I think it would be worth exploring IT links between the ED and GP's John.
It's about time such links were introduced to facilitate safer discharge and
establish more timely communication.
Best wishes, Bill
----- Original Message -----
From: "John Ryan" <[log in to unmask]>
To: "Bill Bailey" <[log in to unmask]>
Sent: Monday, October 31, 2005 9:03 AM
Subject: Re: GPs Interface
> Just shifting the goalposts on this thread slightly; I am due to speak
> shortly at our annual GP study day on "Optimising the Interface between
> General Practice and the Emergency Department" Any suggestions on what
> ought to be covered ? (from the GP or the Emergency perspective)
>
> John Ryan
>
>
> ----- Original Message -----
> From: "McCormick Simon Dr, Consultant, A&E"
> <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Sunday, October 30, 2005 9:33 AM
> Subject: Re: GPs triage
>
>
> James,
>
> I, together with the medical director of the local OOH primary care
> facility, looked at the attendances over one weekend last year. We
> decided
> that about 65% were pure A&E cases; 15% were primary care and 15% were
> 'crossover' cases. With about 200 patients per day that's the opportunity
> to 'loose' 30 patients a day. These are not just simple coughs and colds
> either, which can usually be dealt with quite quickly, they include the
> odd
> abdo pains, deteriorated in nursing homes and COPDs that are often time
> consuming to see, difficult for juniors to understand and regularly
> difficult to discharge. The impact on our work would be quite
> significant.
>
> Simon
>
>
> -----Original Message-----
> From: James McFetrich [mailto:[log in to unmask]]
> Sent: 28 October 2005 16:07
> To: [log in to unmask]
> Subject: Re: GPs triage
>
>
> Is there anything showing actual numbers for people who 'inappropriately'
> attend A&E?
>
> I appreciate that different departments will have different caseload and
> the
> definition of inappropriate will vary; most people end up saying
> anecdotally
> that 5%, 20%, 50% (insert number as appropriate) of patients who attend
> A&E
> could be dealt with by priimary care.
>
> Has anyone even got local data on this?
>
> James
>
> James McFetrich
> Clinical Research Fellow in Emergency Medicine and Education
>
>
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