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hi Ray, this is our whole thing, page 11 is the referral criteria, the service happens to be in our transport lounge, out of hours and seems to work quite well, we are just considering extending the types of patients so more can be seen in GP service but they are a little reluctant, more info off list if you want Regards Ruth -----Original Message----- From: Ray McGlone [mailto:[log in to unmask]] Sent: 02 October 2004 18:40 To: [log in to unmask] Subject: Re: GP OOH: Wot, no docs? Just to remind people about my original question........ "Does anyone have a protocol for A&E at triage to refer patients directly to the GP out of hours service?" If not, what if the patients in the Triage Category Green or Blue who had not had an accident, RTA, self harm or assault (ref patient group) were re-directed to the GP service? Thanks Ray McGlone ----- Original Message ----- From: "Black, John" <[log in to unmask]> To: <[log in to unmask]> Sent: Saturday, October 02, 2004 11:24 AM Subject: Re: GP OOH: Wot, no docs? > Anton, > > In Oxfordshire we had a 26% increase in patient numbers presenting to the ED > during the second week of September compared with the same period last year. > > Over the last 6 months our numbers are up 13%. > > We are looking in detail at the case mix but certainly out of hours are > primary care case mix is certainly up. We are addressing patient educational > issues locally with information on accessing GP OOH services via local media > etc. > > Any other observations from other parts of the UK? > > John Black > > -----Original Message----- > From: Accident and Emergency Academic List > [mailto:[log in to unmask]] On Behalf Of > [log in to unmask] > Sent: 02 October 2004 09:59 > To: [log in to unmask] > Subject: Re: GP OOH: Wot, no docs? > > We have been running OOH for the last 2 months. NO increase in A&E > attendance, which we have been following very closely. 6% of the calls are > upgraded to 999s (chest pains, etc.). There is access to a doctor if > required, though really only required for additional prescribing outside the > formulary. We also provide transport to Primary Care centres staffed by > doctors. > > We track calls, responses and transports very closely (unsurprisingly) and > found that in Sept, we transported overall 5% LESS patients than Sept. 2003. > We ascribe this to the benefits of the enhanced formulary to all patients, > including patients accessing care via the 999 system. > > Anton > Staffs > > In message <[log in to unmask]> Goat > <[log in to unmask]> writes: > > Does anyone on the list work in the region where 1y care OOH is ALREADY > > a doctor-free zone? > > > > Was it Lincolnshire somewhere that an OOH call to GP-land is received > > by trained nurses, but NO access to trained GPs. I have no problem with > > the former, but slight concerns with the latter. We in A&E can forget > > just how much work our primary care colleagues do in the community OOH. > > With the best will in the world, I'm not sure if trained nurses will be > > able to deal with all these enquiries as effectively without recourse to > > experienced primary care medics. Same argument goes for paramedic > > practitioners in community. > > > > Will A&E become, by default, the "medical backup" for the less > > straightforward cases? > > > > If so, who in A&E: the SHO? , the SpR? , the on-call Consultant? > > > > > > Goat >