Case Studies 

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Consultant Connect supports expedited dermatology referral in Oxfordshire

Consultant Connect supports expedited dermatology referral in Oxfordshire

We spoke with a patient at Woodlands Medical Centre in Oxfordshire, to find out how her GP’s utilisation of the Consultant Connect App impacted her daughter’s care following a dermatological condition.

Acute Frailty in Dorset | GP case study

Acute Frailty in Dorset | GP case study

We spoke with Dr Laura Godfrey, a GP in Dorset, to find out how the Acute Frailty line via Consultant Connect benefits her and her patients.

How out-of-area Advice & Guidance is supporting clinicians in Derbyshire

How out-of-area Advice & Guidance is supporting clinicians in Derbyshire

Enhanced Advice & Guidance provided by Consultant Connect has been available to clinicians in Derbyshire ICB since 2016. We spoke with Dr Julia Mason, a GP, to find out how the service supports her in providing the best patient care.

The Ophthalmology pathways in Hywel Dda that are securing the best patient care in the right setting

The Ophthalmology pathways in Hywel Dda that are securing the best patient care in the right setting

We spoke with Nicky Jones, Specialist Optometrist in Hywel Dda, to find out how setting up Ophthalmology pathways via Consultant Connect has benefited optometrists and patients, as well as her and her team.

The benefits of having access to GP Bypass Numbers in Wales

The benefits of having access to GP Bypass Numbers in Wales

One of the most popular uses of the free Consultant Connect App is the pre-programmed Bypass Numbers feature, which allows healthcare professionals in participating areas to skip the queue on switchboard and speak directly to staff at local GP practices.

How Advice & Guidance is bridging the gap between physical and mental health in Northamptonshire

How Advice & Guidance is bridging the gap between physical and mental health in Northamptonshire

Enhanced Advice & Guidance provided by Consultant Connect has been connecting clinicians with specialists for rapid advice since 2016 in Northamptonshire ICB via telephone, photo and messaging. We spoke with a clinician at Berrywood Hospital, Northamptonshire Healthcare NHS Foundation Trust, to find out how Enhanced Advice & Guidance helps them.

How Consultant Connect is supporting Dermatology referrals in Calderdale

How Consultant Connect is supporting Dermatology referrals in Calderdale

Consultant Connect spoke with Carrie Bottomley, Apprentice Healthcare Assistant and General Practitioner’s Assistant at Bankfield Surgery, to find out how PhotoSAF fits into her everyday role and benefits her patients.

GP case study: Enhanced Advice & Guidance in Oldham

GP case study: Enhanced Advice & Guidance in Oldham

In November 2022, Enhanced Advice & Guidance provided by Consultant Connect was launched in Greater Manchester ICB. We spoke with Dr Fathema Johura, a GP in Oldham, to find out how the service benefits her and her patients.

GP case study: Enhanced Advice & Guidance in Northamptonshire

GP case study: Enhanced Advice & Guidance in Northamptonshire

Enhanced Advice & Guidance has been available in Northamptonshire ICB since 2016, connecting clinicians to specialists for rapid advice via Telephone, Photo and Messaging. We spoke with Dr Barber, a GP in Rushden, to find out how this benefits her and her patients.

Paramedic Case Study

Paramedic Case Study

Keith McRavey works for the Scottish Ambulance Service (SAS). He explains how he uses Consultant Connect for prof to prof clinical decisions.

GP case study: Respiratory A&G in Kent & Medway ICB

GP case study: Respiratory A&G in Kent & Medway ICB

In August 2019, Enhanced Advice & Guidance (A&G) provided by Consultant Connect was launched in Kent and Medway Integrated Care Board (ICB). The service provides clinicians in Medway and Swale with access to rapid specialist advice via phone and photo messaging. We spoke with a GP in Chatham to find out how this service supports them and their patients.

Perinatal Mental Health advice in Hywel Dda

Perinatal Mental Health advice in Hywel Dda

Since November 2022, health visiting and midwifery clinicians in Hywel Dda University Health Board have had access to the Perinatal Mental Health line via Consultant Connect. We spoke with the Perinatal and Infant Mental Health Service Manager, who provides advice via this line to find out about her experience.

