Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

Why we have right to criticise how NHS Direct works

Dr Jay Nathan's letter was headlined 'Try working for NHS Direct first before you criticise' (February 17). Doctors who criticise NHS Direct are, I would assume, experienced in the triage of patients in the setting of a well-run co-operative. We fully 'comprehend the complexity involved in history taking and assessment over the telephone'. I do it for 12 hours a month at the co-op, and daily at my surgery.

Of course 'not all clinical decisions are straightforward' ­ is that an

excuse for NHS Direct doing its job badly?

It is perplexing that Dr Nathan does not blame the software for the failure ­ at least this would not be the fault of the nurses on the phone ­ but insists 'the final decision is determined by....judgment'. Does he admit, then, that they are not able to do the job as well as doctors?

NHS Direct deals with emergencies 'without the advantage of being able to examine the patient'. Precisely.

Co-operatives do have this advantage.

How do GPs 'pass the buck' when in doubt? In the context of out-of hours triage, I am entirely responsible for my own decisions.

Dr Jeremy Platt

Binfield

Bracknell

Berkshire

Rate this article 

Click to rate

  • 1 star out of 5
  • 2 stars out of 5
  • 3 stars out of 5
  • 4 stars out of 5
  • 5 stars out of 5

0 out of 5 stars

Have your say