Very valid points, Martin: The current system is extremely unsatisfactory for patients and doctors alike.
OOH should be organised and provided on a local level: We know the frequent callers, we know the local colleagues, we know local procedures - and we don't have to ask the patient 100 miles away were his nearest Hospital is!
Local knowledge - local triaging!
Let's be positive here. Health Minister Earl Howe does appear to have a sense of humour: (...)"got off to a very disappointing start" made me laugh out loud in front of the computer. I am an OOH GP in the south east coast area - hence the need to have my comments moderated all the time...
This is only the tip of the iceberg...
NHS Pr1m1t1ve fails at EVERY level, even the most basic ones:
- "Expected death - Caller: Patient"
- "4 week old baby - Caller: Patient"
- Surgery "unknown", GP "unknown"... (if I can find the patient's surgery on the database, why can't the call takers find them!?!)
The triaging and outcomes that I have to endure from some of our GP colleagues is, at times, totally inadequate.
This isn't about Primary Care.
This isn't about Secondary Care.
This is about patient care.
Totally agree with Teresa's views on NHS Pr1m1t1ve.
By all means, make it one number, but make sure that the patient is assessed (not 'triaged!!!) by a suitably experienced clinician.
It's better for the patient - and better for the whole system...
"I would imagine common sense will prevail on this. I wouldn't - we are, after all, talking about the NHS...
It is, however, extremely reassuring to hear that the CQC inspectors use validated tools such as "social media sites"...
@Anonymous 17 April 2013 9:25pm & PG Paige:
Both ideas are excellent: Combine them and they're even better!!!
(If they want 'commercial', we will do 'commercial'!)
Delays, abandoned calls and an 11-hour wait for a call-back: Leaked document reveals the extent of NHS 111 performance issues
Heard any claptrap from Messrs Hunt or Howe recently? Thought not. They are keeping an unusually low profile...
As a dedicated OOH GP I see the shortcomings of NHS Imbecilic on a nightly basis:
A terminally ill patient dying in pain because NHS Imbecilic was apparently not able to put the call through for more than 12(!!!) hours.
A base visit for an expected death - you guessed it: DNA'd...- and numerous base visits for patients from nursing homes.
An "eight minute" 999 ambulance for a well known 25 yr old uncompromised frequent attender with palpitations and "heart racing".
An eight hour wait on an ordinary Wednesday evening for a young patient with a UTI only to be triaged inappropriately into an 'urgent' base visit.
In addition patients' names, addresses or surgeries are frequently documented incorrectly - by people who can't even spell Paracetamol ("Paraceptimal" [sic!!!]) - which means that their own GPs will not get any report of the OOH encounter.
Our local hospitals have declared an unprecedented Major "Internal" Incident because of a 50% increase in attendances.
I hear "teething problems" once more and I will personally ensure that there are no (front) teeth left!
Would we want our loved ones to have to endure this 'service'?
...because I have quoted Jeremy Clarkson!
Give me a call: I shall happily and openly speak on their behalf... However, I don't do 'NHS speak'.
Which means you won't hear me saying "NHS 111 is an exciting new project with a lot of potential", but instead "NHS 111 is crap" (which, of course, is exactly the same thing only expressed in slightly different ways...)
Well, there you have it. Easy.
"Health minister Lord Howe said: ‘To ensure that patients get the best care and treatment, we are giving some areas more time to go live with NHS 111 while we carry out thorough testing to ensure that those services are reliable."
Lord Howe, you're talking utter claptrap - in the usual incompetent fashion so characeristic for politicians...
And, more importantly, you - yes, YOU!!! - are among the people responsible for putting patients' health and life at risk!
I have been a dedicated OOH GP for the last eight years. It doesn't matter whether I like NHS 111 or not - I hate it!!! What matters is what sort of care the patients get.
What I have seen over the last few days - and what is inherent in NHS 111 - is very, very scary!!!
...and the point of having a DDRB is what exactly?!?...
If - after just how many years of training?!? - they need to "develop a tool kit for helping trainees prepare for this module" (God give me strength!!!), then the training is obviously inadequate.
Not the trainees.
...you get what you pay for...