Ian trimble wrote re
>Emergency Services Action Team (ESAT)
>
>This is a national group at the DoH charged with monitoring and
>analysing emergency admissions (and winter pressures) and reporting
>to and advising ministers. The group has recently opened a Web Site
>to provide information and invite comments:
>
2 comments -
IMHO the group should look at medical admissions via A&E depts. As a member
of an out of hours coop, covering about 100,000 patients, I am surprized how
FEW admissions we have in one 7pm - 8 am shift, perhaps just 3-4 admissions
to all specialities. Admissions must be coming from somewhere else. I
think junior medical staff, summoned to A&E departments have a lower
threshold for admission of chest pains, abdominal pains and so on.
In areas without community hospitals, some alternative needs to be easily
available, at any time of day, eg a few short term beds with NHS funding in
a good nursing home, for those patients who need food drink washing
toileting etc, and not the inappropriate expensive facilities of a DGH
Gwen
Gwen Richards GP Beaumaris North Wales
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