I am clearly new to the UK/Irish system but find it very surprising to find
how little responsibility nurses have within the Irish health care system.
Clearly until nurses take on more responsibilty , by assisting fast tracking
of both minors and majors, emergency departments will continue to suffer
from overcrowding.
Beth
>From: Dr Matthew Cooke <[log in to unmask]>
>Reply-To: Accident and Emergency Academic List <[log in to unmask]>
>To: [log in to unmask]
>Subject: Re: Reforming emergency care
>Date: Thu, 25 Oct 2001 20:19:43 +0100
>
>Andrew
>I can reassure you. It is the minor injury component of the service that is
>nurse provided and led by a consultant who could be a nurse consultant or
>medically qualified consultant. This minor injury service could be one
>stream within the A&E department or it could be the stand alone minor
>injury
>service. Stand alone services will however be part of a local emergency
>care
>network to integrate all the emergency healthcare provision in an area.
>There are still important issues to settle, such as defining what is the
>minimum training of an ENP.
>For those who have not had time to read the document key elements are
>summarised at the end of this mail.
>When the more detailed document is published in a couple of weeks, you will
>see that the strategy does not go for a "one size fits all" approach but
>recognises the need for local solutions based around national standards.
>The
>next phase is to set these standards, which will be a process performed
>jointly by DoH and the professional bodies.
>I would be very pleased to get peoples comments on the document either via
>the list or direct to me. These will then be fed in to the implementation
>process.
>Matthew
>
>From: Dr Matthew Cooke
>A&E Advisor, Winter and Emergency Services Team, Dept of Health, UK
>
>
>
>
>REFORMING EMERGENCY CARE - HEADLINES
>183 additional A&E consultant posts as part of NHS plan allocation
>New funding for 600 extra A&E nurses
>£50m to fund extra capacity with aim of reducing bed occupancy
>Decrease delayed discharges (£300m announced couople of weeks ago)
>600 extra acute specialty consultant posts as part of NHS plan allocation
>to enable consultants to be free of other duties when on take
>Improved out of hours doiagnostics
>Streaming of minor injuries ( commonly called fast tracking)
>Testing of the new decision support systems in 25 A&E departments
>Adoption of new ways of working e.g. with increased roles for nurses and
>paramedics
>Development of emergency care networks to co-ordiante local provision of
>emergency care
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