JOHN HEYWORTH Consultant Emergency Department Southampton General Hospital

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JOHN HEYWORTHConsultant Emergency
DepartmentSouthampton General Hospital
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CONGRATULATIONS!(on an excellent contract)
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Frog on a dual-carriageway situation(is how
it feels for AE)
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STRAW POLL(Taken in the hall, showed many GPs
will be working OOH)
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The View from the ED Trench

• 4 hour targets
• 98 by January 2005
• 90 plateau

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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

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Activity tsunami

• From midday Saturday
• Sunday all day
• Bank Holidays

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Solutions

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

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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

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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

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Next Steps

• Dialogue with your Emergency Department NOW!
• ED Primary Care axis