 |
 |
Hi everyone, just to throw my $0.02 in to the ring... Fred, the question I would be asking when you say: 'Depends what you mean. If you mean specialist delivered then there is no way the NHS could afford it at present even if we could find the docs to do it and I can't see any government stumping up the cash to do it in the foreseeable future.' is can you afford not to. Where is your data to support no difference in consultant vs non consultant led departments. As proof from the Australian experience, I would offer the following papers: Rogers IR, Evans L, Jelinek GA, Jacobs I, Inkpen C, Mountain D. Using clinical indicators in emergency medicine: documenting performance improvements to justify increased resource allocation. J Accid Emerg Med. 1999 Sep;16(5):319-21. PMID: 10505908 [PubMed - indexed for MEDLINE] Jelinek GA, Mountain D, O'Brien D, Rogers IR, Wilkes G, Wenban J, Carr J, O'Keefe S, Martin PJ. Related Articles Re-engineering an Australian emergency department: can we measure success? J Qual Clin Pract. 1999 Sep;19(3):133-8. PMID: 10482320 [PubMed - indexed for MEDLINEJ Accid Emerg Med 1999 Sep;16(5):319-21 Related Articles, Books, LinkOut which clearly document improvement in clinical indicators when moving to a consultant led department. Interested to hear others views. Paul Bailey