Suspected Head & Neck Cancer Messaging service

Suspected Head & Neck Cancer Messaging service

We caught up with the Lead Head & Neck and Thyroid Clinical Nurse Specialist who manages the line, and a GP to find out more about the Suspected Head & Neck Cancer messaging service in North Central London ICB.

Enhanced Advice & Guidance in Birmingham and Solihull ICB

Enhanced Advice & Guidance in Birmingham and Solihull ICB

We spoke with Dr Emamoke Ubogu, a Senior GP Partner and GP Trainer at Swan Medical Centre in Yardley, about Enhanced Advice & Guidance.

Service Manager case study: Haematology advice in Swansea Bay

Service Manager case study: Haematology advice in Swansea Bay

Since November 2020, Haematology A&G queries have been routed through Consultant Connect, providing a single point of access for clinicians in Swansea Bay. We spoke with Sam Jenkins, Haematology Service Manager at Singleton Hospital, to find out how the implementation has benefitted the team.

GP case study: Mental Health advice in Greater Glasgow and Clyde

GP case study: Mental Health advice in Greater Glasgow and Clyde

Since June 2021, clinicians in Greater Glasgow and Clyde Health Board have had access to the Mental Health Assessment Unit (MHAU) line for emergency mental health advice. We spoke with Dr Ejike Peterside, a GP at Lennox Practice, to find out the benefits of this service for him and his patients.

5 minutes with… NHS consultants on the National Consultant Network

5 minutes with… NHS consultants on the National Consultant Network

We spoke with three NHS consultants who provide Advice & Guidance to find out what types of queries they receive and the benefits this provides.

5 minutes with… a hospital ACP Lead for Divisional Medicine

5 minutes with… a hospital ACP Lead for Divisional Medicine

Alice Brockwell, ACP Lead for Divisional Medicine in Doncaster, tells us about her experience and benefits of SDEC via Consultant Connect.

5 minutes with… a Lead Nurse

5 minutes with… a Lead Nurse

Since May 2022, Liz Collinson, Lead Nurse in Glasgow, has been answering Prof-to-Prof advice calls to the OPAT line, from GPs, in the area via Consultant Connect. Liz tells us more about the pathway.

5 minutes with… a Consultant Orthodontist

5 minutes with… a Consultant Orthodontist

Meryl Spencer is a Consultant Orthodontist at Morriston Hospital in Swansea Bay University Health Board. Since early 2022, Meryl has been responding to Messaging A&G requests from GPs and Dentists via Consultant Connect.

Enhanced Advice & Guidance in Coventry

Enhanced Advice & Guidance in Coventry

We spoke with Bushra Wassa, a Physician Associate in Coventry, about Enhanced Advice & Guidance.

5 minutes with a Service Manager & Lead Nurse

5 minutes with a Service Manager & Lead Nurse

Sally Shaw tells us about the rapid telephone service provided by Consultant Connect which is believed to be the only nurse-led service of its kind in the country.

5 minutes with… a Dental Practitioner

5 minutes with… a Dental Practitioner

Ewart Johnstone is a Dental Practitioner with a special interest in Orthodontics and has worked at Gwaun Cae Gurwen Dental Practice in the Swansea Bay University Health Board (UHB) area for 32 years. Since early 2022, Ewart has been able to send Messaging Advice & Guidance requests to Orthodontic specialists in the area via Consultant Connect.

5 minutes with…a Paramedic in Wales

5 minutes with…a Paramedic in Wales

Marcus Viggers has worked as a Paramedic for the Welsh Ambulance Services NHS Trust (WAST) for nearly 20 years. Since May 2020, Ambulance staff across WAST have had access to rapid advice, from specialist clinical teams across NHS Wales, via Consultant Connect. We asked Marcus to tell us about his experience of the service.

Telephone Advice & Guidance in Salford

Telephone Advice & Guidance in Salford

We spoke with Dr Suzannah Carrier, a GP in Salford, to find out how the use of Consultant Connect’s Telephone Advice & Guidance (A&G) service has affected her ways of working.

Consultant Connect replaces bleep system for rheumatology at Salford Royal Hospital

Consultant Connect replaces bleep system for rheumatology at Salford Royal Hospital

In April 2022, the rheumatology department at Salford Royal implemented Consultant Connect Telephone Advice & Guidance as a replacement service for their bleep system.

