Danny
YOU are not being assessed, the Trust management IS being assessed.
You have accommodated their failure to provide adequate in-patient
facilities by allowing them to convert large chunks of your emergency
department de facto into an extra in-patient ward.
I assume they have chosen to do this against your clinical advice. They
must therefore also take the responsibility for explaining the impact on
A&E services. The problem is of THEIR making, not yours, so THEY can
explain it to the inspectors.
Don't get fooled into playing the numbers game for the dark oppressive
forces of the bourgeois autocracy. We should all keep our eye firmly on
the ball - the priority is patient care, not targets. Sanctimonious
maybe, but difficult to argue with !
Gautam
In article <20030227192817.DGOS2341.mta05-svc.ntlworld.com@[10.137.100.7
1]>, Danny McGeehan <[log in to unmask]> writes
>Colleagues
>Our minor side is now frequently becoming a medical ward. When I was first
>appointed consultant over 14 years ago it ran very efficiently and we could zip
>through the walking wounded. Bums never sat sat very long on seats usual thing.
>No need for Trick and treat. During the last 18 months the whole thing has gone
>pear shaped. Due to excessive demand we now routinely cramp beds into the
>cubicles and the whole system becomes log jammed with Ambulances waiting to
>decamp their patients.
>
>Next month we are going to be assessed viz the 4 hour targets. I suspect we
>will pass with over 90% compliance as the powers that be will cram even more
>beds into the unit, including my office.
>
>Seriously though have the list got any solutions?
>
>Danny Mcgeehan
Dr G Ray
A&E
Sussex
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