• see and treat
• emergency care

We thank David Lammy,¹ George Alberti,² and Matthew Cooke³ for their thought provoking editorials. We also appreciate the contributions for the “For debate” section. Some may find the views of Leaman⁴ extreme but we sense that he articulates the thoughts of many A&E clinicians concerning progress in reforming the emergency care system. “See and treat” is not a new idea. Professor Tony Redmond when he was in charge of North Staffordshire developed this model of a senior clinician at the front door.⁵ It makes a lot of sense to bring forward some of the decision making and starting investigations as soon as possible.⁶

Leaman⁴ and Windle⁷ both make the important point that this is yet another initiative that catches the imagination of managers and politicians. As a result it is being pressed into service across the …