5-year contract awarded following the success of the pilot Advice & Guidance project

5-year contract awarded following the success of the pilot Advice & Guidance project

Consultant Connect was launched in partnership with North Central London Integrated Care Board (NCL ICB) as a one-year project to assist with Covid-19 pressures.

Telephone Advice & Guidance in Kent & Medway

Telephone Advice & Guidance in Kent & Medway

Primary Care clinicians share their experiences of how Telephone Advice & Guidance has helped improve their working methods.

Messaging Advice & Guidance in Kent & Medway

Messaging Advice & Guidance in Kent & Medway

Primary Care clinicians share their experiences of how Messaging Advice & Guidance has helped improve patient care.

GP case study: Endocrinology and Gastroenterology Advice & Guidance

GP case study: Endocrinology and Gastroenterology Advice & Guidance

Dr Chmielewska, a GP in Derbyshire, shared an example of when using Telephone Advice & Guidance helped her create a medication management plan for a patient whilst they awaited an outpatient appointment.

Area Case Study | COPD Pathway in NHS Tayside

Area Case Study | COPD Pathway in NHS Tayside

Since March 2022, paramedics and ambulance clinicians in the NHS Tayside Health Board area have been able to contact their local community respiratory nursing team via Consultant Connect for Professional-to-Professional Advice.

Area Case Study | Patient Connect in NHS Lanarkshire

Area Case Study | Patient Connect in NHS Lanarkshire

NHS Lanarkshire has seen a significant impact since introducing the Patient Connect service, via Consultant Connect, in December 2020.

GP case study: Haematology, Rheumatology and Endocrinology Advice & Guidance

GP case study: Haematology, Rheumatology and Endocrinology Advice & Guidance

We spoke with a GP about their experience of using Enhanced Advice & Guidance via Consultant Connect in Hertfordshire and West Essex ICB.

5 minutes with an NHS admin team lead

5 minutes with an NHS admin team lead

Maxima Spanakis talks to us about how using Consultant Connect for the nurse-led advice line has improved patient care.

5 minutes with an ENT consultant conducting Referral Triage

5 minutes with an ENT consultant conducting Referral Triage

Dr Shakir talks to us about his personal experience of working on the Referral Triage service:

GP and consultant case study: Paediatric 2WW Pathway

GP and consultant case study: Paediatric 2WW Pathway

Dr O'Flanagan and Dr Neuling share the benefits of the new Paediatric 2WW Pathway at the University Hospitals of Coventry and Warwickshire Foundation Trust, available via Consultant Connect.

Telephone Advice & Guidance in Hertfordshire and West Essex

Telephone Advice & Guidance in Hertfordshire and West Essex

We spoke with two GPs in Hertfordshire and West Essex to find out how Telephone Advice & Guidance provided by Consultant Connects helps them ensure the best patient care.

Elective Care | Trust buys back time for specialist consultants

Elective Care | Trust buys back time for specialist consultants

Telemedicine devices overcome location issues by using world-class image and sound technology so consultants can see, hear, and speak with patients as if they were at their bedside – even if they are miles away at a different hospital.

Enhanced Advice & Guidance across Wales: a GP and paramedic case study

Enhanced Advice & Guidance across Wales: a GP and paramedic case study

Steven Evans, paramedic, and Dr Nakul Gupta, paediatric consultant, discuss how they use Enhanced Advice & Guidance to provide the best patient care.

NHS Lanarkshire Prof-to-Prof Advice GP case study

NHS Lanarkshire Prof-to-Prof Advice GP case study

Two GPs in NHS Lanarkshire describe how they use Prof-to-Prof Advice to receive support from specialists, resulting in faster and more appropriate care for their patients.

GP case study in North Central London ICB: Gynaecology and Neurology

GP case study in North Central London ICB: Gynaecology and Neurology

Two GPs use Telephone Advice & Guidance to obtain speedy advice for their patients.

GP and patient case study: Dermatology in Betsi Cadwaladr University Health Board

GP and patient case study: Dermatology in Betsi Cadwaladr University Health Board

We recently spoke to a patient and their GP on how the use of Dermatology Advice & Guidance provided by Consultant Connect ensured the patient received the right care in the right setting the first time.

Area Case Study | Front door Referral Triage in Northamptonshire

Area Case Study | Front door Referral Triage in Northamptonshire

It’s been over a year since Northampton General Hospital started using Consultant Connect’s Referral Triage service to clear a Cardiology referral backlog. In this blog article we share key performance stats to date.

