For immediate release
13th of November 2013
The Society for Acute Medicine (SAM) response to NHS England Urgent and Emergency Care Review End of Phase 1 Report
NHS England published today the first of a series of reports reviewing urgent and emergency care.
Responding to the report, Dr Alistair Douglas, SAM President said: “We welcome the recommendations in this report particularly with regard to enhancements to prehospital care and an enhanced 111 service. Furthermore we strongly support the key proposal that we must help those with urgent care needs to get the right advice in the right place, first time as previously highlighted in the RCP Report of the Acute Medicine Task Force in 2007 .
However we are concerned that a key element of improving A&E services is the pathway for patients who do require admission to hospital. It is delays in accessing beds for these patients that is the major cause of A&E overcrowding and leads to breaches of the four hour target. This can only be improved by changing standard operating procedures within hospitals to ensure that receiving wards and in particular acute medical units (AMU) – which receive the greatest numbers of emergency admissions – have capacity at all times by improving bed management and patient flow and prioritising the needs of emergency patients.”
Notes to the editors:
- Acute medicine (also known as acute internal medicine) is the specialty which deals with the immediate and early treatment of adult patients with a variety of medical conditions who present in hospital as emergencies.
- The Society for Acute Medicine is the national representative body for the speciality of acute medicine and represents around a thousand members.
- Dr Alistair Douglas is a consultant in acute medicine and nephrology at Ninewells Hospital and Medical School in Dundee and is the Society for Acute Medicine president since 3 October 2013.
- Members of the Society for Acute Medicine were part of the Executive group for the RCP Report of the Acute Medicine Task Force 2007.