Position Statements

SAM statement on junior doctor contracts

The Society for Acute Medicine is extremely concerned regarding the proposed changes to the employment contract for doctors in training. At a time of unprecedented pressure within the NHS we feel that NHS Employers should reconsider their position as a matter of urgency. The initial fallout from the breakdown in negotiations between NHS Employers and […]

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Commissioning guide for physicians ‘an excellent idea’

Commenting on reports released today by the Royal College of Physicians regarding commissioning, contracting and NHS payment systems in England, Dr Mark Holland, president of the Society for Acute Medicine, said: “At a time of great pressure on the NHS, it more important than ever for clinicians to be given the opportunity to work closely with […]

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SAM response to Monitor A&E winter pressure report

Commenting on the report A&E delays: why did patients wait longer last winter? published by Monitor, Dr Alistair Douglas, president of the Society for Acute Medicine, said: “This is a timely and welcome report ahead of what we expect to be another very busy winter period. “It reinforces the root causes of problems with patient […]

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Response to Secretary of State speech at the King's Fund

Please see the below comment from the Society for Acute Medicine in response to the Secretary of State’s speech at the King’s Fund today (Thursday, 16 July). Dr Alistair Douglas, president of the Society for Acute Medicine, said: “It is clear there is need for a fundamental change in approach to tackle some of the […]

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SAM response to launch of A&E activity fact sheet

The Royal College of Emergency Medicine launched its A&E fact sheet for England on Tuesday (23 June). The publication follows unprecedented pressures on hospitals and A&E departments last winter. Following it’s publication, Dr Alistair Douglas, president of the Society for Acute Medicine (SAM), said: “The RCEM’s document on A&E activity is a timely and welcome […]

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Time to Act – Urgent Care and A&E: the patient perspective

On 3 June, the Royal College of Emergency Medicine and the Patients Association released their joint report, Time to Act – Urgent Care and A&E: the patient perspective. Commenting on the report, Dr Alistair Douglas, president of the Society for Acute Medicine, said: “Getting patients with urgent care needs to the right place, first time is […]

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Response to CEM report: Drive for Quality

Wednesday 15th of May 2013 The Society for Acute Medicine (SAM) supports the call for fundamental changes to be made to our urgent care systems to enable hospitals to meet the challenges identified in the College of  Emergency Medicine’s new report : The drive for quality – How to achieve safe, sustainable care in our […]

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Mid Staffordshire Public Inquiry

Following the Public Enquiry into the events at Mid-Staffs hospital between 2005-2009, Robert Francis QC launched his full report and recommendations today at 11.30. Many of these recommendations have a direct relevance for members of the Society for Acute Medicine and others working in Acute Medical Units. We urge all of our members to read […]

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Wards rounds in medicine: Principles for best practices

The Society for Acute Medicine (SAM) supports the joint statement from the Royal College of Physicians and the Royal College of Nursing calling for ward rounds to be made the cornerstone of patient care. SAM President, Dr Chris Roseveare said: “Communication is crucial in providing safe, high quality care for patients admitted to hospital in an emergency. […]

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National Early Warning Score

The Society for Acute Medicine strongly supports the implementation of the National Early Warning Score (NEWS) in all hospitals across the UK.  We believe that this will provide a major step forward in improving the quality and safety for patients admitted to hospital in an emergency and for those whose condition deteriorates during their hospital […]

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SAM Response to NCEPOD Report: 'Time to Intervene?'

This highly important report has highlighted deficiencies in the care of a group of patients whose condition deteriorated after their arrival in hospital. The reviewers noted that the patient’s initial assessment was deficient in almost half of cases, with specific reference to the failure to involve more senior doctors in the management of this vulnerable […]

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Health and Social Care Bill

This statement has been produced to explain the position of the Society for Acute Medicine (SAM) in relation the Health and Social Care Bill. The Society for Acute Medicine (SAM) does not support the Health and Social Care Bill; this position reflects the views of 94 per cent of respondents to a recent survey of our […]

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Interface between acute medicine and critical care

After wide consultation, and as used in JRCPTB documentation the agreed definition of Acute Medicine ‘is that part of general (internal) medicine concerned with the immediate and early specialist management of adult patients suffering from a wide range of medical conditions who present to, or from within hospitals requiring urgent or emergency care’. The acute […]

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Relationship between AIM and EM

The specialties of Acute Internal Medicine (AIM) and Emergency Medicine work closely together in providing care to patients with acute medical presentations. The doctors trained in these two specialties have clearly defined and specific competencies which although complementary are not interchangeable. The Colleges believe that doctors should only practise in the areas in which they […]

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SAM response to the Shape of Training report

Official response by Dr Alistair Douglas & Dr Mark Holland to Shape of Training report dating January 2014 is available here (PDF). The Society for Acute Medicine welcomes the Shape of Training report and supports the underlying principles of: The move towards generalism recognizing that acute medicine has many specialists who focus on the generality of acute medical […]

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