One of the biggest challenges for hospitals delivering an Advice & Guidance service is staffing it – particularly during these challenging times. Whether the requests come in from GPs by phone or in writing, most clinicians are expected to respond whilst also doing their day job. Having out-of-area NHS consultants to support local capacity can help solve staffing issues, reduce unnecessary visits to hospital, and provide Referral Assessment Services for areas.
Most of our projects are now using the innovative National Network. Why? because it’s so flexible. Not only can it be switched on/switched off to provide short or long term relief, the 4 NHS areas below show how it’s possible to achieve different but significant results despite COVID pressures.
Area 1 – Across ALL specialties
This NHS area’s Trust did not have sufficient consultant cover to be able to offer a full Advice & Guidance service. Instead, GPs have immediate access to NHS consultants in other areas, freeing up local capacity. The service provides access to 15 specialties.
- Over 71% of telephone A&G calls have resulted in admissions and referrals being avoided
- 66% of teledermatology queries resulted in a hospital visit being avoided.
Area 2 – Responding to all Paediatric dermatology requests
This NHS area could not offer a local paediatric dermatology service. The CCG decided to introduce a paediatric teledermatology service using an out of area hospital via Consultant Connect.
- 70% of all paediatric dermatology requests in this area have been managed via out of area specialists providing advice and guidance back to the requester (e.g. GP or advanced nurse practitioners in the GP practice).
Area 3 – Giving GPs access to Mental Health specialists
This NHS area did not have local capacity to support Mental Health medication advice lines, so they introduced Mental Health Medication advice lines, covering all ages, via out of area NHS Mental Health specialists.
- 40% of all calls to the service have allowed the GP to assist the patient with no onward referral necessary being advised.
Area 4 – Backing up local Neurology when needed
This NHS area introduced access to neurology advice from out of area NHS consultants to help reduce unnecessary referrals to their local hospital and reduce waiting times. Over the 100 days of the trial, 78% of calls requesting neurology advice were answered and 72% of those calls resulted in hospital visits being avoided. This area now uses out of area NHS Neurology consultants as a back up to local consultants. For example, since June 66% of calls have been picked up by the NCN and 34% went to local consultants.
- To date 75% of calls, where the outcome has been recorded, have resulted in patients avoiding an unnecessary trip to hospital.
Contact us on 01865 261467 or firstname.lastname@example.org if you have any questions or would like to hear more about how the NCN can be used in your area.