DeepDyve eBooks - A History of Accident and Emergency Medicine, 1948–2004

Casualty Staffing before Platt

Guly, Henry

Pages: 1 –26

[The most influential report into casualty or accident and emergency (A&E) services was the Standing Medical Advisory Committee Report on Accident and Emergency Services chaired by Sir Harry Platt and published in 1962.1,a This was a major milestone in the history of A&E and this chapter aims to...

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Who Should Run A&E Departments?

Guly, Henry

Pages: 27 –49

[The severity of the problems in casualty in the late 1950s is indicated by the fact that between 1959 and 1962 there were at least four reports which made recommendations on casualty departments.]

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The First Consultants

Guly, Henry

Pages: 50 –63

[As has been noted, the first full time consultant in casualty was Maurice Ellis at Leeds General Infirmary. He was placed in charge of the casualty department in 1949 while he was a general surgical senior registrar and was appointed consultant in casualty in 1952. David Wilson, later a...

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Senior Registrars and Training

Guly, Henry

Pages: 64 –73

[The JCC subcommittee which agreed in 1971 to appoint 32 A&E consultants as a pilot study recommended that ‘no formal higher training programme in accident and emergency medicine be defined as yet but that preliminary consideration be given jointly by the Royal Colleges and other interested...

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How Many Consultants?

Guly, Henry

Pages: 74 –86

[Deciding how many consultants are required in a specialty is obviously essential for the provision of the service but is also vital in order to plan the number of training posts needed to fill future consultant vacancies. If too few are trained, consultant numbers cannot expand or posts may be...

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A Changing Specialty

Guly, Henry

Pages: 87 –99

[A single-handed consultant cannot be present in the department all the time and so his or her responsibility is to organise the department so that it can cope in their absence. This involves much teaching and administration as described in the previous chapter. However where there is more than...

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Academic A&E, the Faculty and Changes of Name

Guly, Henry

Pages: 100 –110

[For a long time A&E was regarded as a Cinderella specialty and until the early 1970s it was not recognised as a specialty at all. Following the appointment of the early consultants it was commonly regarded as a surgical subspecialty or, even worse in the eyes of its consultants, an orthopaedic...

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Non-consultant and Non-training-grade Doctors

Guly, Henry

Pages: 111 –121

[This chapter discusses those A&E doctors who are neither consultants nor in the training grades since the start of consultant-led departments. The senior casualty officers could have been counted in this group but are discussed in Chapter 1. The group to be discussed are medical assistants...

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Junior Staffing of A&E Departments

Guly, Henry

Pages: 122 –134

[Providing emergency care in all specialties has always been a problem because the service needs to be provided 24 hours a day, 365 days per year. Consultants have been reluctant to commit themselves to work outside normal working hours except for being on call for those problems which need their...

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Primary Care in A&E

Guly, Henry

Pages: 135 –150

[As has been seen, before the NHS, many families relied on the casualty department to obtain primary care. Although following the 1911 National Insurance Act, workers could obtain free care from their general practitioner, this was not extended to their families. With the start of the NHS, it was...

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A History of Accident and Emergency Medicine, 1948–2004

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A History of Accident and Emergency Medicine, 1948–2004

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