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Surrey is beginning to do this too. We take to GPs, MIUs and WICs to try an lessen the load on A&Es. We are also working on a process for paramedics to work on OOH coop cars instead of GPs. Training for this has begun. Also have TATs in A&E departments skilling up on minor wound and catheter care so that crews do not have to take them to A&E - instead they treat and refer for primary care follow up. All very early days , but we think we will be safely diverting a significant % away from A&E soon. Accepted that some will need to go to A&E after beibg to MIU, but if guidelines are right that should be a small proportion - so far no transfers have occured. East Anglia AS doing similar stuff, as is Staffs and a few others. Iain ----- Original Message ----- From: Robbie Coull <[log in to unmask]> To: <[log in to unmask]> Sent: Sunday, March 17, 2002 1:53 PM Subject: Re: Re Flying Squad call > > My apologies Robbie - what is 'treat and release'? > > In the UK all 999 ambulance calls are transported to the A+E for assessment > by a doctor (unless the patient refuses to travel and signs a release form). > > 'Treat and release' is when a paramedic assesses and treats a patient at the > scene (the 'treat' bit), and then has the authority to decide that they do > not need to go to hospital and see a doctor (the 'release' bit). > > I think community ambulance officers in Staffordshire have started doing > this (or referring the patient to their GP instead of transporting them), > but I don't know of any other such schemes in the UK. > > > > Robbie Coull > > email: [log in to unmask] website: http://www.coull.net > > > > =============^============================================================== > LOCUM123.COM Frequently Asked Questions > How can you afford to provide this service without charging commission? > -------------------------------------------------------------------------- -- > The software was written by a full-time GP, there are very few overheads and > telecom companies give a discount for bulk sending of SMS text messages. > > This means practices and NHS trusts save staff time and agency costs, locums > gain a simple, free system that allows them to take control of how they > receive offers of work, and the whole thing pays for itself with the > discounts achieved by sending the text messages from one central source. > > Visit the world's first automated locum service at http://www.locum123.com > =============^==============================================================