Health Education England Emergency Medicine Report


10 / 1 / 2014 12.19pm

The HEE Board have agreed joint proposals and recommendations with the College of Emergency Medicine for improvements to ensure patients receive consistent, high quality, safe, and effective care.

There has already been agreement on the establishment of a new run through training programme and development work with Physician Associates, but it is recognised that the profile and popularity of emergency medicine must be raised to attract more doctors to the service from 2014.

The Emergency Medicine Workforce Implementation Group (EMWIG) was established in April 2013 to take forward the recommendations made by the former Emergency Medicine Taskforce established in September 2011. The recommendations from the EM Taskforce include increasing EM consultant numbers, allowing earlier exposure to EM within core training, piloting new routes into emergency medicine, developing transferable competences, supporting SAS doctors, General Practice support, and expanding the use of supporting staff including Advanced Clinical Practitioners, Physician Associates, paramedics and pharmacists.

HEE put forward a number of proposals in their report to facilitate meeting the taskforce recommendations.

  • HEE would support work with stakeholders to explore alternative consultant contractual arrangements to enhance recruitment and retention in the specialty
  • HEE looks forward to playing a leading role in the implementation of the Greenaway recommendations
  • HEE proposes to increase ACCS posts by 75 for entry in 2014. This will lead to a fill-rate for middle grade training that will produce the required number of consultants in the workforce
  • Working with the Department of Health to offer four-year programmes to middle grade doctors from India who can benefit from UK training and support the EM service at this level as a short/middle term option. HEE anticipate that we will have 50 doctors entering this programme in 2014
  • HEE will work with MSC and the GMC to ensure that students have sufficient exposure to EM as undergraduates. The College of Emergency Medicine will chair a group to raise awareness of the specialty within medical schools
  • HEE has developed the ‘run-through’ programme and this has been advertised for the 2014 cohort
  • HEE is working with all the ACCS specialties to re-organise a proportion of the training programmes
  • HEE has run a second round of recruitment at ST3 this year for the first time. 44 posts were advertised and 34 have been offered and accepted
  • HEE intends to establish a paramedic working group. The ambulance service can play an important role in reducing the number of patients that are taken to A&E in the first place

You can read the full report on the HEE website.

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