Prof-to-Prof advice in NHS Lanarkshire

Prof-to-Prof advice in NHS Lanarkshire

NHS Lanarkshire share how their use of prof-to-prof clinical decisions is playing a key part in their response to the national goal of redesigning unscheduled care.

Prof-to-Prof advice in NHS Tayside

Prof-to-Prof advice in NHS Tayside

NHS Tayside share how their use of Prof-to-Prof clinical decisions or Advice & Guidance is playing a key part in their response to the national goal of redesigning unscheduled care.

Consultant case study: Referral Triage

Consultant case study: Referral Triage

Dr Patrick Davey shares his experience of the Referral Triage service along with a recent patient case study example.

GP case study: How Telephone Advice & Guidance is transforming patient care

GP case study: How Telephone Advice & Guidance is transforming patient care

We spoke with two GPs who utilise Telephone Advice & Guidance via Consultant Connect to provide the best care for their patients.

Telephone Advice & Guidance in Staffordshire and Stoke-on-Trent ICB

Telephone Advice & Guidance in Staffordshire and Stoke-on-Trent ICB

We spoke with two GPs who use Telephone Advice & Guidance in Staffordshire and Stoke-on-Trent ICB to find out how this benefits their roles.

How Enhanced Advice & Guidance is provided and received in Birmingham and Solihull ICB

How Enhanced Advice & Guidance is provided and received in Birmingham and Solihull ICB

We spoke with Dr Goyal and Dr Turner, a GP and consultant, respectively, who use Enhanced Advice & Guidance provided by Consultant Connect in their everyday roles.

Paramedic and consultant case study: Prof-to-Prof clinical decisions in Tayside

Paramedic and consultant case study: Prof-to-Prof clinical decisions in Tayside

We spoke with Dr Ron Cook, Consultant Emergency Physician and Jonathon Will, Specialist Paramedic for the Scottish Ambulance Service to discuss how Prof-to-Prof advice via Consultant Connect benefits patients.

Advice & Guidance in Northamptonshire: GP and consultant case study

Advice & Guidance in Northamptonshire: GP and consultant case study

We spoke with Dr Udi Shmueli and Dr Mary Dell, a consultant gastroenterologist and GP respectively about their experience of using Advice & Guidance.

Consultant case study: Patient Connect

Consultant case study: Patient Connect

Dr Andrew Russell is an A&E consultant at University Hospital Monklands, NHS Lanarkshire. He makes outgoing calls via the Patient Connect service.

5 minutes with a CMHT old age consultant and clinical director

5 minutes with a CMHT old age consultant and clinical director

Dr Funnell talks to us about her personal experience of answering Mental Health Advice & Guidance calls through the Consultant Connect service.

5 minutes… with two consultants providing Advice & Guidance in Leicester

5 minutes… with two consultants providing Advice & Guidance in Leicester

Dr Bandi and Dr Jackson discuss why they like providing Advice & Guidance via Consultant Connect in Leicester.

GP case study in Cardiff and Vale: Rheumatology and Haematology

GP case study in Cardiff and Vale: Rheumatology and Haematology

We spoke with Dr Jonathan Griffin who has been a GP for 18 years to discuss the benefits of Consultant Connect.

NHS Area Case Study: Teledermatology using e-Referral Service advice and guidance

NHS Area Case Study: Teledermatology using e-Referral Service advice and guidance

We are delighted that our Consultant Connect project at the Royal Devon and Exeter Hospital was mentioned in the NHSX Dermatology Digital playbook.

NHS Area Case Study: Teletriage service for two-week wait referrals

NHS Area Case Study: Teletriage service for two-week wait referrals

We are delighted that our Consultant Connect project in County Durham and Darlington NHS Foundation Trust was mentioned in the NHSX Dermatology Digital playbook.

NHS Area Case Study: A teledermatology pilot to improve cancer care in Leeds

NHS Area Case Study: A teledermatology pilot to improve cancer care in Leeds

We are delighted that our Consultant Connect project in Leeds was mentioned in the NHSX Dermatology Digital playbook.

5 minutes with an NHS urologist

5 minutes with an NHS urologist

Dr Ajayi talks to us about his personal experience of answering A&G calls through the service.

