The present pressures on health and social care have never been greater. Only last week Nigel Edwards of the Nuffield Trust cautioned that morale within the NHS was at an absolute all time low and liable to represent a threat to the service at least as great as the financial constraints. It would appear that the Department of Health is now failing to acknowledge the contribution of senior nurses in the running of the NHS. Without senior nurses advising and informing ministers and other civil servants the DH is in danger of becoming organisationally blindfolded at a time when health services in the United Kingdom are perilously close to a precipice.
15 June 2016
Comment on: National review of A&E services announced
Centralized centers of emergency care are required and do exist, acute MIs to PCI centers multi-trauma patients to centers equipped to deal with, along with specialist services for neuro, burns and peads patients.
The vast majority of whats left (non life threats) could be safely managed in strategically located and appropriately resourced urgent care services. NHS111 and clinical pathways to direct patients to definitive care, with an enhanced out of hours visiting service for those too ill or frail to visit.
A great opportunity to show case how effective and clinically sound nurse practitioner services are.