 |
 |
we have a variable access to fracture clinics 4 days to 2 weeks, but do have a sunday fracture clinic, especially poor during summer holidays as the consultant orthopaedic surgeons apparently are not allowed to let Spr do fracture clinics on there own.we have an ongoing risk mangement issue of poor fracture clinic access compounding delayed radiologist reporting of xrays. mark at macclesfield >From: "McCormick Simon Dr, Consultant, A&E" ><[log in to unmask]> >Reply-To: Accident and Emergency Academic List <[log in to unmask]> >To: [log in to unmask] >Subject: Re: Fracture clinic time scales >Date: Tue, 18 Jul 2006 11:45:41 +0100 > >When I arrived here we had fracture clinic appointments that were anything >from 5-14 days as the next available appointment. This caused real >problems, particularly if manipulated wrists (or those that were thought >not to need manipulation) were subsequently judged to need surgical >intervention and bone healing had already begun. We have now got next day >fracture clinics (except the weekend) and things work much better. Ideally >we would have enough senior cover to ensure all patients got the >appropriately timed first follow up (as Andy suggests) but as we certainly >don't have that the blanket next day appointment is a better position than >before (though us ED consultants can over ride the system if we feel it >appropriate!). > >Simon McCormick > >-----Original Message----- >From: Andy Webster [mailto:[log in to unmask]] >Sent: 18 July 2006 10:47 >To: [log in to unmask] >Subject: Re: Fracture clinic time scales > > > >Is it not more sensible to send patients when they need to be reviewed or >for some things good discharge advice from at the initial ED visit? For >example the patient with a colles successfully reduced, send them at a week >for a review with a check x-ray, or for kids with simple torus fractures >and uncomplicated clavicle fractures discharge on the initial visit. If we >avoid the historical everything goes to fracture clinic next day then we >avoid unnecessary early review for everyone. In Perth when I worked there >last year. They did not see anyone for a week, unless they need MUA. The >reduction in the number of appointments meant they could see them within >their standard clinic time. > > > > > _____ > > >From: Accident and Emergency Academic List >[mailto:[log in to unmask]] On Behalf Of Black, John >Sent: 18 July 2006 10:26 >To: [log in to unmask] >Subject: Fracture clinic time scales > > > >Dear colleagues, > > > >I would be interested in your views about the maximum acceptable period of >time patients should be reviewed in a fracture clinic after initial >management in the ED, accepting that this should be a short time as >possible. I am aware that clinical practice varies around the UK. > >Please feel free to contact me off list if you prefer. > >John Black > >Oxford > > > >________________________________________________________________________ > > > >Doctors.net.uk education: totally independent, totally free. > >http://www.doctors.net.uk/education > >________________________________________________________________________ > > >