Run it by me one more time...
You do not at present see anyone who does not need to be seen.
You see 25% * 3 steps more patients now than when you had a different
system.
EIther people are iller, or more demanding, or they were being left to
suffer.
It might be the middle one, which is I think a change that has occurred
simultaneously to but not because of the changes in access arrangements
and therfore should not be used to generalise about those changes.
ALternatively, send a few away with a knowledge that they are making
inappropriate use of the service.
What I was _trying_ to say was that:
1. Using an answerphone rather than divert seems to cut out some of the
rather inappropriate (definition?) contacts, e.g. can I book an appointment
for 2 weeks time.
2. When we increased the number of doctors but changed the contact
arrangements to a more impersonal service before they reach the Dr, the
numbers did not seem to rise in an incremental amount that one might have
expected. E.g. 1+1 Drs on call does not actually double the workload it only
increases by about 25%.
I hope that is clearer.
Mark
Dr G Mark Trowell
Highbridge Medical Centre
Pepperall Road
Highbridge
Somerset
TA9 3YA
Highbridge - "A cemetery with lights"
(01278) 783220
(01278) 795486 (Fax)
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