....long live see n treat
Trick n treat, see n weep etc is thriving in North
Bristol, and daytime triage has been banished.
We Shouldnt let cynicism and antipathy to this
despicable government blind us to possible
improvements. Clearly Adrian has tried it and it didnt
work for him but conversely our waits for minors are a
fraction of what they were last Autumn, entirely due
to process changes not more staff.The majors patients
get seen quicker, not slower too.
I suspect we are middling in our staffing levels,
particularly at weekends - I can imagine it is hard to
make it work if you are genuinely poorly staffed or if
you have a large inner city department where there is
a long wait 24 hours aday.
Our ENPS are shaping up just great at it.
trhe other thing is, strangely for someone who used to
prefer the resus end, I actually enjoy see n treat.
Steve
--- Adrian Kerner <[log in to unmask]> wrote:
> Danny - the idea is good, but it must behave like a
> sinking ship...the faster you see them, the more
> that come. This is the down side.
>
> Also needs experience.......and confidence.....not
> something that a new SHO can do.
> So where do we get all these experienced docs from?
>
> Iv'e tried 'trick and treating', but get stuck with
> the difficult patient ie swollen joint, on poly
> pharmacy etc...takes longer than 5 mins to sort
> out.....or do the powers want us to say...GO TO YOUR
> GP.....and therefore increase time spent on
> complaints and litigation. By the time I've sorted
> them , the ENP is bogged down by a suture etc..the
> piles building up..and I'm not doing other things
> and it all seeems like we are back to the way we
> usually practice....fighting fires!!!
>
> We need more Consultants to run the service, and
> better terms and conditions for Staff grades etc.
>
> Again some idle thoughts..
>
> Adrian Kerner
>
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