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> -----Original Message----- > From: Accident and Emergency Academic List > [mailto:[log in to unmask]] On Behalf Of Andrew Webster > Sent: 05 December 2006 15:24 > To: [log in to unmask] > Subject: Re: Thrombolysis for PEs > > > Urgent care centre...just what do they offer better than an > A&E deparment if they co-exist on the same site. Has he fed > this back to the college of physicians as they wont need to > employ as many cardiologists, gastroenterologists in the > local DGH's if they are not looking after acute patients. > There OPD work is all going to be looked after by GP with > special interests. Sort of assumes that the GPs, MIU/UCC and any emergency care practitoners won't be admitting to the DGH though ... The Hallamshire doesn't seem to suffer from a general medicine / general surgical point of view in not having a fully functioning ED , Neither does Nottigham City ... It's a complete re-casting of the service and the speciality - as it stands Emergency Departments are a little like the Fire service - scaled around exceptional demand, required to provide exceptional services ( flying squad (even if it's never used there's all the stuff in the cupboards -going out of date if it’s not stock rotated, MAJAX response, CBRN ) IF and it’s a big if the changes are well planned and managed it will see the recasting of emergency departments in some places into MIU/ UCC /WIC and an assessment/ admissions unit ( sound famialir to anyone who's been to S Yorks) while the major Emergency depts become more major and more focused on resuscitation aspects of Emergency medicine We may also see more Doctors on air ambulances and 'MUG' /'SMUR' type teams as typified by ATACC etc as well - -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.430 / Virus Database: 268.15.7/569 - Release Date: 05/12/2006 03:00