Derbyshire case study: How Enhanced Advice & Guidance is supporting clinicians

Derbyshire case study: How Enhanced Advice & Guidance is supporting clinicians

In this case study, two clinicians in Derbyshire outline their experiences of using Enhanced Advice & Guidance to discuss patient cases with local specialists.

NHS Area Case Study: Enfield – Advice & Guidance project update & expansion plans

NHS Area Case Study: Enfield – Advice & Guidance project update & expansion plans

Six months since Enfield, NHS North Central London ICB launched Consultant Connect, we discuss with the senior programme manager from Enfield Borough Directorate how the project is performing.

GP and consultant case study: Advice & Guidance in Coventry and Warwickshire

GP and consultant case study: Advice & Guidance in Coventry and Warwickshire

Dr Andreas Photiou, who has been a GP for 10 years, tells us how he regularly uses PhotoSAF on the Consultant Connect App, to request advice from consultants at University Hospitals Coventry & Warwickshire NHS Trust.

Enhanced Advice & Guidance: Coventry & Warwickshire area case study

Enhanced Advice & Guidance: Coventry & Warwickshire area case study

We spoke with three healthcare professionals to understand how Enhanced Advice & Guidance plays a role in three different healthcare settings.

GP and paramedic case study: Enhanced Advice & Guidance across Wales

GP and paramedic case study: Enhanced Advice & Guidance across Wales

We spoke with two GPs and a paramedic in Wales to find out how Enhanced Advice & Guidance provided by Consultant Connect benefits them and their patients.

GP case study: Answering SCAS calls

GP case study: Answering SCAS calls

Dr Simon Hodes describes how answering Telephone Advice & Guidance calls from 999 ambulance crews and clinical support desk staff saves NHS resources.

Mental Health case study at South London and Maudsley NHS Foundation Trust

Mental Health case study at South London and Maudsley NHS Foundation Trust

We spoke with mental health specialists at South London and Maudsley NHS Foundation Trust to find out how providing Advice & Guidance benefits them.

How GPs in North Central London ICB are seeking Advice & Guidance

How GPs in North Central London ICB are seeking Advice & Guidance

Drs John Gubbay and Karen Grossmark share their experiences of using Enhanced Advice & Guidance provided by Consultant Connect in North Central London ICB.

Area case study: Community Provided Dermatology

Area case study: Community Provided Dermatology

In this article we take a closer look at NHS Birmingham and Solihull ICB's innovative dermatology services set up before COVID-19, now proving perfect for the sudden need for remote consultations.

Respiratory and Gynaecology Advice & Guidance across the NHS

Respiratory and Gynaecology Advice & Guidance across the NHS

We spoke with three clinicians in participating areas to find out how Enhanced Advice & Guidance benefits them and their patients.

GP case study: two Somerset GPs discuss the benefits of Consultant Connect

GP case study: two Somerset GPs discuss the benefits of Consultant Connect

Two GPs in Somerset discuss the benefits of having access to Enhanced Advice & Guidance via Consultant Connect.

Consultants case study: a Trust’s view

Consultants case study: a Trust’s view

One of the most common questions we encounter when discussing Phone Advice & Guidance is 'what do the consultants think about it?' We sent a film crew to NGH to ask exactly that question.

GP and consultant case study: Trauma & Orthopaedics Advice & Guidance

GP and consultant case study: Trauma & Orthopaedics Advice & Guidance

We spoke with a GP and a consultant to find out how Trauma & Orthopaedics Advice & Guidance via Consultant Connect can expedite care for patients.

GP case study: Teledermatology in the NHS

GP case study: Teledermatology in the NHS

Two GPs describe the benefits of having access to Teledermatology via Consultant Connect.

GP and consultant case study: Cardiology in South East London

GP and consultant case study: Cardiology in South East London

Dr Patrick Davey is a Consultant Cardiologist on the National Consultant Network. He answers Telephone Advice & Guidance calls from GPs around the country, such as Drs Guallar and Ross in South East London.

Area case study: Enhanced Prof-to-Prof Advice in Tayside

Area case study: Enhanced Prof-to-Prof Advice in Tayside

Three clinicians describe how the use of Prof-to-Prof advice benefits them and their patients' care.

Video case study: Mental Health Telephone Advice & Guidance

Video case study: Mental Health Telephone Advice & Guidance

48% of calls to the service have resulted in a referral being avoided. Watch this video to find out more.

