Article Text

Download PDFPDF
How well are we doing and are we doing the right thing?
  1. Geoffrey Hughes
  1. Emergency Department, Royal Adelaide Hospital, Adelaide, Australia
  1. Professor G Hughes, Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide, Australia 5000; cchdhb{at}

Statistics from

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.

Two publications in September will be of interest to readers, one an audit of urgent and emergency services in England—namely ambulance services, A&E, out-of-hours GP services, NHS Direct, urgent care provided by GPs and urgent care centres including walk-in centres and minor injuries units released by the Healthcare Commission1—and the other a Dutch study of telephone triage in out-of-hours centres.2

As primary care trusts (PCTs) are responsible for commissioning local NHS services, the Healthcare Commission assessed three themes in each PCT area: how services are accessed and delivered; how they work together to provide effective and efficient care to patients; and how they are managed.

Some of the numerous interesting findings are:

  • The majority of services are performing well, with 60% …

View Full Text


  • Competing interests: None.