Article Text

PDF
Driving improvement in A&E services
  1. Geoffrey Hughes
  1. Correspondence to Professor Geoffrey Hughes, Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000, Australia; cchdhb{at}yahoo.com

Statistics from Altmetric.com

In October last year the Foundation Trust Network (http://www.foundationtrustnetwork.org) published a document with the above title.1 Although much of what it says is of little surprise, it has some interesting comments about filling a medical roster. Using a benchmarking study and comparable and validated information from several trusts (major specialist trauma centres to primary care-led urgent-care centres) the Network has some key messages:

  • The 3% annual growth in A&E (sic) attendances shows no sign of declining.

  • Patients aged ≥75 years account for over 12% of A&E attendances; nearly half of these end in admission.

  • Chronic repeat attenders account for up to 8% of all attendances.

  • Services must be responsive to the needs of their local populations—for example, by providing dedicated specialist geriatric care in A&E for frail elderly patients.

  • Primary and community services can be more available and responsive to the needs of patients with mental health …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.