In article <[log in to unmask]>, Mary Hawking
<[log in to unmask]> writes
>I was half listening to the BBC this morning, and heard that the 3
>pilots had been a huge success - 40 serious cases admitted to hospital,
>and a quarter given advice.
<Snipping of much stuff that puts the above in perspective>
We really need to know about this.
Does nurse triage for these situations work?
Is it as good as Dr triage?
There is much political push for coops, triage systems etc
We need to know whether it will improve our lot - i am sure this will
depend on many factors and may be locality/practice specific - so lets
not see the usual rubbish extrapolation of the _evidence_ one way or the
other - ie such things as _it has been shown to work over there so it
must work here_ - that oft fuels the political pushers.
I dont think it would help us here in Tywyn - most stuff presents rather
than phones, the casualty dept heaves at the weekend, very little
_dross_ phones - and when it does we can sort it and arrange convenient
time for us to deal or otherwise etc
I have a fear that a distant nurse triage may obligate to a consultation
or other action.
I have a fear that a promoted advice line will encourage callers to
er..well..call - and that some of these will be referred to a GP - how
many of these would have called anyway? We dont know of course but I
would suspect that call rates could rise. Some Drs prone to crap calls
may have some filtered by such a system and therefore have the load
lightened.
Clear as mud - as, usually, are reports of trialled systems.
I think we need to be very careful re what we are sold by the promoters.
Cheers :)
--
Dr Jel Coward
'There's no such thing as bad weather - just bad clothing"
Anon Norwegian
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