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The watchdog's inspectors were concerned to find "delays in the initial assessment of patients, in their assessment by a doctor and in moving them to specialist wards and that there were insufficient middle grade doctors and consultants".
The trust also heard in March that five middle grade doctors needed were in place together with three locum doctors.
An initial three-month closure was extended as the unit struggled to hire consultants and middle grade doctors.
The meeting did raise questions over its sustainability, with a national shortage of middle grade doctors, who will be expected to run A&E.
As well as increasing the number of consultants and middle grade doctors and training up other staff, the hospital also needs to meet national standards on waiting times.
The trust has been unable to recruit enough middle grade doctors before and a similar problem occurred at the Belfast City Hospital two years ago resulting in it's A and E closing.
Similar(47)
Their death occurred when the A&E was "two to three nurses and one middle grade doctor short", an internal serious incident investigation by the trust found.
Emergency medicine practice in the UK and Ireland offers a junior and middle grade doctor great learning opportunities that force engagement with multiple specialties, life-saving procedures, exposure to a myriad of patient presentations, and opportunities for best practices in medicine.
All 'red' tasks are copied to a phone carried by the middle grade doctor so they are aware of all potentially serious problems and can attend to assist or review as necessary.
Each quotation is followed by the unique numerical identifier for that respondent, where the prefix 'F' denotes a foundation year 1 doctor, 'M' denotes a middle grade doctor and 'S' denotes a senior clinician who has completed their training and is now either a consultant or GP.
The above statement shows a lack of knowledge of on-call structures, as there is locally in Cardiff a middle grade doctor and a consultant on-call at all times including weekends and this is via the local hospice rather than local hospital switchboards.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com