@EdinburghAiprt usual efficiency baggage reclaim. Landed from Gatwick 1550, no sign of any bags or staff. Can anyone tell us what is going on?
Ah yes.. of course the bags can’t be offloaded due to “the wind”.
More like hot air!
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Julie Cuthbert
167 posts
Julie Cuthbert
@julescuthbert76
ED Consultant, weekend yachty with an interest in doing medical education differently. Views my own
Scotland, United Kingdom Katılım Haziran 2017
184 Takip Edilen225 Takipçiler
@Kmacjohnstone79 @Jploughrey Well done Karen. Well deserved. Have inspired the next generation of ACPs across Scotland
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@Jploughrey Thanks for your support and for completing all those tickets in the early years @Jploughrey ☺️
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Well done @Kmacjohnstone79 - huge achievement and well deserved!
Monkees ED ACP 💙@MonkeesED_ACP
Massive congratulations to our very own @Kmacjohnstone79 on becoming the first ACP in Scotland to credential with the Royal College of Emergency Medicine!!! We couldn't be prouder🥳🍾 @MonkeesED @RCEMACPForum
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@hardykate1 I’ve tried to message you back can’t find your handle I the messages. I’ve reset who can message me. Do you want to try again
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@julescuthbert76 That would be great, i can’t seem to be able to DM you, so please can you message me with your email address and I’ll contact you. Thanks.
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Hi Julie, I’d be really interested to chat to you about your trust and your approach if possible. We are embarking on some major work at our organisation to improve flow, so it would be really helpful. May I DM you? Thanks
Julie Cuthbert@julescuthbert76
Put the right systems in place and it can be done. Signpost to the right service, manage demand, direct to specialty admission, good communication with specialties to improve flow. Let’s make it better for patients across the country attending EDs this winter #rightcarerightplace
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@cathjw @cruncherwax @clifford0584 @jim_crawfurd @tombircher We can use NearMe but many of calls are via telephone. We have been doing this for many years so have built up expertise in what makes a good prof-prof call working collaboratively with our @Scotambservice colleagues #phoneafriend
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@julescuthbert76 @cruncherwax @clifford0584 @jim_crawfurd @tombircher I have to say on a purely personal level, I would feel waaaay out of my comfort zone offering telephone advice based on someone else’s assessment. Do you have any video or other tech to enhance the communication?
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Let’s learn from this. How’s it done?!
Julie Cuthbert@julescuthbert76
@BBCNews I am an Emergency Medicine consultant @NHSTayside We are a busy ED,we do not have corridor care, we do not have ambulance stacking. We have designed whole system flow to ensure patients do not wait for beds. ED performance 96.2% last week against the Scottish 4h standard
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@cathjw @cruncherwax @clifford0584 @jim_crawfurd @tombircher we use a call handling system called Consultant connect which records all our calls and can be easily interrogated. We have regular review of non conveyed calls with our ambulance colleagues to look for pot harm
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Julie Cuthbert retweetledi
If you think you need A&E but it’s not critical or life-threatening, call NHS 24 on 111. Or for guidance and advice around common conditions, visit nhsinform.scot
For more information on how to get the Right Care in the Right Place visit rightcaretayside.scot.nhs.uk
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@XelenX1 @jim_crawfurd @clifford0584 This is 100% untrue and based on anecdote and urban myth.
“Someone told me….”
Please do not call into question the care that is delivered in our ED when you’ve never been there
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@jim_crawfurd @clifford0584 @julescuthbert76 Also without being mean, Dundee doesn't have the best reputation for how its ED functions. I know Jrs who've worked there, who tell me patients just get moved at 4 hours no matter how unstable they are/what jobs are outstanding.
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@Gregory1187 Well you are inclined to think wrong.
I’m a frontline FT ED consultant who’s been doing EM for 16 years
I’m just trying to make things better and equitable for patients attending EDs across the country regardless of where they present
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@scullingmonkey @jim_crawfurd @clifford0584 @cruncherwax “It’s Tayside therefore it must be be witchcraft”
I can only speak to the system I work in.
We deliver high quality patient care across our whole unscheduled care pathways working in collaboration with our pre-hospital and primary care partners
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@scullingmonkey @jim_crawfurd @clifford0584 @cruncherwax The consistent evidence is there,
the offer a visit is there. I can say no more
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@cathjw @cruncherwax @clifford0584 @jim_crawfurd Yes it is. It ensures our systems are safe and only appropriate patients are being signposted to alternative care providers.
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@julescuthbert76 @cruncherwax @clifford0584 @jim_crawfurd Is using limited senior clinical resource to divert low acuity patients the best use of resources?
I guess it depends on staffing profile of the trust and acuity elsewhere in dept, but I don’t think it would be an effective use of senior doctors in many departments
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@cathjw @cruncherwax @clifford0584 @jim_crawfurd And @NHSTayside ED attendances are actually higher than they were pre pandemic
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@cruncherwax @clifford0584 @julescuthbert76 @jim_crawfurd Overall nationally attendances haven’t risen and yet “performance” has fallen off a cliff and crowding has become a massive problem. It’s very clear “inappropriate attenders” aren’t the problem.
Are you using a senior clinician to divert/deflect?
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@cathjw @jim_crawfurd @cruncherwax @clifford0584 @Scotambservice This relies on job planning it. It adds value
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@julescuthbert76 @jim_crawfurd @cruncherwax @clifford0584 @Scotambservice This relies on spare community resource though, which there very often isn’t much of.
Much lower bed occupancy (and associated improved efficiency) definitely WOULD help though.
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