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    Is referral to emergency care practitioners by general practitioners in-hours effective?

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    Author
    Gray, J.T.
    Walker, A.
    Keyword
    Emergency Care
    General Practitioners
    Care Management
    Referral and Consultation
    Emergency Medical Services
    Journal title
    Emergency Medicine Journal
    
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    URI
    http://hdl.handle.net/20.500.12417/881
    DOI
    10.1136/emj.2008.059956
    Abstract
    Objective: To evaluate the cost effectiveness to primary care trusts (PCT) in commissioning general practitioner (GP) referrals in-hours to emergency care practitioners (ECP). Methods: A retrospective case note review for patients referred by GPs in-hours to ECP over a 4-month period to ascertain any added value over a GP visit. Results: In a 4-month period 105 patients were referred. In most cases (90.5%) the ECP was utilised as a substitute for a GP rather than providing any additional skills. Defining an avoided attendance as the ECP undertaking an intervention outside a GP skill set this equated to a 9.5% avoided attendance rate compared with the ECP service standard rate of 60%. This has implications both in terms of financial benefit and ongoing ECP service sustainability. Conclusions: There is little value in a PCT commissioning this service as they will pay twice and care must be taken in accepting new referral streams into existing services. https://emj.bmj.com/content/26/8/611. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/emj.2008.059956
    ae974a485f413a2113503eed53cd6c53
    10.1136/emj.2008.059956
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    Publications - Yorkshire Ambulance Service

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