The acute service
Clinical neurophysiologists aid in the diagnosis and management of patients with acute conditions, such as epilepsy (in particular status epilepticus), brain injury and generalised weakness either requiring admission to intensive care or preventing step down. Provision of services is essential for hospitals to treat patients with these conditions efficiently. At present some hospitals with intensive care units have no access to clinical neurophysiology on site at any time. Others have no service in the evenings or at weekends. Some offer an out-of-hours on-call service.
The specialty recommends that all acute hospitals have access to out-of-hours services but recognise the current workforce restrictions. Due to the relatively small size of many departments, and the need to continue seeing routine outpatients promptly, it is not considered viable to introduce 7-day working for routine outpatient work at present.