By Henry Guly (auth.)
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Extra info for A History of Accident and Emergency Medicine, 1948–2004
2. Evidence was presented that experienced doctors such as SCOs had a role to play in continuing the development of A&E services. 3. A career grade of SCO leading up to consultant level was proposed and a proposed plan for training in the future was detailed. It was recommended that some suitable SCOs could immediately be up-graded to consultants. They believed that 28 of 66 SCOs would be suitably qualified and experienced to be upgraded. 4. They felt that their proposals were complementary to those of the Platt Report.
17 They felt that these should be consultants in ‘Casualty (Traumatic and Emergency) work’. 16 The SCOs also felt threatened. Under the recommendations of the Sir Harry Platt report, there seemed little place for specialists in casualty or pure A&E work. In addition the Sir Robert Platt report had recommended abolishing the SHMO grade and replacing it with a new grade of Medical Assistant (MA) who ‘should work as assistants to consultants and under their supervision’. The report also recommended that ‘all patients in the Hospital Service should be in the charge of consultants, and consultants in the specialty or specialties involved in the treatment of each patient should bear the responsibility for his care and the medical work required for him’.
The Nuffield report comments on one SCO: ‘he virtually does no surgery now. … The waiting list for “cold” hernias which the senior casualty officer is quite capable of doing, is up to three years. ’ Of an SCO appointed after nine years as a surgical registrar, it says: ‘he is, in fact, carrying on quite a fair surgical practice in the department, dealing with major compound fractures as a routine’. Three surveys were done of SCOs which enable us to obtain a picture of the kind of people they were and the work they did.
A History of Accident and Emergency Medicine, 1948–2004 by Henry Guly (auth.)