Alan
CLINIC !!!!
paul
-----Original Message-----
From: Alan Montague [mailto:[log in to unmask]]
Sent: Monday, December 09, 2002 11:53
To: [log in to unmask]
Subject: Re: Modernisation and collaberative study
--- "Howarth, Paul - RCHT"
<[log in to unmask]> wrote: >
-----Original Message-----
> From: Fred Cartwright [mailto:[log in to unmask]]
> Sent: Sunday, December 08, 2002 20:12
> To: [log in to unmask]
> Subject: Re: Modernisation and collaberative study
>
>
> --- Danny McGeehan <[log in to unmask]>
> wrote:
> > Dear All
>
> I was in london too, it was nice to see some old
> friends and meet some new
> ones.
>
> I have very mixed feelings, on the one hand we are
> in a position to make
> positive changes but I can't help thinking that the
> issues of undercapacity
> and understaffing are the real problems (not just in
> A/E, but across the
> whole health community). This will not change enough
> in the next 12 months
> to make any significant impact.
>
> I am also unimpressed with the mantra that mori
> polls indicate that waiting
> times are at the VERY top of the publics demands, it
> depends on how the
> question was framed. (do not forget that the polls
> were wrong when kinnock
> was not elected).
>
> I know that this is naive but instead of 'You will
> achieve 4 hour
> turnaround, non negotiable, without new resourses
> and using existing IT by
> 2003'.
>
> It would be preferable to have
> 'Achieve a sustainable emergency service which
> delivers a high standard of
> care to the people who need it and deliver CLINICAL
> targets (eg, thombolysis
> times, missed # rates etc) while we sort out the
> undercapacity'.
>
> Final thought, if we fail which I fear that we will
> (even if we do hit the
> target, it will not take long for us to be
> overwhelmed with new work; why
> bother going to a gp when you are GUARANTEED to be
> seen and treated within 4
> hrs in A/E), what then?
> I suspect that Anthony Blair et al will blame us;
> 'we have spent millions
> and this lot (us) can't deliver!!'
>
> Sorry to be a bit of an eyeore but it is monday,
> raining, still dark and I
> have a big clinic!!
>
> Maybe I will feel better later
>
> Paul
>
You've got a big WHAT? Follow-up clinics are the
self-inflicted wounds of our specialty, wasting those
resources now under discussion. Shouldn't emergencies
be sorted at the time of presentation?>
Alan
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