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Preview: Comments on The ferret fancier: Ringing all the bells

Comments on The ferret fancier: Ringing all the bells





Updated: 2017-11-16T10:49:12.848+00:00

 



It is a good point about the 19 million, there are...

2007-09-21T13:30:00.000+01:00

It is a good point about the 19 million, there are quite a few reasons for it I think, including the fact that PCTs don't pay GPs to deal with minor injuries- this is an utter disgrace and farce.

This results in loads of minor stuff going to AE which could easily be done by their GP, not a good use of resources.

If targets are used, then minor non urgent conditions must be



Quite right Garth, and long may diverging opinions...

2007-09-20T22:59:00.000+01:00

Quite right Garth, and long may diverging opinions continue to prosper.

I'm not so naive as to be unaware of the cynical political motives driving target culture - and I also accept there are failings in A&E, I doubt if anyone would dispute this point, although I do worry that some of the specialty doctors might have forgotton how to cannulate ;-)

We will just have to agree to



You can have your opinion, I can have mine.My pers...

2007-09-20T22:31:00.000+01:00

You can have your opinion, I can have mine.

My personal experience and that of many of my colleagues is that AE care is still well below par in many ways, and that the 4hr target is a hindrance in several ways to improving care.

I don't want a return to the trolley days, but then again I don't believe everything is quite as 'optimal' as you seem to think.

Strange as it



No Garth, patients bled to death in A&E due to hor...

2007-09-20T22:16:00.000+01:00

No Garth, patients bled to death in A&E due to horrendous waits, nothing to do with CDUs.

Thomas Rogers, 74 died at Whipps X [after a 9hr wait] while Marion Rees, 59 died at Prince Philip Hospital in Llanelli, both from annyeurism, both deaths associated with long waits in A&E.
http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2001/08/26/nnhs26.xml

In 2001 John Heyworth [



I think that many factors are responsible to AE ca...

2007-09-20T11:06:00.000+01:00

I think that many factors are responsible to AE care improving in some ways, for example improving access to radiology has made a massive difference, as well as improving access to getting quick blood test results.

I think AE staff have a slightly warped view on how 'good' things have actually got, as chatting to a lot of specialists who take referrals from AE I have to say I am appalled



Ferret - I can remember [as an A&E pup] being slum...

2007-09-19T19:22:00.000+01:00

Ferret - I can remember [as an A&E pup] being slumped head in hands after a particularly difficult night shift [long waits, inadequate staff, nurses unable to maximise years of skills/knowledge, stressed docs etc,] wondering if I had made a dreadful mistake choosing the A&E specialty.

Staff & public alike were perenially frustrated by the tortuous system [sometimes it was 24hrs+ from



'expertise and judgement'- indeed.proble is that t...

2007-09-19T11:16:00.000+01:00

'expertise and judgement'- indeed.

proble is that the NHS management and HMG have precious little of either, meaning their targets tend to make things worse.

Targets created in conjunction with staff/clinicians that use common sense ahead of blanket generalisations may be of use, howevere this is not what we have.



Don't agree with you. Targets (as several manageme...

2007-09-19T09:20:00.000+01:00

Don't agree with you. Targets (as several management gurus have said in the last few years) are a useful temporary tool to shake up an organisation full of complacent people. Those setting the targets then need to set about getting the management sorted out - that requires a lot of expertise and judgement.