Paul,
Much as I can see the advantages of the joint care areas etc proposed by
others, as things stand where I work we don't have that in place and are
unlikely to be in the near future. So, as things stand, we have taken
to pointing anyone who comes here in the manner you describe directly
back to the specialty concerned, usually with a phone call from the shop
floor consultant/senior nurse telling them not to do it again. We do,
of course, do a quick nursing assessment to ensure the patient is not in
severe pain or in need of any emergency care (few are) and if they are
we deal with it whilst the specialty doctor is on their way to see the
patient.
We have also started doing exactly the same thing with post op
reattenders, a group we have seen significant rises in, who phone the
ward (like they were told to) with a problem and then get told to go to
'Casualty' to have it dealt with.
Changes in Care Pathways (and they are needed) should be properly
thought through, planned and implemented by agreement not instigated by
junior doctors trying to avoid work. Until then, there is a system in
place and it should be followed.
Simon
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Redman Paul (Frimley
Park Hospital NHS Foundation Trust)
Sent: 10 March 2010 22:07
To: [log in to unmask]
Subject: GP referrals to specialities
I seem to be seeing a spate of referrals from GPs to the speciality
teams that are being batted sideways with a request from the
specialities that the GP send the patient to the ED and the speciality
SHO can be called by the ED staff if we are concerned. I eventually
lost my rag with the ortho sho today over this - it wouldn't have
arisen if the letter from the GP hadn't incriminated the sho in
question.
Is it our hospital or is it becoming more common? How have others
dealt with it? Are you ignoring it? It seems all specialities are
involved but obviously some personalities are more apparant than others.
Paul Redman
************************************************************************
********************************************
This message may contain confidential information. If you are not the
intended recipient please inform the
sender that you have received the message in error before deleting it.
Please do not disclose, copy or distribute information in this e-mail or
take any action in reliance on its contents:
to do so is strictly prohibited and may be unlawful.
Thank you for your co-operation.
NHSmail is the secure email and directory service available for all NHS
staff in England and Scotland
NHSmail is approved for exchanging patient data and other sensitive
information with NHSmail and GSI recipients
NHSmail provides an email address for your career in the NHS and can be
accessed anywhere
For more information and to find out how you can switch, visit
www.connectingforhealth.nhs.uk/nhsmail
************************************************************************
********************************************
|