Yes I'm here.
The work of the A&E modernisation programme ended in June with the
submission of our report. The publication of the report is I understand
"imminent".
Responsibility for A&E issues has transferred from the DoH to two
organisations within the NHS executive - NPAT (National Patients Access
Team) and WEST (Winter Emergency Services Team). John Heyworth advises NPAT,
I don't know who represents A&E within WEST. I have returned to my roots in
A&E in Norwich. I guess this is a long winded way (would you expect anything
less from me) of saying that the "others [who] have a more close
relationship with the emergency planners or the Centre" don't include me.
Recently someone was asked "what is the difference between working in A&E,
the pressures of emergency admissions and trolley waits when the NHS is in a
state of "Red Alert" and normal working conditions?" - The cynic suggested
that the only difference is that you call it a "Red Alert" when you want to
blame someone else, otherwise no difference!
Did I miss the BAEM press release on the impact of the fuel crisis on A&E
departments and road traffic accidents?
Mike Lambert
> -----Original Message-----
> From: [log in to unmask]
> [SMTP:[log in to unmask]]
> Sent: 16 September 2000 06:12
> To: [log in to unmask]
> Cc: [log in to unmask]
> Subject: Re: Petrol Crisis
>
> > Re: Rowley's Comments ? Shrowd waving
> >
> > This has been a real emergency .
>
> I didn't say that it was shroud waving, only raised the issue. I have had
> a chance to talk to one of the emergency planners today, and it is clear
> that
> Wednesday was a cathartic experience. Apparently at one meeting the Police
> EPO read out the criteria for declaring a major incident and all were met.
>
> Talking to the planner, I disagreed. It was clear from his comments that
> in fact the next step was a disaster, as the infrastructure underlying
> society was in
> danger of breaking down. It may be that others have a more close
> relationship with the emergency planners or the Centre than I do (Mike
> Lambert, are
> you there?) but the last week or so has, it seems to me been a huge
> wake-up call for the Administration; should we devolve things so basic as
> fuel
> supplies and essential food supplies to the private sector? Should we be
> so dependent on contracting-out to maintain essential services? And so on.
> I
> find it difficult to over-estimate the impact this week has had on
> Government.
>
>
>
> >
> > I do not think we are out a crisis yet in the NHS as patients and
> > routine delivery staff will have major transport porblems for a few
> > weeks yet.
>
> No argument there.
>
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
>
>
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