ORIGINAL ARTICLE Social care’s impact on emergency medicine: a model to test

Mainly in response to the policy drive to avoid unnecessary acute hospital admissions and delayed discharge on social grounds, there has been a gradual development of social work services attached to emer-gency departments (EDs) in the UK. In the absence of a clearly articulated evidence base or debate about the roles of ED attached social workers, a model of ED based social work practice and indicative supporting evidence is presented. It is argued that social workers may be able to contribute to the efficiency and effectiveness of hospital services while providing a key point of access to social care services. A number of obstacles remain to the imple-mentation of this model of service, including the narrow focus of current social care practice, the hours that a social work service is normally provided, chronic under-funding