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CAMHS won't see you now

NICE ruling to triple statin prescriptions


Colleagues may be interested in my experience on a recent out-of-hours shift.

· A minor injuries unit from another town rang because they had no cover, asking whether they should give antibiotics to a wheezy 10-month-old who was otherwise fine. In the end the patient came to me and we dispensed salbutamol and an inhaler.

· A 22-year-old with severe right-sided hip pain, but no history of trauma, had to be taken by ambulance to A&E because the local radiographer had been instructed to refuse requests from GP out-of hours services and the minor injuries unit won't see patients unless there is trauma.

· A call about headache and clear otal discharge. The patient is now under investigation by neurosurgeons for CSF leakage but had been seen by a nurse practitioner who thought it was otitis media.

It may sound like I know everything better, which I do not, but this worries me and highlights the danger of out-of-hours services without GPs.

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