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The MIU is a good idea, but in many areas it has been a disappointment in
the hope that it would reduce the work load of main A & E.

MIU should have a supervising consultant to encourage and educate ENPs in
the unit. There has to be valid protocols in place. Once a week, one 4 hour
session - middle grade supervision will be educational to both parties.

As the name implies, it is a minor injuries unit and patients presenting
with problems other than minor trauma, minor illness should be refered to
the local A & E.

Also there is a risk of Gps abusing the system. These little hiccups have
been encountered and should pose as no surprise to those who are trying to
start a similar unit.