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I understand that the new GP contract includes cover until 18.30 so things may get a little easier in the early evening. We have had a shift system in since 1995. If we get an abnormal result that cannot be 'phoned to an appropriate clinician I expect to be informed by the BMS. One then has to make a decision whether immediate intervention is necessary or if it can wait until the surgery opens the next morning. If it is the former one can but do one's best. Often this means discussions with a deputising service which does not always offer a satisfactory solution. Where it is a request from OPD I usually involve the SpR on duty since he/she will have to initiate any necessary action (e.g. arrange admission) and is in a better position to lookup contact numbers etc. Since shift working is intended to use 'free' analytical time, 'unexpected' serious abnormalities often come to light outside base (daytime) hours. We are awaiting a secure remote connection to allow the duty consultant to lookup data on the hospital computer which may make it easier to make decisions on the clinical situation. (See Jonathan's contribution). I shall be interested in the legal view of responsibility once one has knowledge of a serious derangement. Trevor Tickner Norwich -----Original Message----- From: Heather Thornes [mailto:[log in to unmask]] Sent: 16 December 2003 15:02 To: [log in to unmask] Subject: Telephoning results Although my lab. still runs a conventional 9-5 service, with on-call, we are finding it increasingly difficult to telephone abnormal results to GPs or indeed medical staff if the sample has come from OPD. We see this as becoming even more difficult when the new GP contracts come into service. My question therefore is - how do labs. which operate a 24 hr shift service deal with the problem of such results which may be generated at very unsocial hours. What responsibility does the BMS who generated such a result, or the clinical scientist who authorises it have in communicating it? Many thanks in anticipation of your replies & seasonal greetings to all mail-base participants! Heather Heather Thornes Consultant Clinical Scientist University Hospital of N.Tees & Hartlepool STOCKTON-ON-TEES ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ --------------------------------------------------------------------------- The information contained in this e-mail is confidential and is intended only for the named recipient(s). If you are not the intended recipient you must not copy, distribute, or take any action or reliance on it. If you have received this e-mail in error, please notify the sender. Any unauthorised disclosure of the information contained in this e-mail is strictly prohibited. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/