Emergency surgery in the NHS

The impact of NHS walk-in centres on Emergency Departments

Objectives: To determine the impact of establishing walk-in centres alongside emergency departments on attendance rates, visit duration, process, costs and outcome of care. Methods: Eight hospitals with co-located emergency departments and walk-in centres were compared with eight matched emergency departments without walk-in centres. Site visits were conducted. Routine data about attendance num...

Morality and Markets in the NHS

Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that ...

Surgery in an Emergency

A series of major surgical operations were performed by the writer with the most gratifying results. Experience revealed that life saving surgical procedures could be performed almost anywhere and with the bare minimum of surgical equipment. These operations formed the first series of major operations performed in a Persian hospital which had been functioning for six years. No surgical equipmen...

Emergency Surgery

Emergency Surgery