In this extract from her new book Breathtaking, palliative care doctor Rachel Clarke reveals the pressure and pain of splitting her time between hospice patients and hospital Covid wards
- Rachel Clarke Q&A: ‘NHS staff are burning with frustration and grief at this second wave’
- Coronavirus – latest updates
- See all our coronavirus coverage
In January 2020, novel coronaviruses are nowhere on my mind. Like everyone working in the NHS, I am steeled for a home-grown catastrophe. For no matter how many patients lie on trolleys in corridors, how many ambulances sit trapped on hospital forecourts, how many photos go viral of toddlers slumped on their parents’ coats, receiving oxygen on the floor of a beleaguered A&E, nothing ever truly changes. These days, the annual NHS “winter crisis” is both dreaded and reliable as clockwork.
The numbers are so large, and repeated so frequently, they have long been leached of their force: 17,000 hospital beds lost since 2010; only 2.5 beds per 1,000 people in the UK, compared with three times that number in Germany; unfilled vacancies for more than 10,000 doctors and 40,000 nurses.
