We proposed this around 2years ago, pushing for the specialities
releasing the 'on call' element of their teams (usually the F2s) to
join the ED as the work load would increase. We offered that we (with
the enhanced staffing and unified proformas) would even start to
perform the clerking of the admitted patients - our juniors seem to
clerk the patients in any case and the specialities just copy it out.
This apparantly would destroy the team structure of the in patient
teams so was abandoned. To be honest I don't think there is much team
structure left but would happily be proven wrong.
Paul
On 10 Mar 2010, at 22:28, "Rowley Cottingham"
<[log in to unmask]> wrote:
> A common access pathway. Two people can attend with exactly the same
> problem
> and see two different teams and have completely different treatment
> if one
> dials 999 and the other their own GP, even if both attend in an
> ambulance.
> This is crackers. If we are setting ourselves up as the experts in
> care for
> the acutely ill or injured patient why are we letting 30% bypass our
> expertise?
>
> BW
>
> R
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Martyn Hodson
> Sent: 10 March 2010 22:19
> To: [log in to unmask]
> Subject: Re: GP referrals to specialities
>
>> -----Original Message-----
>> From: Accident and Emergency Academic List
>> [mailto:[log in to unmask]] On Behalf Of Rowley Cottingham
>> Sent: 10 March 2010 22:16
>> To: [log in to unmask]
>> Subject: Re: GP referrals to specialities
>>
>>
>> I think GP referrals to specialties are archaic and should be banned.
>>
>> BW
>>
>> R
>
> And replaced with what ?
>
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