Download A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.) PDF
By Henry Guly (auth.)
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Extra resources for A History of Accident and Emergency Medicine, 1948–2004
The study confirms the variability of consultant cover for the department. Some consultants took a major interest. ‘The consultant in charge is probably unique in the active interest he takes. … Apart from his frequent informal visits to the department he takes 21⁄2 sessions per week actually at the same table as the SHO casualty officer seeing both new and old patients …’ and for another consultant: ‘when the SHO is off duty, the general practitioners provide cover for their own patients … and if they are unable to come to the hospital quickly or a patient arrives who has no local doctor, the consultant is on second call.
Apart from these four reports dealing with accident and casualty services, Sir Robert Platt in his report on medical staffing9 recognised a requirement for consultant involvement but did not appear to feel that it needed much time: ‘the first principle in the staffing of casualty departments should be that one or more consultants should have a specified responsibility for casualty work, and a definite and sufficient part of their time allotted to its supervision. Much of the work is of a kind in which a policy for treatment can be defined reasonably closely and supervised by the senior staff concerned.
Apart from his frequent informal visits to the department he takes 21⁄2 sessions per week actually at the same table as the SHO casualty officer seeing both new and old patients …’ and for another consultant: ‘when the SHO is off duty, the general practitioners provide cover for their own patients … and if they are unable to come to the hospital quickly or a patient arrives who has no local doctor, the consultant is on second call. ’ This study also confirms the nominal cover provided by some consultants: ‘on his own evidence [the consultant’s] appearance in and contact with the department is confined to taking his afternoon cup of tea with the casualty sister in her office’ and, for another department: ‘… judging from his surprise at some aspects of the department’s activities at the time of the team’s visit, it would appear his actual appearances in the department are few and far between’.