Quality requirement 3: Emergency and acute management  

People needing hospital admission for a neuro-surgical emergency are to be assessed and treated in a timely manner by teams with appropriate neurological and resuscitation skills and facilities.

Arrangements in place to ensure prompt identification and treatment for people with a LTNC on admission to hospital



Indicators of progress

Bernard et al (2010) found some examples of formal links between emergency departments and neurological specialists to ensure prompt identification and treatment, including access to tertiary centres of specialist expertise.

In Hoppitt et al’s study (2011) there was some evidence from a very small sample (N=8) that, in neurology wards, people with rarer LTNCs were generally satisfied with the way staff addressed their condition-specific needs.

Inhibitors of progress

Jackson et al (2011a) report that the usual routes to emergency units via ambulance were used, but where carers had medical or psycho-social concerns ‘out of hours’ they did not feel confident about using generic advice services, such as NHS Direct, especially if the cared-for person had a rare neurological condition.

Bernard et al (2010) identified ill-defined pathways in some areas.



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