Sounds like an interesting idea. Do you have any figures? eg How many people
per day are redirected this way (and out of how many total attenders)? How
many try to reatttend anyway? The other thing is how do the local GP's
react to this - i am sure that the GP's around here (or the larger majority
of them) would go spare at the idea of us increasing their workload despite
the patients being better off with the GP
Steve Jones
Anaesthetics
Royal Liverpool University Hospital
UK
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From: [log in to unmask]
<[log in to unmask]>
>As in most places we use Manchester triage but qualify the category with
A&E
>appropriate, GP appropriate etc. For those patients deemed to be GP
>appropriate (and if ther's any doubt the medical staff are involved in the
>discussion and if ther's still doubt the patient is seen in A&E) we do our
best
>to help them and get them seen by the appropriate specialist (GP in this
case).
>Thus if they are Cat3 but not A&E appropriate the nures will arrange for
the
>patient to be seen by their GP that day - spacially this may involve the
weekend
>primary care centre based in the hospital but more often than not the
patient
>travels to the GP surgery as normal. If they are Cat4 GP appropriate help
is
>given in arranging a suitably timed appointment. Cat5s eg longstanding
>problems are told to contact GP themselves.
>As long as the patients are aware that we are trying to do what's best for
them
>and not just trying to turf them away they respond well and I haven't had a
>single formal complaint in the few years I've operated the system. Just as
the
>list are killing the clinical turkeys this is a mangaerial one ie. we
don't
>like the "in-appropriates" but there's sod all we can do about them -
nobody
>else will do it for us! I wonder what other managerial turkeys we should
kill?
>Cheers,
>Nick Jenkins
>
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