Does anyone on the list work in the region where 1y care OOH is ALREADY
a doctor-free zone?
Was it Lincolnshire somewhere that an OOH call to GP-land is received
by trained nurses, but NO access to trained GPs. I have no problem with
the former, but slight concerns with the latter. We in A&E can forget
just how much work our primary care colleagues do in the community OOH.
With the best will in the world, I'm not sure if trained nurses will be
able to deal with all these enquiries as effectively without recourse to
experienced primary care medics. Same argument goes for paramedic
practitioners in community.
Will A&E become, by default, the "medical backup" for the less
straightforward cases?
If so, who in A&E: the SHO? , the SpR? , the on-call Consultant?
Goat
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