I did a straw pole of the A&E staff. At Lancaster I can't say that it has
improved the service at Lancaster except that we only have one grumpy SHO
covering the surgical and orthopaedic emergencies now..... as opposed to
two. The latter was the verdict of my current SpR.
Certainly there is no extra help for the A&E department if it gets stressed
with an influx of patients out of hours.
At least it hasn't got any worse.... so perhaps it has helped??? Middle
Grade cover is still for each individual specialty............. though I
think that is also set to change eventually.
The experience at the Royal London might be different.... but then again the
medical staffing levels in London are generally higher (talking of the whole
hospital not A&E). When the Dept of Health road show visited with Prof
Alberti earlier this year they did make this point.
Ray McGlone
Lancaster
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, May 03, 2004 9:12 AM
Subject: Hospital at Night
I may have missed a thread on this already but....
Do any of you have experience of the new all singing, all dancing (not
neccessarily by fully trained dancers but by people who are able to dance
safely) answer to the EWTD the hospital at night scheme.
I know that Morecambe Bay, and I think Royal London amongst others are
trialing it.
Has it had any knock on implications for A&E docs, not just in terms of
being part of the team but availability of 'specilaties' to refer to. I note
from the BMJ news magazine that there is a plan to have surgical registrars
on for a number of hospitals instead of just their own etc etc.
For surgery read any specialty you like. (except Peads where the patients
are selfish enough to require Specialist specialists who can't cross cover)
How is it actually working?
The BMJ News mag makes it sound like its all very lovely and going to make
us all better doctors and patients will obviously be better off too.(unless
you have a perforation in one hospital when the reg is busy in theatre in
another)
Cheers
Peter Cutting
SpR Manchester Rotation
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