DoH urges practices to improve urgent care

 

Practices could be forced to increase capacity to tackle urgent cases immediately under plans drawn up by a DoH adviser.

Photograph: SPL

Photograph: SPL

The plans could see practices obliged to treat patients who believe their case is urgent without appointments and to employ a GP responsible solely for responding to urgent cases.

More than a third of practices currently do not have the staff or resources to respond adequately to priority patients, according to David Carson, who has been commissioned by the DoH to review urgent care.

Recent conference presentations by Mr Carson – expected complete his report imminently – accuse practices of operating a system that creates ‘an inverse care law, with those with the greatest needs being left until last’.

Home visits to seriously ill patients are often not prioritised over non-urgent appointments, he claimed.

But the GPC has rejected the claims and said that more responsive urgent care could be achieved if funding for walk-in centres and Darzi centres had been was directed to existing practices.

tom.ireland@haymarket.com

  • See this week’s GP dated 20 February for the full story.
  • Is the DoH right to target urgent care?

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Neil Upton - 19 February 2009

They're turning the screw again. Yet another survey in isolation is revealing the obvious. GP's have balanced routine urgent and emergency work for years without the 4 hr waits of A+E.

Just because a patient thinks there case is urgent doesnt mean it is.

I suppose the outcome will be a new primary care worker,unqualified of course, who will be titled emergency care practitioner.

 

Rupen Kulkarni - 20 February 2009

More of the DoH sponsored jokers pushing for cheap publicity dt waning popularity before the elections. Every patient says his problem is urgent, which is why phone triage has worked well in the past. David Carson needs to understand the difference between reality and spin and also know what real urgent care is as opposed to patient opinions.

 

SENARATH BOGAHALANDA - 20 February 2009

I bet he was the senior partner who saw may be five or six patints during the whole day and made sure his "junior" partners did all the vists whilst he made socially profitabl visits only I am sure he received lot of christmas presents as well ,isn't that pity this man lost the touch of modern practice of medicine and the amount of un necessary paper work GPs have to do

 

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