BMJ  2003;326:1054 (17 May), doi:10.1136/bmj.326.7398.1054

News roundup

Hospitals take short term measures to meet targets

London Susan Mayor

Two thirds of accident and emergency (A&E) departments in England put in place temporary measures during a recent monitoring week so that they appeared to meet the government’s waiting time target of four hours, a BMA survey has found.

Preliminary results from the first 100 A&E consultants from a total of 500 who were sent a questionnaire showed that more than half (56%) had used temporary medical and nursing agency staff to reduce patient waiting times during the monitoring week. One in four consultants (25%) reported that their departments had allowed staff to work double or extended shifts at this time.

Nearly one in six (14%) survey respondents said that routine surgery had been cancelled to make extra beds available to admit patients arriving through A&E departments.

The survey findings showed the perverse effects that can result from the way in which government targets are measured.

A&E . . . [Full text of this article]


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This article has been cited by other articles:

  • Munro, J, Mason, S, Nicholl, J (2006). Effectiveness of measures to reduce emergency department waiting times: a natural experiment. Emerg. Med. J. 23: 35-39 [Abstract] [Full text]  
  • Bevan, G., Hood, C. (2004). Targets, inspections, and transparency. BMJ 328: 598-598 [Full text]  
  • Wardrope, J, Driscoll, P (2003). Health care policy makers, we have a problem. Emerg. Med. J. 20: 399-399 [Full text]  

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