I'm not sure I said it was a worry over nothing. What I said was that you
could come to an equitable arrangement. However, I did warn 18 months ago
of the potential complete destruction of our specialty, and was told *I*
was worrying about nothing. I could foresee acute physicians taking all
the medical stuff, GPs and ENPs taking all the minor illness and injury
and us being left with (a very small amount) of major trauma. I asked at
the time what we thought we were training our juniors to do. The latest
leak from on high is that Sir George advocates 12 trauma centres
country-wide. That's not many. That's not enough to sustain our specialty.
The question nobody seems to be asking is why?
The best answer I can come up with is that we are going, like it or not,
to the Spanish polyclinic model. Because it's cheaper.
/Rowley./
> *From:* John Paskins <[log in to unmask]>
> *To:* [log in to unmask]
> *Date:* Thu, 24 May 2007 07:56:48 +0100
>
> This is quite right. If the commissioners get their way the A/E dept
> will be reduced to a single room for resuss of the seriously ill and
> injured whilst everything else (unscheduled care) is in the GP run
> unit.
> Are we happy for our juniors to be supervised by GPs when doing
> what has
> traditionally been EM? Do the college and association have a view
> or is
> this really a worry over nothing as suggested from the south coast?
>
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