> All OOH services are based in A&E depts, with GPs working alongside A&E
> docs.
I say at least an outpost. One centre in a population of 250,000 or whatever
avge DGH coverage would be just too many patients waiting to be seen, and
lots of groans about distance to travel.
Perhaps should be some easy access satelites which have a dual purpose as
MIU's/ Healthy Living Centres etc.
>All patients are triaged as being either A&E or GP fodder.
Agree with Tim Coats point. Just what is the difference?
>Deputising services & Co-OPs could be relocated to work in A&E depts &
where failing
> brought into line with regard to quality standards.
Agree 100% BUT, I know for a fact this would be unpopular with a large body
of GP's, who are as defensive of their territory as any surgical speciality!
Our lot say no because they feel they would take on A&E type work, and they
don't want that. Some skilfull negotiating required. Andrew Mowat's point
about costs may help - a GP contributes 50-67% of running costs to co-op.
Prove it could be cheaper and more efficient and you may win 'em over.
> There would be occasional need for the GP to leave the dept and visit
those
> who really need a home visit, but this could be minimised by bringing
> patients in by minibus/taxi/PTS ambulance.
Agree 100%
> This could certainly work in urban areas; not sure about more rural areas.
Jel? Robbie?
> We could all benefit from working alongside each other, rather than
> indulging in sniping!
One day.....
> Anyone fancy putting a proposal forward to the DOH!
Yes!!!!!
> Best wishes & look after yourselves.
> John Apps
> GP, BASICS & ex A&E Clinical Ass
Jeremy Mayhew GP, BASICS, and ex A&E reg and Clinical Assistant.
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