----- Original Message -----
From: "Adrian Fogarty" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, October 15, 2001 2:14 PM
Subject: Re: Patients Charter for Tourists
> ----- Original Message -----
> From: "Helen Deborah Vecht"
> > These people have already waited several hours to be seen in the first
> > A&E/ Minor Injuries Unit. They are none to keen to spend more time
> > attending an A&E department where they can 'rapidly be triaged to
> > fracture clinic' on another day.
>
> I'm not just talking about fracture follow-up. Many patients need general
> follow-up in addition, and in any case we should be capable of basic
> fracture follow-up at their first A&E reattendance.
i think the issue her is that the follow up is fracture clinic for patients
with fractures, and fracture clinic is part of the hospital and 'belongs' to
the orthopods
>
> > Why should they traipse all the way to an A&E department for what is no
> > longer an emergency and should be reasonably easy to manage on the
> > telephone?
>
> Yes, but patients are equally capable of making appointments by using a
> telephone, aren't they?
ritual practice, fracture clinic belongs to the orthopods, the orthopods
acquire paients from the traditional gate keepers of the hospital sector A+E
and Primary care
> Patients must take some responsibility for their own
> follow-up. For example, we don't arrange their GP follow-up, we expect
them
> to do this for themselves, although we will advise about the ideal timing
of
> such review. Why should distant hospital follow-up be any different? I do
> of course give all such patients a letter to take away, and x-rays where
> appropriate.
>
because GPs are sen as open access by the professions rather than things
which 'belong' to the hopsital
> On the receiving end, I am very happy to take back care of those numerous
> patients who have been injured abroad and arrive back in my department. I
> don't expect phone calls to arrange this, but I'm happy if they've got a
> short letter and ideally x-rays.
but until the majority are it isn't going to happen, it's also like the
patients who are sent to A+E with letters and cas forms from the VASes and
the letters ignored ( we certainly never get follow up letters despite
giving postal addresses)
Martyn Hodson
[log in to unmask] / [log in to unmask]
or [log in to unmask]
Student Nurse Sheffield University
SJA Ambulance Attendant, AED Operator
writing for myself, views expressed are entirely my own,
and may not reflect those of Sheffield University or St. John Ambulance ,
Nationally or locally
-Duct tape is like the force, it has a light side and a dark side,
and it holds the universe together.
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