Maybe we should bring back the orthopod run assessment area or casualty
department, because with all the elective hip and knee work going to ITC's
and OPD work going to CATS centres....there will not be as much NHS work for
them!
Andy
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Martyn Hodson
Sent: 05 December 2006 15:33
To: [log in to unmask]
Subject: Re: Thrombolysis for PEs
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Andrew Webster
> Sent: 05 December 2006 15:24
> To: [log in to unmask]
> Subject: Re: Thrombolysis for PEs
>
>
> Urgent care centre...just what do they offer better than an
> A&E deparment if they co-exist on the same site. Has he fed
> this back to the college of physicians as they wont need to
> employ as many cardiologists, gastroenterologists in the
> local DGH's if they are not looking after acute patients.
> There OPD work is all going to be looked after by GP with
> special interests.
Sort of assumes that the GPs, MIU/UCC and any emergency care
practitoners won't be admitting to the DGH though ...
The Hallamshire doesn't seem to suffer from a general medicine /
general surgical point of view in not having a fully functioning ED ,
Neither does Nottigham City ...
It's a complete re-casting of the service and the speciality - as it
stands Emergency Departments are a little like the Fire service -
scaled around exceptional demand, required to provide exceptional
services ( flying squad (even if it's never used there's all the stuff
in the cupboards -going out of date if it's not stock rotated, MAJAX
response, CBRN )
IF and it's a big if the changes are well planned and managed it will
see the recasting of emergency departments in some places into MIU/ UCC
/WIC and an assessment/ admissions unit ( sound famialir to anyone
who's been to S Yorks) while the major Emergency depts become more
major and more focused on resuscitation aspects of Emergency medicine
We may also see more Doctors on air ambulances and 'MUG' /'SMUR' type
teams as typified by ATACC etc as well -
--
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