© 2004 BMJ Publishing Group Ltd, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
SHORT REPORT
A regional approach to improving night time supervision of accident and emergency departments
Department of Accident and Emergency, West Middlesex Hospital, Isleworth, UK
Correspondence to:
Correspondence to:
Dr A Parfitt
St Thomas’ Hospital, Lambeth Palace Road, London SE1 7EH, UK; a@parfitt.org
Accepted 3 June 2003
Keywords: night time cover
| The first 150 words of the full text of this article appear below. |
The objective of this study was to assess the feasibility of senior cover provided to a training region, covering multiple sites, between the hours of 0000 to 0800 by a distant specialist registrar using the facsimile and telephone.
Senior cover is already available to all NHS hospitals within the UK. Unfortunately this is often provided by consultants on unreasonable rotas. Twenty four hour middle grade cover happens rarely. The case mix remains complex and varied however out of normal working hours. North West Thames represents a comparatively compact training region in emergency medicine however staffing levels mean that only two of eight hospitals are able to provide access to a middle grade opinion 24 hours a day. Dale et al1 have shown that what SHOs desire is access to middle grade advice. Senior night time cover is becoming a prerequisite for safe effective supervision of junior doctors practising emergency medicine.
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