EMERGENCY ADMISSIONS REVIEW

 

OUTPUT FROM COMMUNICATION SESSIONS

 

COMMON THEMES

  1. Clinical support services are not organised to meet the requirements of emergency care.

  2. Imaging is a significant bottleneck on all sites except Stobhill.

  3. Significant workforce pressures, experienced nursing, radiographers, pharmacy, labs and paramedics.

  4. Liaison with mental health and dementia services is not as effective as it could be.

  5. Range of views on medical leadership of acute receiving and the balance between that and specialist medicine.Is acute medicine an attractive career path?

  6. Assessment and discharge units perceived to be critical although difference in perceptions of model and staffing.

  7. Significant variations in consultant input, availability and practise.

  8. Medical investigation and day care are not coherent and accessible.

  9. Chest pain assessment not in place.

  10. Urgent out-patients and opinions are difficult to access admission becomes only viable default.

  11. Organisation and pace of social care responses.

  12. Support and services for people with drug and alcohol problems.

  13. Inappropriate nursing home and terminal care admissions.

  14. A focus on regularly admitted patients would help.

  15. Hospital/community interfaces are problematic.

  16. Is 5 sites, organised and resourced properly, clinically sustainable even in the short term?

  17. Mixed care of the elderly/acute medicine relationships is there a right model?

  18. Rehabilitation is poorly resourced and not aggressive enough.

  19. Early discharge services are mixed across Glasgow and there are a number of issues about IRIS services, including how should be accessed by GPs.

  20. IT is not helping booking, investigation requests etc

 

SITE SPECIFICS

 

Victoria and Southern General

 

Southern 

 

Victoria

 

Stobhill

 

 

Western

GRI

 

 

 

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Last updated 12/12/02
Owner Catriona Renfrew
Editor Anne Green
Last edited by Brian McMullan