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It may be useful to get the input of EuSEM as well in terms of nearest neighbours - I am well aware that 'boarding' as it is called there is a huge issue in the US as well with patients being left either on ambulance stretchers or trolleys in ED corridors for many hours Regards Jim Bethel -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]] On Behalf Of ACAD-AE-MED automatic digest system Sent: 13 December 2013 00:01 To: [log in to unmask] Subject: ACAD-AE-MED Digest - 9 Dec 2013 to 12 Dec 2013 (#2013-80) There is 1 message totaling 71 lines in this issue. Topics of the day: 1. Urgent Care in England ---------------------------------------------------------------------- Date: Thu, 12 Dec 2013 04:38:38 +0000 From: Coats Tim - Professor of Emergency Medicine <[log in to unmask]> Subject: Re: Urgent Care in England Kieran, It is not just either England or the UK, but in fact international. The recent Australasian EM conference was full of exactly the same issues that we are facing in the UK, with the local media carrying stories about delayed offload of ambulances due to ED overcrowding. I think that this is good evidence that root causes are in fundamental issues rather than the details of NHS organisation. I wonder if the BMJ could in some way give an international perspective on the issue - it would be good to start to move the political debate in the UK above the local issues of NHS organisation and take a more global perspective of the underlying factors in population demographics and healthcare expectations which are driving emergency care system overload internationally. Tim. ------------------------------ Prof. TJ Coats Professor of Emergency Medicine University of Leicester, UK. -----Original Message----- From: Kieran Walsh [mailto:[log in to unmask]] Sent: Tuesday, December 03, 2013 09:37 PM GMT Standard Time To: [log in to unmask] Subject: Urgent Care in England Dear all, Thanks for your comments on the BMJ editorial. What else could the BMJ do to help the problem in urgent care I wonder? Is this just a problem with England or is it UK wide? What might help? Please do let me know if you have any thoughts - I will pass comments on to BMJ editorial. BW, Yrs, Kieran, Dr Kieran Walsh Clinical Director BMJ Learning and Quality [log in to unmask] ________________________________ BMJ advances healthcare worldwide by sharing knowledge and expertise to improve experiences, outcomes and value. This email and any attachments are confidential. If you have received this email in error, please delete it and kindly notify us. If the email contains personal views then BMJ accepts no responsibility for these statements. The recipient should check this email and attachments for viruses because the BMJ accepts no liability for any damage caused by viruses. Emails sent or received by BMJ may be monitored for size, traffic, distribution and content. BMJ Publishing Group Limited trading as BMJ. A private limited company, registered in England and Wales under registration number 03102371. Registered office: BMA House, Tavistock Square, London WC1H 9JR, UK. ________________________________ This e-mail, including any attached files, may contain confidential and / or privileged information and is intended for the exclusive use of the addressee(s) printed above. If you are not the addressee(s), any unauthorised review, disclosure, reproduction, other dissemination or use of this e-mail, or taking of any action in reliance upon the information contained herein, is strictly prohibited. If this e-mail has been sent to you in error, please return to the sender. No guarantee can be given that the contents of this email are virus free - The University Hospitals of Leicester NHS Trust cannot be held responsible for any failure by the recipient(s) to test for viruses before opening any attachments. The information contained in this e-mail may be the subject of public disclosure under the Freedom of Information Act 2000 - unless legally exempt from disclosure, the confidentiality of this e-mail and your reply cannot be guaranteed. Copyright in this email and any attachments created by us remains vested in the University Hospitals of Leicester NHS Trust. ------------------------------ End of ACAD-AE-MED Digest - 9 Dec 2013 to 12 Dec 2013 (#2013-80) ****************************************************************