Author： Singh I Collins REC James A
Publisher： The Royal College of Surgeons of England
ISSN： 1478-7075
Source： Bulletin of The Royal College of Surgeons of England, Vol.89, Iss.2, 2007-02, pp. : 65-65
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Abstract
Kent and Canterbury Hospital recently underwent a reconfiguration such that the only emergency care provided would be for medical and acute vascular, urological and maxillo-facial services. The accident and emergency department, which had hitherto dealt with 70,000 cases per year and had been a designated centre for receiving major trauma, was redefined as an emergency care centre (ECC). General surgical emergencies from general practitioners were to be referred to one of two alternative sites, one of which under optimal conditions is 30 minutes drive away (William Harvey Hospital), while the other is 40 minutes away (Queen Elizabeth). Patients attending the ECC, whether from medical referral by the GP, ambulance transfer or self-presenting, were assessed and managed by the medical team on call. Surgical registrars were designated as non-resident on call but were available to give an opinion 24 hours per day.
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