ACCIDENT AND EMERGENCY DEPARTMENTS

Efficiency in Accident and emergency Departments of Heartlands Hospital

[Writer`s Name]

[Institute Name]Table of Content

Introduction to Heatherlands Medical Centre1

Introduction1

Review of the Literature3

Clinics available Services at Heatherlands Medical Centre:5

Travel health clinic5

Minor surgery5

Methods9

Discussion10

Results14

References16

Appendices18

Efficiency in Accident and emergency Departments of Heartlands Hospital

Introduction to Heatherlands Medical Centre

Heatherlands Medical Centre came about as an amalgamation of two single handed practices on the Beechwood and Woodchurch estates. Dr Camphor was single handed at Fenderway Heath Centre for four years after being in partnership with Dr D.H.Williams who retired in 1996. The other site was situated at Kiln Road Woodchurch from where Dr Singh was working. Dr Singh retired in 1998, Dr Camphor inherited the list in 1999 when he took on two new partners, Dr Roohi and Dr Bains. The Practice then moved to the New purpose built building called Heatherlands Medical centre on the 31/7/2000.

The practice is a partnership of one full time male doctor and two part time female doctors leading a team of Primary health care staff including Practice Nurses, District Nurses, Health Visitors and, Comunity Midwives, Comunity Psychiatric Nurses, Physiotherapist and Chiropody supported by a Practice Manager with a Secretary and five Receptionists.

Introduction

The Heatherlands Hospital is a specialized hospital for ophthalmic, Accident and emergency conditions. The ophthalmic division of the hospital provides a 24-hour, seven day per week, 'walk-in' accident and emergency service. There were over 30,000 patient attendances in 2008 with an average of 100 patients per day. The Accident and Emergency (A&E) Department is staffed by one full-time casualty doctor and one or two roistered senior house officers. The high number of patients presenting to the A&E poses great challenges for the efficiency of the service. All of these patients are first seen and categorized by a triage nurse and are then assessed by a no consultant hospital doctor (NCHD) (Mitton 2002, 48).

The patients either self refer or are referred by their general practitioner (GP), optometrist or another hospital. The aim of this audit was to determine the nature and outcome of GP referrals to the A&E Department. We assessed the urgency of these referrals and analyzed patient demographics, reason for referral, diagnosis and management plan. Trust is seen as an expression of confidence between partners when making exchange or other relationship, as the idea that the partner negotiations do not exploit the vulnerability of the other or the willingness to trust the partner for the terms of trade as. In our case the patient's confidence is defined as patient's expectations that the ED is safe and can rely on their promises (Merton 1957, 79).

Finally, it is considered as an antecedent of loyalty user image understood as a mental perception often defines the perception we service. Claim that the image is the sum of beliefs, sensations and impressions that a person or groups of persons have an object, a person, a place, a brand name, organization, product or service. Those Prints can be true or false, real or imaginary. It is these images that determine customer ...