11/08/2025
Our Chief Executive Birju Bartoli was recently interviewed by Eleanor Hayward, Health Editor at The Times. The piece focused around how Northumbria Healthcare NHS Foundation Trust achieves success, through prioritising the health and wellbeing of staff, as well as patients. “When we talk about looking after our own, we absolutely mean it,” explains Dr Birju Bartoli. “We all live on the patch. You have generations of the same family who work here — grandparents, mothers, sons.”
It highlights how our staff follow a mantra that “patients’ time is precious”, and it’s evident from the moment someone turns up at A&E. Some 150 patients per day walk through the front door at the emergency care hospital in Cramlington. But a unique “streaming” system — a form of triaging — means only about one in three end up seated in the A&E waiting room.
Patients are assessed straight away by an emergency specialist in the hospital foyer, who — wherever possible — books them in for treatment elsewhere. This might mean going straight to an operating theatre to have their appendix removed, or being booked for an x-ray for a sprained ankle at an urgent treatment centre. Others are directed back home, or to their GP or pharmacy, after being reassured nothing is seriously wrong.
“We have had people at the front door with a cut finger where we say — ‘you need to go to a pharmacy and buy a plaster’,” said Dr Sameer Sasidharan, an A&E consultant, stressing that it is understandable why worried people come as “A&E is the only place that is open 24/7”.
This is the first A&E department in the country to link up directly with community services, aiming to ensure people “don’t bounce around in the system” between GPs and hospitals.
Dr Julian Coffey, head of urgent care at Northumbria, explained: “It is about getting patients to the right place as quickly as possible,” so they do not face delays or have unnecessary [and expensive] tests. One classic example is chest pain. “It is very common and the first worry of everyone is that it could be a heart attack, so they come to A&E,” Coffey said. “However, we send home the vast majority. Often it is anxiety or stress, or they’ve pulled a muscle. If the patient can be told really rapidly that they’re OK, that is so valuable for them.”
If you are subscribed, you can read the full article on The Times website.