All emergency departments must have GP led triage by October

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Every hospital in England must have a “comprehensive” GP led triage system in emergency departments by October 2017 in a bid to avoid a repeat of the winter crisis that gripped the service this year, NHS leaders have said.

The requirement is one of several “concrete changes” demanded by NHS England’s chief executive, Simon Stevens, and the chief executive of NHS Improvement, Jim Mackey, in a letter sent after the chancellor Philip Hammond’s budget pledge to give the NHS an extra £100m (€115m; $120m) in 2017‑18 to spend on easing pressures in accident and emergency departments.

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Publishing success

We are grateful to Terry McLoughlin, CT2 Emergency Medicine Trainee, currently on rotation at East Cheshire for taking the time to visit the Staff Library recently with this update.

Originally from Liverpool, Terry has previously worked in inner city locations but since February 2014 has been gaining experience in a rural setting, treating adult and paediatric patients in Macclesfield’s A&E department.

Formerly a professional rugby player, Terry has swapped tackling his opponents for tackling the publishing world and has seen one of his articles published in the Journal of Clinical Monitoring and Computing. The article looks at new capnography equipment used in anaesthesia.

Terry acknowledged the help and support of colleagues in A&E and the literature search assistance provided by library staff which had been so useful. As a regular night shift worker, Terry thought the Staff Library’s 24/7 service was an excellent feature and one his colleagues would appreciate.

Next on Terry’s agenda is a trip to Canada in June, where he will be presenting research at the ISPOR 19th Annual International Meeting (Montreal) entitled ‘Low incidence of venous thromboembolism in mobile populations’.  This builds on experience gained while working at the Royal London Hospital in 2012 during the London Olympics.  At that time the Royal London was the main tertiary hospital for the Olympic village.

We would like to take this opportunity to wish Terry every success when he returns to familiar pastures in his next placement at Liverpool’s Alder Hey Children’s Hospital.

Article:              Disposable D-Lite Sensors; T F McLoughlinC S Hopkins
International Journal of Clinical Monitoring and Computing 03/2014; DOI:10.1007/s10877-014-9568-http://link.springer.com/article/10.1007/s10877-014-9568-4

Presentation:     ISPOR 19th Annual International Meeting; Montreal, Canada; June 2014
‘Low incidence of venous thromboembolism in mobile populations’.
Presenters: Emmanuel, Mullish and McLoughlin

BMJ topics: August 2013

Here’s a selection of content from this month’s BMJ – click on this link if you want to read the full issue.

Feature
Newsbmj1
Editorials
The Liverpool care pathway: a cautionary tale  Katherine E Sleeman and Emily Collis
India’s new policy to protect research participants   Jeremy Sugarman, Anant Bhan et al

A&E crisis plans must be better

Extract from the BBC

The plans put in place to relieve the pressure on A&E units in England are not good enough, MPs say.

The Health Select Committee said it had been given “confusing” and “contradictory” information about what was being done.

It prompted the cross-party group to question how prepared the NHS would be for next winter.

The report comes after the NHS missed its four-hour waiting-time target in the first three months of this year.

Latest news articles from BMJ

bmj logoRescue boards are set up in England to deal with “significant deterioration” in A&E departments

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  3. High dose NSAIDs may double the risk of heart attacks and heart failure, says new study
  4. Indian generics manufacturer Ranbaxy agrees to pay $500m to settle US fraud and drug safety charges
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  6. Dutch doctors to receive more clarity over use of advance euthanasia directives for patients with dementia
  7. Spend less on drug enforcement and more on treating hepatitis C, say campaigners
  8. WHO agrees to set up body to act on non-communicable diseases
  9. Number, type, and availability of new drugs are on the increase in Europe
  10. WHA calls for five demonstration projects on health research relevant to the developing world
  11. Government to increase number of GPs and emergency medicine doctors
  12. Workplace wellness programs show little benefit, US report says
  13. Critical care patients have major health and financial problems 12 months after discharge, finds study
  14. WHO to probe claims that Dutch scientists restricted access to novel coronavirus

Kings Fund: Statistics for March/April