Britain’s Creaking National Health System Gears Up for Coronavirus Crisis By Max Colchester and Alistair MacDonald

https://www.wsj.com/articles/britains-creaking-national-health-system-gears-up-for-coronavirus-crisis-11585479601

EXCERPTS

LONDON—A vast convention center in east London is being turned into a sprawling hospital that can handle up to 4,000 patients. Thousands of retired nurses and doctors are being drafted back to work. The British army is delivering protective clothing to dozens of hospitals around the country.As the new coronavirus spreads here, Britain’s tightly funded National Health Service is taking drastic action to manage a crisis that some worry will overwhelm it.

How the NHS deals with an expected flood of patients will test whether a relatively low-cost, state-run health care system that is free at the point of delivery proves more resilient than its U.S. equivalent.The British system is limping into the crisis following 10 years of government belt tightening.

“This is a real problem at the moment,” said Chris Ham, a former director of strategy at Britain’s Department of Health. “The chickens are coming home to roost.” Already, doctors are complaining about a lack of protective clothing, with one NHS supplier reaching out to hardware stores to donate protective masks. The NHS is also struggling to ramp up mass testing for the coronavirus.

Going into the pandemic, U.K. hospital bed numbers had halved in three decades to 140,000, according to the King’s Fund, a health care charity.

More than 90% of hospital beds were occupied for all but four days of the 2017-18 winter, according to the British Medical Association, the doctors’ trade union. “It always runs right on the edge,” Mr. Edwards said.

The U.K. had 2.1 acute hospital beds—those where a patient receives treatment for severe injuries or illnesses—for every 1,000 inhabitants. That is among the lowest among members of the Organization for Economic Cooperation and Development, according to 2017 data, and compares with 2.4 beds per 1,000 in the U.S.

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