Around here, some practices are using it - and practices in the north of
the county (Bedfordshire) *have* to - Bedford Hospital is following
Milton Keynes and going for C&B *only* referrals: they return any
others..
The practices using it successfully are doing it by turning it entirely
into an administrative task: the GP ticks a form, and the secretaries or
administrators do all of the rest.
I do a few in consultation (must be masochism - we don't have any space
for doing it the way others do - and will never hit anything like 50% of
referrals) and the secretaries hate it: it creates huge amounts of
additional work at the practice end - especially in the feedback from
the hospital (no directly bookable slots).
The last classic was a patient referred to gastroenterology - rejected
but patient sent an appointment for colonoscopy. We've explained to the
patient and asked him/her to keep us informed..
Mary Hawking
PS both EMIS and InPS practices using the secretarial system - which
wasn't the way it was supposed to work!!
In message <[log in to unmask]>, Adrian Midgley
<[log in to unmask]> writes
>John Canning wrote:
>>
>> /C&B, amazingly, seems to work for some GPs (up to 1 in 3), so a
>> boycott is not a realistic tactic./
>>
>> / /
>>
>Presumably this is not completely random, IE there is some in principle
>identifiable factor linking them - geography/LSP; computer system;
>clueful PCT/SHA IT department member; FRCGP; or whatever?
>
>Has nobody reported on common factors yet? I don't think I've seen it
>if so.
>
--
Mary Hawking
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