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GP to see A&E patients who shouldn’t be there

GP to see A&E patients who shouldn’t be there GP to see A&E patients who shouldn’t be there

A GP has been brought in to A&E in Worcester to treat patients with minor injuries who shouldn’t have gone there in the first place.

The doctor, who started seeing patients last month, is part of a pilot scheme to ease pressure on the busy A&E department at Worcestershire Royal Hospital.

He treated patients that health bosses say should never have come to A&E, including those who can be treated at minor injuries units such as at Malvern Community Hospital, by their GP or at walk-in centres such as the one in Farrier Street, Worcester.

However, hospital bosses are concerned that now they have brought in the GP more people will come to the emergency department with minor ailments when they should be seeking alternative treatment.

Speaking at a meeting of Worcestershire Acute Hospitals NHS Trust, vice-chairman Nichola Trigg said she was concerned “we’re going to increase traffic and become a victim of our own success”.

Andrew Sleigh, a non-executive director, said he had recently visited the A&E for four hours.

He said when patients were told that they could have been seen by their GP their response had been: “Yes, but we’d have to spend 20 minutes on the phone and wait a long time.

"It’s much easier to come in here.”

As previously reported in the Worcester News the trust has struggled to see, treat, discharge or admit 95 per cent of A&E patients within four hours (the national target).

In December 88 per cent of the 11,415 were seen in that time.

This has resulted in £400,000 a month fines from NHS Worcestershire, although NHS leaders insist that money is being re-invested in helping the trust hit the target.

Penny Venables, the trust’s chief executive, said patients who waited longer than four hours often did so for good clinical reasons but acknowledged that improvements had to be made.

She said a task force had now been put in place across the NHS in Worcestershire to look specifically at A&E waiting times.

The A&E GP pilot may be extended if successful, said hospital leaders.

Comments(2)

Biggles says...
10:52pm Fri 10 Feb 12

I fear there is no answer to this, the more succesful the GP is, the more people will come to see him.
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It is hard for people to be critised for attending A&E, if you're not in a specific catergory (diabetic for example), it can be a nightmare trying to get an appointment to see your own GP.
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despite being registered at a practice, my daughters use the Harrier St drop in center, because it is just so convienient

turkishdelighttwo says...
11:37pm Fri 10 Feb 12

Another thing for the trust to take into account is the NHS help line. They also advise people to go to A&E, once when i was ill and could not take my diabetes medicine (being newly diagnosed and being told by my doctor i must take the tabs 3 times a day) i phoned the nhs help line for advice, they told me to go to A&E. I thought it was a bit extreme but went along anyway. I was waiting hours to see a doctor, who gave me liquid form medication, then told me i should have phoned primary care. I told the doctor it was nhs help line that advised me to come to the A&E, he still ignored this fact and said "see an out of hours doctor". It upset me and made me feel so uncomefortable that i will never go to A&E again unless its in an ambulance. The trust should give all there departments a guideline as to when to advise people to go to A&E or when to use the out of hours doctor service.
Im diabetic and also work full time and am my moms carer, but even this dont get me a GP appointment, its still a nightmare for me to get appointments, i think its a system geared for people that are at home all day and can get to appointments in short notice. i think the people who make up these appointment guidelines should try using it themselves and then see how difficult it can be if you are a worker.

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