Over the last 20 years surgery has undergone significant change in the UK and emergency admissions are now beginning to exceed elective cases. There has also been consultant expansion allowing a consultant‐led emergency service. The Confidential Enquiry for Peri‐operative Deaths (CEPOD) also recommended that an emergency theatre is available 24‐hours a day. This study was undertaken to identify the current consultant management of acute surgical admissions, to investigate the impact of consultant expansion on the management of acute surgical admissions and to assess the development of CEPOD theatres throughout Wales. A telephone survey was conducted in February 2001 and repeated in February 2002. The provision of a CEPOD theatre has markedly improved throughout Wales in the last year. A consultant‐led emergency service is still only provided by 29 per cent of hospitals and this was achieved mostly by consultant expansion. In most hospitals the working pattern has been unable to change to reflect the increase in emergency work.
Barthelmes, L., Kakkilaya, H. and Jenkinson, L.R. (2004), "An audit of the management of emergency surgical admissions in Wales: are we keeping pace with the trend?", Clinical Governance: An International Journal, Vol. 9 No. 1, pp. 31-33. https://doi.org/10.1108/14777270410517692Download as .RIS
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