Maresah,
There is a nurse-practitioner run minor injuries unit in my locality (South
Liverpool) which runs on agreed protocols in the small local community
hospital in Garston with the agreement of local GPs. They have on-site x-ray
but no reporting, obvious fractures referred directly to the local casualty
unit, and anything not covered by the protocol referred back to the GP, who
can choose to advise the nurse practitioner by telephone or make
arrangements to review the patient.
It works quite well, there is good rapport between the nurses and our
practice, waiting times are vastly shorter than the casualty unit proper,
and the patients like it! :-) I'll try to dig out the protocol and send you
a dead tree copy- I'm sure to have one at the surgery gathering dust
somewhere!
John.
Dr. John Caldwell
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