• Emerg Med J · Jul 2008

    Multicenter Study Comparative Study

    Emergency department staffing in England and Wales, April 2007.

    • R C Paw.
    • Dudley Group of Hospitals NHS Trust, Dudley DY1 2HQ, UK. rajan.paw@dgoh.nhs.uk
    • Emerg Med J. 2008 Jul 1;25(7):420-3.

    ObjectiveTo determine medical and nursing staffing levels in emergency departments in England and Wales.MethodsA postal survey with an addressed return envelope was sent to all emergency departments in England and Wales enquiring about staffing levels and annual attendances.ResultsResponses were received from 91/202 departments (45%). Great variability was seen in medical and nursing staffing levels across departments in England and Wales. The predominant members of the medical workforce were SHO grade doctors. The number of senior and middle grade doctors generally increased as departments became larger. Nursing levels were not as responsive to departmental size.ConclusionsThere is great variability in staffing numbers in similar-sized departments, and most departments are understaffed in comparison with the recommendations of the British Association for Emergency Medicine to achieve the 4 h target at the 90% level.

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