Doctors are 特に 関心d that a 欠如（する） of 投資 and 資源 in social care is ますます 衝撃ing on the 準備／条項 of healthcare, 特に in winter."
影をつくる／尾行する health 長官 Jonathan Ashworth 非難するd a 欠如（する） of 基金ing for the "危機" 直面するing A&E departments.
The 労働 frontbencher said: "Today's news that the NHS is struggling to 対処する with the number of 患者s in our hospitals is another 警告 to the 政府 as winter approaches.
"A&E departments are in 危機, around 3.9 million people are on the waiting 名簿（に載せる）／表（にあげる） and there is a real 関心 that this 状況／情勢 could 悪化する over the winter months."
He 追加するd: "The Tories need to take 緊急の 活動／戦闘 to 確実にする 患者s get t he care they need and to 避ける a 危機 in our health system this winter."
An NHS England 広報担当者 said: "Winter bugs and illnesses always bring more 圧力 but this year hospitals began planning earlier, flu ワクチン接種 率s are 一般に encouraging and we are working far better with 上級の 地元の 会議 公式の／役人s in health and social care 権利 across the country.
"The General Practice 今後 見解（をとる）, also 始める，決めるs out a 計画（する）, 支援するd by a multibillion-続けざまに猛撃する 投資, to stabilise and transform general practice and 強化する wider 最初の／主要な care services."
