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JOHN HEYWORTH Consultant Emergency Department Southampton General Hospital

JOHN HEYWORTH Consultant Emergency Department Southampton General Hospital. CONGRATULATIONS! (on an excellent contract). Frog on a dual-carriageway situation (is how it feels for A&E). STRAW POLL (Taken in the hall, showed many GPs will be working OOH). The View from the ED Trench.

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JOHN HEYWORTH Consultant Emergency Department Southampton General Hospital

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  1. JOHN HEYWORTHConsultant Emergency DepartmentSouthampton General Hospital

  2. CONGRATULATIONS!(on an excellent contract)

  3. Frog on a dual-carriageway situation(is how it feels for A&E)

  4. STRAW POLL(Taken in the hall, showed many GPs will be working OOH)

  5. The View from the ED Trench • 4 hour targets • 98% by January 2005 • 90% plateau

  6. Primary Care in the ED • No standard definition for Primary Care patient • Huge range 5-40% • Usually not trivial • Significant resource implications • Significant risk issues

  7. Activity tsunami • From midday Saturday • Sunday all day • Bank Holidays

  8. Solutions • No universal solution • Dependent on local factors • PCC/WIC in community

  9. Opportunity Knocks • Sort Primary Care emergency provision – our of hours and in hours • GP SI • Role of the GP in the Emergency Department • Co-location

  10. Co-location Principles • Consistently available • Widely publicised • Separate entrance to the ED • Self contained PCC • Appointment by phone • Some two-way traffic with the ED

  11. Next Steps • Dialogue with your Emergency Department – NOW! • ED – Primary Care axis

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