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"Lord Carter of Coles will present his second report to Health  
Ministers in early 2008."

http://www.thecarterreview.com/

Jonathan

On 8 Jan 2008, at 17:01, Mohammad Al-Jubouri wrote:

> End to end sample management by pathology reminds us of Lord  
> Carter's review, whatever happened to his final report which was  
> supposed to have been released by October 2007?
>
> Mohammad
>
>
> ----- Original Message ----
> From: Myers Martin (Dr) <[log in to unmask]>
> To: [log in to unmask]
> Sent: Tuesday, 8 January, 2008 4:52:20 PM
> Subject: Re: ... more diagnostic procedures will be available in GP  
> surger ies
>
> Paul,
>
> The trouble is that the patient pathway is being fragmented.   
> Whilst a poor phlebotomy service may result in a poor access to  
> pathology, that should not be used as an excuse to redesign  
> pathology. We should redesign phlebotomy. My concern is that  
> patients and politicians may interpret a poor phlebotomy service as  
> a poor pathology service and then initiate changes to pathology  
> (which wasn't a problem in the first place) instead of initiating  
> changes to the phlebotomy service.
>
> I reckon that most of the access issues in pathology can be  
> rectified with a decent phlebotomy and transport service.  Patients  
> don't necessarily want point of care testing, they want easy and  
> timely access to phlebotomy.
>
> regards
>
> Martin
>
> -----Original Message-----
> From: Clinical biochemistry discussion list
> [mailto:[log in to unmask]]On Behalf Of Paul Eldridge
> Sent: 08 January 2008 15:40
> To: [log in to unmask]
> Subject: Re: ... more diagnostic procedures will be available in GP
> surger ies
>
>
> Could not agree more but how can we manage without additional input  
> or thought ?
> When we provided open access, no appointment, GP phlebotomy at  
> Lewisham Hospital the early morning queues and mid morning waiting  
> times were horrendous even when we opened at 7.30am. Some GPs  
> provided their own phlebotomy from their own resources.
> Now all GP phlebotomy is provided by the PCT at various units  
> around the patch but only by appointment.
> To save money the PCT reduced the number of phlebotomy units after  
> a year of operation. No queues in phlebotomy units but 5 - 10 day  
> waits and presumably a high percentage of non attendances.
> Naturally Pathology is considered to be at fault.
> Occasionally GPs phone me up when they think tests are needed  
> urgently and we fit them in at the hospital phlebotomy unit.
> Clearly now would be an opportune time to talk to the PCTs again.
> Paul Eldridge
> Lewisham
>
>
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