By Henry Guly (auth.)
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Additional resources for A History of Accident and Emergency Medicine, 1948–2004
9 per cent. The report made 45 recommendations. It rejected the three-tier system in favour of a two-tier system of accident units in larger hospitals with smaller hospitals only treating patients with minor injuries. Like the BOA and the Accident Services Review Committee it recommended that ‘the number of accident and emergency units should be greatly reduced, so that each can be adequately staffed at all times. ’ At least two of these should be orthopaedic surgeons. He also recommended that it was ‘necessary to appoint one consultant to be in administrative charge of an accident department.
14 Concerns of the Senior Casualty Officers A flaw in the Platt recommendations was to assume that inclusion of duties in a contract of an existing consultant was synonymous with interest and conscientious supervision by the person concerned and G. ’15 The SCOs had other objections to the Platt Report which they expressed at a meeting in 1963. 17 They felt that these should be consultants in ‘Casualty (Traumatic and Emergency) work’. 16 The SCOs also felt threatened. Under the recommendations of the Sir Harry Platt report, there seemed little place for specialists in casualty or pure A&E work.
In the time spent outside casualty, 22 did sessions in orthopaedics, 14 did sessions in orthopaedics with some spending time in casualty, general surgery and orthopaedics. Six had been SRs. Those who had been SRs could obtain consultant posts but this was uncommon and only ten ever became consultants, all in general surgery. 47 Most SCOs were probably used as experienced pairs of hands to cover the day-to-day work of the departments, supervision of more junior doctors and teaching but with no responsibility for planning services.
A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.)