As has been noted, the first full time consultant in casualty was Maurice Ellis at Leeds General Infirmary. He was placed in charge of the casualty department in 1949 while he was a general surgical senior registrar and was appointed consultant in casualty in 1952. David Wilson, later a president of the Casualty Surgeons Association (CSA), was a medical student in casualty in Leeds when Mr Ellis was first appointed and says that the department was transformed by his arrival.1 On his first day Mr Ellis insisted on cleanliness with old dressings being removed from the floor and he created organisation where there had been chaos. A description of the organisation of his dressing clinics is given in a paper he wrote on hand injuries.2 He also introduced audit and research on hand injuries,2 antibiotic use3 and tenosynovitis.4 He retired in 1969 and following the Platt recommendations, was replaced by an orthopaedic surgeon with the department being managed by the orthopaedic service rather than by an individual consultant. He, himself, in a letter to the BMJ describes how standards fell and the hospital realised their error and appointed David Wilson, by then a locum senior registrar in orthopaedics, to the consultant post the following year following which standards started to improve.5 Shortly before this, in 1969, Howard Baderman had been appointed as an A&E consultant at University College Hospital, London (UCH) when a new department was opened.


Orthopaedic Surgeon Royal College Consultant Post Hand Injury Junior Staff 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Wilson DH, personal communication.Google Scholar
  2. 2.
    Ellis M. Outpatient treatment of the injured hand. Lancet (1951) 1: 1038–41.CrossRefGoogle Scholar
  3. 3.
    Ellis M. The use of penicillin and sulphonamides in the treatment of suppuration. Lancet (1951) 1: 774–5.CrossRefGoogle Scholar
  4. 4.
    Ellis M. Tenosynovitis of the wrist. BMJ (1951) 2: 777–9.CrossRefGoogle Scholar
  5. 5.
    Ellis M. Accident and emergency services. BMJ (1970) 4: 800.CrossRefGoogle Scholar
  6. 6.
    Baderman H, personal communication.Google Scholar
  7. 7.
    Swann I, personal communication.Google Scholar
  8. 8.
    Matheson AB. Obituaries: David Proctor BMJ (1994) 309: 1013–14.CrossRefGoogle Scholar
  9. 9.
    Matheson AB, personal communication.Google Scholar
  10. 10.
    Anonymous. Staffing in accident departments. BMJ (1971) 2(suppl): 13–14.Google Scholar
  11. 11.
    Durbin FC and Batchelor JS. Accident and emergency services. BMJ (1971) 3: 432–3.CrossRefGoogle Scholar
  12. 12.
    Durbin FC Casualty departments. Postgrad Med J (1972) 48: 262–5.CrossRefGoogle Scholar
  13. 13.
    Elson R. The medical staff of British accident and emergency units. Br J Hosp Med (1971): 161–70.Google Scholar
  14. 14.
    Review of ‘pilot’ scheme by DHSS 1974, published as appendix C in Lewin W. Medical Staffing of Accident and Emergency Services. JCC 1978.Google Scholar
  15. 15.
    Lewin W. Medical Staffing of Accident and Emergency Services. JCC 1978.Google Scholar
  16. 16.
    Letter from Henry Yellowlees to Senior Administrative Medical Officers, Regional Hospital Boards 12.11.71.Google Scholar
  17. 17.
    Stewart I, Personal communication.Google Scholar
  18. 18.
    Dickenson J and Shand W. David Bernard Caro: Obituary. BMJ (1996) 313: 164.Google Scholar
  19. 19.
    McKie D. Accident and emergency services. Lancet (1973) 2: 1250.CrossRefGoogle Scholar
  20. 20.
    CSA Comm 3.10.72.Google Scholar
  21. 21.
    Williams HO. Consultants in A&E. Lancet (1972) 2: 761.CrossRefGoogle Scholar
  22. 22.
    Potter JM. Consultants in A&E. Lancet (1972) 2: 923–4.CrossRefGoogle Scholar
  23. 23.
    Cutting C, personal communication.Google Scholar
  24. 24.
    Anonymous. Staffing accident and emergency services. BMJ (1979) 1: 1363.Google Scholar
  25. 25.
    Anonymous. The improving image of A and E. BMJ (1979) 2: 1314.Google Scholar
  26. 26.
    Pritty P. Accepting accident and emergency medicine as a specialty. BMJ (1981) 282: 1324.CrossRefGoogle Scholar
  27. 27.
    Medical Staffing Division, DHSS. Hospital Medical Staffing in the National Health Service in England and Wales. Health Trends (1977) 8: 45–7.Google Scholar
  28. 28.
    BOA. Casualty Departments: The Accident Commitment (1973) BOA, London.Google Scholar
  29. 29.
    Joint Working Party of JCHMT and JCHST 1975.Google Scholar
  30. 30.
    Anonymous. Accident and emergency departments. BMJ (1977) 2: 123.Google Scholar
  31. 31.
    Anonymous. Appointment of accident and emergency consultants. BMJ (1980) 281: 467.Google Scholar
  32. 32.
    London PS. Accident Services. Br J Hosp Med (1978) 20: 169–77.Google Scholar
  33. 33.
    James JIP. Consultants in accident and emergency medicine. Paper produced for the BOA (1978).Google Scholar
  34. 34.
    CSA Comm 3.5.78.Google Scholar
  35. 35.
    Caro D in discussion at symposium on the organisation and staffing of the casualty services. Postgrad Med J (1972) 48: 276–289.Google Scholar
  36. 36.
    Operational policy and proposed schedule of duties for consultant (1972) Accident Department, Taunton.Google Scholar
  37. 37.
    CSA Comm 15.10.74.Google Scholar
  38. 38.
    Working Party of the JCC/GMSC. The Staffing of Accident and Emergency Departments (Mills Report) (1981) JCC/GMSC.Google Scholar
  39. 39.
    Cain D, personal communication.Google Scholar
  40. 40.
    Ahmed O. Accident and emergency services. BMJ (1980) 280: 119.CrossRefGoogle Scholar
  41. 41.
    Morgan WJ. Accident and emergency services. BMJ (1979) 2: 1590.CrossRefGoogle Scholar
  42. 42.
    Waugh W. A History of the British Orthopaedic Association: The First 75 Years (1993) British Orthopaedic Association, London.Google Scholar
  43. 43.
    Steel WM. The role of the orthopaedic surgeon in the accident and emergency department. Injury (1977) 9: 43–9.CrossRefGoogle Scholar
  44. 44.
    Dove A, personal communication.Google Scholar
  45. 45.
    James JIP. British Orthopaedic Association Presidential Address. J Bone Joint Surg (Br) (1978) 60B: 131–5.Google Scholar
  46. 46.
    Minutes of a meeting at DHSS 22.9.71 between JCC and DHSS to discuss consultants in charge of emergency services.Google Scholar
  47. 47.
    Anonymous. Accident and emergency departments. BMJ (1978) 2: 1314.Google Scholar
  48. 48.
    Wilson DH. The multi-consultant accident and emergency department. Br J Accid Emerg Med (1983) 1(4): 4–6.Google Scholar
  49. 49.
    Letter from Dr Guly to Dr Dallos (Chairman of the CSA Clinical Services Committee) 3.6.82.Google Scholar

Copyright information

© Henry Guly 2005

Authors and Affiliations

  • Henry Guly
    • 1
  1. 1.Derriford HospitalPlymouthUK

Personalised recommendations