>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.
Couldn't agree more. We've run year on year admission comparisons and if
there is an increase it isn't coming from us out of hours! ;-) So is it AEU,
which I suspect it is, as does our local Consultant Clinical Directorate
colleague who feels "GPs should be doing more to stop these people coming
into AEU".
Oh dear I feel that tickle at the base of the IVth Ventricle coming on! Pass
the leak proof bag and Domperidone (Domperignon would be better).
Paul Attwood
GP Thanet
Med Manager EKDOC
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