Has anyone else seen "Keeping the NHS local",
www.doh.gov.uk/configuringhospitals
the most recent "guidance" from our leaders. It includes some interesting
scenarios in the last pages where the emergency care team (A&E Consultant
and SPR plus anaesthetist) rush down to CCU to review the MI patient when
he gets poorly and can then do the business with the graceful permission of
the cardiologist (who isn't there but has written us a protocol)
There seems no mention of A&E in the group involved in this paper, a senior
nurse, a gynaecologist (rtd) a haemo-oncologist and a GP plus a load of
managers.
Working in an area where the GP's are keen to dump all on the minor
injuries units and run, the concept of GPSI's reviewing the patients with
IT support from the A&E (anyone got a cheap, working, Telepresence that
allows medical examination?) does not seem like the world as I see it.
Those of you who want to take over MAU's and I have some slight sympathy
with that view should get your wishes. I have been nattering about having
an acute medical assessment team (consultant lead) "a la trauma team" for
ages, but, in my department, with two consultants, the prospect of
supplying the acute medical team leader as well as the acute trauma team
leader does not fill me with unbridled happiness.
A jaded A&E consultant
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