Video case study: Teledermatology via the Consultant Connect App and e-RS

Video case study: Teledermatology via the Consultant Connect App and e-RS

60% of submitted cases do not need to be seen by Dermatology Services in Dorset. Watch this video to find out more.

GP case study: Teledermatology and Rheumatology in Dorset

GP case study: Teledermatology and Rheumatology in Dorset

Dr Francis explains how he uses Telephone Advice & Guidance and PhotoSAF on the Consultant Connect App to benefit his patients.

GP case study: Teledermatology via the Consultant Connect App

GP case study: Teledermatology via the Consultant Connect App

In this video, GPs in Solihull explain how using Teledermatology through the Consultant Connect App allows them to share images directly with a community GPER.

Paramedic case study: Emergency Medicine Advice in Scotland

Paramedic case study: Emergency Medicine Advice in Scotland

Michael Muir and Keith Dickinson, Paramedics at the Scottish Ambulance Service, describe how they get Emergency Medicine advice for patients.

Milton Keynes area case study: PhotoSAF and Telephone Advice & Guidance

Milton Keynes area case study: PhotoSAF and Telephone Advice & Guidance

An Advanced Paramedic Practitioner and a GP in Milton Keynes describe how they safely use their mobiles to take IG-secure clinical photos and make calls in both a surgery setting and when visiting patients at home.

Somerset Gastroenterology Elective Care 100-Day Challenge

Somerset Gastroenterology Elective Care 100-Day Challenge

Find out why our project in Somerset features in the NHS England’s Elective Care Transformation Programme’s “Gastroenterology Elective Care Handbook & Case Studies".

Harnessing teledermatology to improve cancer care in Leeds

Harnessing teledermatology to improve cancer care in Leeds

Read our latest feature, created by HSJ in co-operation with the Leeds Cancer Programme about how teledermatology is improving cancer care in Leeds.

GP and consultant case study: Cardiology

GP and consultant case study: Cardiology

Dr Davey, a Consultant in Cardiology on the National Consultant Network, answers a GP's Telephone Advice & Guidance call - preventing a possible stroke for a patient.

Elderly Care A&G across the NHS

Elderly Care A&G across the NHS

Drs Triggs and Barnes, a GP in Cardiff and Consultant Geriatrician in Sunderland, respectively, discuss why Enhanced Advice & Guidance is invaluable to patients.

GP case study: Telephone Prof-to-Prof Advice in Greater Glasgow and Clyde

GP case study: Telephone Prof-to-Prof Advice in Greater Glasgow and Clyde

Two GPs in Greater Glasgow and Clyde Health Board avoid acute admission for patients with gastroenterological and elderly medicine concerns by using Telephone Prof-to-Prof advice to local specialists.

GP case study: Photo Advice & Guidance across South East London

GP case study: Photo Advice & Guidance across South East London

Three GPs in NHS South East London ICB use Photo Advice & Guidance to get rapid advice from the Dermatology Team at their local trust for patients with dermatological concerns.

GP case study: Gynaecology Advice & Guidance in the UK

GP case study: Gynaecology Advice & Guidance in the UK

Two GPs avoid acute admission by using Gynaecology Telephone Advice & Guidance.

GP case study: rapid Telephone Advice & Guidance in Somerset

GP case study: rapid Telephone Advice & Guidance in Somerset

Two GPs in Somerset recount how they use Telephone Advice & Guidance to speed up patient care and avoid unnecessary referrals.

GP case study: Diabetes and Endocrinology Advice & Guidance across the NHS

GP case study: Diabetes and Endocrinology Advice & Guidance across the NHS

Two GPs in Somerset and Warwickshire used Telephone Advice & Guidance to get specialist Diabetes and Endocrinology input from local specialists.

GP case study: Haematology Advice & Guidance across the NHS

GP case study: Haematology Advice & Guidance across the NHS

Two GPs used Telephone Advice & Guidance to get specialist input from the Haematology Teams at their local trusts, resulting in faster patient care.

GP case study: Rheumatology Advice & Guidance across the NHS

GP case study: Rheumatology Advice & Guidance across the NHS

A GP in NHS Somerset ICB and a GP in South East London used the Consultant Connect App to get A&G from the Rheumatology Team at their local trusts for patients.

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