A fediverse THREAD on latest NHS situation in England: Ambluance times, A&E, Waiting lists...

1/

Ambulance wait times across the board are the worst they've been for a very long time.

Graph shows category "C2" - not quite life or death, but potentially. Target is 18 minutes wait, but average is now over an hour. Almost 80 minutes in the Midlands and the SW. 2/

Once you get to A&E, waits to be seen are longer than ever. 31% of people now wait longer than 4 hours (target is 5%!).

Unsurprisingly about 5-6% of people leave before being seen - some of those really needed to be seen.

Over 8% of people wait longer than *12 hours* - up from basically 0% pre pandemic.
3/

One of the big issues causing these long waits is that hospitals are full and finding it difficult to discharge people ready to go - often frail older people who have nowhere safe to go with a broken social care system.

About 25% of beds in general wards are occupied by adults otherwise fit to be discharged.

Just since April this year, that's an extra 300,000 days in hospital for patients staying at least a week longer than doctors thought they needed to. 4/

@chrischirp I'm not going to boost these posts without CWs.
@artsyhonker @chrischirp
Trying to understand the CW metrics and conventions on Mastodon.
Would you expect a CW on each toot? I would have assumed that the fact that all detail was "hidden" in subsequent toots and the first toot was a summary would have provided the equivalent protection?

@TheExecutiveEditor
I didn't use a CW because i put no data in the top tweet (public) and then all the following content as an unlisted thread - so people ONLY see that content if they click on the thread to view it.

(At least that's what I understood it does, and what was recommended to me as best practice)

@chrischirp @TheExecutiveEditor No, that is not how it works.

Unlisted toots don't appear in the public timeline, but they *do* appear in the timeline of everyone who is following you. So I got every toot in that thread in my timeline with no CW on any of them.

@chrischirp And so did every other person who follows you. And every toot that was boosted appeared in someone *else's* timeline, again with no CW. @TheExecutiveEditor
@chrischirp Having everything after the first toot in a thread is indeed good practice, for keeping your local instance timeline and the federated timeline less cluttered and more chilled. But a toot being unlisted has no impact on its visibility for people who follow you., who will see all of them. @TheExecutiveEditor

@artsyhonker @TheExecutiveEditor oh really? i didn't know that. I had a conversatin with someone about thread best practice and this is what they suggested!

So - should i do BOTH unlisting AND CWs?

@chrischirp @TheExecutiveEditor Yes, if you want people who follow you to have a choice about what they read.

@artsyhonker i thought that's what my method did, but I hadn't considered that other people can boost subsequent tweets and I thought it wouldn't show up for my followers either.

I *am* trying to be respectful and have been using CWs

@chrischirp Yes, I saw you using CWs before, and was pleased and impressed, which was part of why I got so annoyed this time.

Thank you for being responsive about it, however you decide to handle future threads.

@chrischirp @TheExecutiveEditor CW stuff is always worked out in context, in community, and it gets messy sometimes.

For example, it's *not* appropriate for me to ask black or brown people to CW their experiences of racism, or disabled people to CW their experiences of ableism. But it's also not appropriate for me to boost those toots without CWs, because I also have black/brown/disabled followers who sometimes really need a break from that stuff.

@artsyhonker is thre a way to boost someone's post and *add* a CW? I've been wondering about that.
@chrischirp Not easily. I usually reply to the post and put a CW on the reply, with content something like "replying with CW"

@chrischirp The other thing you could do is paste a link to the toot into a new toot iwth a CW. Like I'm doing here, only we already had CWs on the conversation.

https://fediscience.org/@chrischirp/109327514318007235

Prof Christina Pagel (@[email protected])

Content warning: CW conventions, racism mention

FediScience.org

@chrischirp Anyway -- it is late, and I am tired.

Thank you for all your work with COVID data and news, I do very much value your contribution. And thank you also for engaging on the CW stuff, it is tricky to get the hang of at first and I was pretty grumpy.

@artsyhonker it's fine. I get that it must be annoying have all these people come over here trampling around like idiots. sleep well!