Editorial Editor Claire Picton Managing editor Nick Lipley Tel: +44 (0)20 8872 3166 Email: [email protected] Managing director Rhonda Oliver Editor in chief Jean Gray Senior editor Gary Bell Assistant editor Sophie Blakemore Head of production Fiona Maclean Senior production editor Julie Hickey Production editor Duncan Tyler Art director Ken McLoone Designer Sujata Aurora Picture editor Phil Brecht Deputy picture editor Helen Jones Digital director John Day IT and new media manager Alex Oldfield Web editor Amanda Carter

Time for us to work together

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The RCN Emergency Care Association conference always provides opportunities to network and keep up to date with what is happening in emergency nursing locally and nationally. This year’s conference, which was held last month in Brighton, East Sussex, was no exception.

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Emergency nurses from across the UK made clear in their presentations and informally that they face two common challenges: dwindling NHS resources and an ever rising number of people attending for emergency care.

EDITORIAL ADVISORY BOARD Jim Bethel Senior lecturer and nurse practitioner in emergency care, University of Wolverhampton Hannah Bryant Resuscitation officer, Queen Elizabeth Hospital, Birmingham Jennifer Critchley Urgent care centre emergency nurse practitioner, Benalla, and senior lecturer, University of Melbourne, Victoria, Australia Shelley Cummings Senior sister A&E, Royal Surrey County Hospital Rachel Lyons Assistant clinical professor of nursing, Rutgers University, Newark NJ Lorna McInulty Senior lecturer in emergency and unscheduled care, University of Central Lancashire Mike Paynter Consultant nurse, Somerset Partnership NHS Foundation Trust Andrew Rideout Advanced nurse practitioner, emergency department, Dumfries and Galloway Royal Infirmary

Some emergency nurses, such as Alison Hopwood and Jennifer Steed from the University Hospital of North Staffordshire, and Stella Davey and Johnny Wells from Croydon University Hospital, reported innovative work with older people, a group of patients whose care is especially challenging (page 6).

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These nurses’ presentations followed a keynote speech by director for acute episodes of care at NHS England Keith Willett, who is leading the so-called Keogh review of emergency and urgent care services in England.

Emergency Nurse is indexed, abstracted and/or published online in the following media: British Nursing Index, CINAHL, Medline and Ovid ABC APPLICATION APPROVED 8,086 (Jan-Dec 2012) SUBSCRIPTION DEPARTMENT Royal College of Nursing Journal subscription department, Copse Walk, Cardiff Gate Business Park, Cardiff CF23 8XG. Tel: 0345 772 6100 Personal rates for print edition: from £66 a year in the UK and Europe, and from £121 a year in the rest of the world. Institutional print edition rates: from £446 a year Email: [email protected] ©2013 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers. ISSN 1354-5752 (print). ISSN 2047-8984 (online)

Until we start to view the NHS as a whole, patients in emergency departments will not receive the care they need when they need it

Claire Picton Editor

Professor Willett focused on patients’ perceptions of urgent care and the role of emergency nurses as ambassadors for change, an issue he discusses in this month’s journal (page 12). Ambulatory emergency care also featured in a presentation by Ambulatory Emergency Care Network programme director Deborah Thompson, who points out that patients want diagnosis and treatment without staying in hospital. The Keogh review report, published last month (pages 7 and 8), calls for greater integration of primary and secondary care to avoid unnecessary admission. I agree. Until we start to view the NHS as a whole with patients at the centre, and end competition between primary and secondary care services, patients in emergency departments will not receive the care they need when they need it. You can find out more about joining the next ambulatory care cohort on page 16. Claire Picton is consultant in emergency care nursing at the Hillingdon Hospital, Middlesex

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Our mission Emergency Nurse encourages innovation and promotes professional excellence in all pre-hospital and emergency care settings. The journal is editorially independent and opinions expressed in it do not necessarily reflect the policies of the Royal College of Nursing or those of contributors’ employing organisations.

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Visit us at: Emergency Nurse December 2013 | Volume 21 | Number 8

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Time for us to work together.

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