The impact of consultant delivered service in emergency medicine: the Wrexham Model

0.49) and had a faster turnaround time (p<0.001: Priority 2, 3 and 4) for every triage category. Some of the comparisons were clinically but not statistically significant.

Conclusion A consultant based service delivery offers many advantages. These cannot be matched by either junior or middle grades. This would be in addition to the consultants' supervisory role. Consultant expansion is urgently required to achieve this sustainably. A further study evaluating the cost benefits of this service model is now underway.

Consultant delivered service consultant workload senior based service delivery 4-h target performance, length of stay audit emergency care systems emergency care systems admission aviodance emergency care systems effieciency management risk management Footnotes Competing interests None.

Provenance and peer review Not commissioned; externally peer reviewed.