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Turbulent times
  1. J Wardrope, Joint Editors,
  2. P Driscoll, Joint Editors
  1. Correspondence to:

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The pace of reform may exceed capacity

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 …

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