Acute care toolkit 4: delivering a 12-hour, 7-day consultant presence on the acute medical unit – Royal College of Physicians – 11 October 2012

Posted on October 17, 2012. Filed under: Acute Care, Medicine, Workforce | Tags: |

Acute care toolkit 4: delivering a 12-hour, 7-day consultant presence on the acute medical unit – Royal College of Physicians – 11 October 2012

“Acute medical illness is a 7-day problem – patients are just as likely to develop an acute illness requiring an emergency admission on a Saturday or Sunday as on a weekday. Evidence that patients admitted at weekends have poorer outcomes than those admitted on weekdays, and that patient mortality is higher at weekends, led to the RCP and the Society of Acute Medicine (SAM) recommending that a consultant physician ā€’ dedicated to the care of acutely ill patients ā€’ should be available on site to review patients for at least 12 hours a day, every day.

This toolkit provides practical guidance to senior hospital managers and clinical staff on how to organise acute medical services to ensure that the 12-hour consultant presence delivers consistent high-quality care to acutely ill patients.

The guidance provides answers to key questions including:

How many consultants are required to provide a daily 12-hour presence on the acute medical unit (AMU)?
How many patients should a consultant be expected to review during their shift on the AMU and how long should this shift be?
How should consultant working and support services be organised in order to provide high-quality patient care every day of the week?”

Media release

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