Anton,
In Oxfordshire we had a 26% increase in patient numbers presenting to the ED
during the second week of September compared with the same period last year.
Over the last 6 months our numbers are up 13%.
We are looking in detail at the case mix but certainly out of hours are
primary care case mix is certainly up. We are addressing patient educational
issues locally with information on accessing GP OOH services via local media
etc.
Any other observations from other parts of the UK?
John Black
-----Original Message-----
From: Accident and Emergency Academic List
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Sent: 02 October 2004 09:59
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Subject: Re: GP OOH: Wot, no docs?
We have been running OOH for the last 2 months. NO increase in A&E
attendance, which we have been following very closely. 6% of the calls are
upgraded to 999s (chest pains, etc.). There is access to a doctor if
required, though really only required for additional prescribing outside the
formulary. We also provide transport to Primary Care centres staffed by
doctors.
We track calls, responses and transports very closely (unsurprisingly) and
found that in Sept, we transported overall 5% LESS patients than Sept. 2003.
We ascribe this to the benefits of the enhanced formulary to all patients,
including patients accessing care via the 999 system.
Anton
Staffs
In message <[log in to unmask]> Goat
<[log in to unmask]> writes:
> 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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