Danny,
This situation was entirely predictable.
I am not a medical politician so I am sure someone on the list will be able
to flesh this out but there was a DOH document leaked about 15 months ago
laying this arrangement out explicitly (my medical director saw it and
joking said that I did'nt need to worry about A/E cons expansion too much as
there would not be much for us to do in the future) . I gather that it was
withdrawn. The sentiments behind it have resurfaced as 'streaming' in the
reforming emergency care document.
If the DOH wanted to develop the specialty they would have expanded SpR
numbers dramatically.
The new Tzar is.....
I am also told by those in the know that the Gov blame A/E for the Trolley
crisis and have tired of throwing money at us.
I am not too worried as when they actually look at what we do everyone else
will back off. About 7 years ago one of the paediatricians here floated the
idea that they should see ALL the children on the ward, I responded by
asking if they could cope with 12,000 extra patients a year and what did
they know about Salter Harris I fractures. I have heard no more.
Paul
-----Original Message-----
From: Danny McGeehan [mailto:[log in to unmask]]
Sent: Wednesday, October 02, 2002 15:57
To: [log in to unmask]
Subject: Ubi (Latin Where?)
Doing a bit of CME and came across this posting on the Doctors net forum
page seems very distressing. Tried to follow the thread but lost, where is
it does anyone know? Can we have details please. Here is the posting.
Suprisingly to me it seems to be classical streaming!!!
"At our glorious unit - teaching hospital serving one million, the A&E
consultants have effectively been forced out. No-one applied for the jobs
though 18 came to look! Trust have suggested that to cover A&E they break it
up into its "speciality groups" i.e. medicine covers medical problems,
surgery covers surgery and orthopaedics covers everything else - walking
wounded, minor injuries, resus etc.
Has anyone else had to face this and if so, how did you make it work?
In a similar vein, has anyone any lateral thinking that might suggest a
better answer? "
Danny McGeehan
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