GP case study: Podiatry

Dr John Gubbay describes how he has used the Consultant Connect platform to get rapid podiatry Photo Advice & Guidance.

“This will help you with managing patients when you are uncertain, especially in the current climate where we cannot count on patients being seen at all if we do a referral.” Dr John Gubbay

GP case study: Podiatry

Dr John Gubbay, a GP at Abernethy House Surgery in Enfield, uses rapid Telephone and Photo Advice & Guidance provided by Consultant Connect. This service is commissioned by NHS North Central London CCG and has been available since March 2020. Patients in this area can also send photos, of their conditions, to their GP which are then uploaded to the Consultant Connect platform and shared with specialists for Advice & Guidance.

Prior to Consultant Connect being introduced in his area, Dr Gubbay used the e-RS system to get Advice & Guidance. When he needs rapid Advice & Guidance he prefers Consultant Connect as;

“It is much more responsive, it’s effectively real time advice and having a dialogue is easy as you are speaking directly to a consultant. There is no planning needed and the consultant can ask you for additional details as needed.”

To GPs who have access to Telephone and Photo Advice & Guidance but who are unsure about using it, Dr Gubbay says “Please use it.” He continues that;

“This will help you with managing patients when you are uncertain, especially in the current climate where we cannot count on patients being seen at all if we do a referral.”

The following example was provided by Dr Gubbay. It illustrates how he was able to get Photo Advice & Guidance on images sent to him by a patient.

A patient with a swollen and painful foot contacted Dr Gubbay. Dr Gubbay “asked him to send in some pictures.” These images and the patient’s history were uploaded to the Consultant Connect platform and shared with a specialist.

How Photo Advice & Guidance helped:

Dr Gubbay and the consultant were able to decide on “a full management plan with different steps” which was shared with the patient. Dr Gubbay and the patient “have started actioning this.” The consultant also asked to be kept updated so he could provide further advice as needed.

This was a good result for both doctors and the patient as it meant that the patient could remain in primary care.

 

Related case studies

GP case study: Acute Medical Admissions

GP case study: Acute Medical Admissions

Dr Holden had a visit from a patient with end-stage heart failure. The patient was adamant that he did not want to go into hospital, for fear of dying there.

GP and Consultant case study: Cardiology

GP and Consultant case study: Cardiology

Dr Patrick Davey, a consultant on the National Consultant Network, answers GP Telephone Advice & Guidance calls from around the UK. This includes calls from Southwark GPs.

GP case study: Gynaecology

GP case study: Gynaecology

A GP in South Warwickshire CCG avoids acute admission for a cancer patient by using Telephone Advice & Guidance from her local trust, South Warwickshire NHS Foundation Trust.

National Network case study: Cardiology

National Network case study: Cardiology

Dr Mo Sahebjalal, a consultant on the National Consultant Network, answers a Telephone Advice & Guidance call, avoiding an unnecessary referral for a 75-year-old patient with a rash.

Contact us

For more information about how we work with commissioners, hospitals & mental health trusts to improve patient care, please get in touch.

Join a webinar

Listen to health experts from the comfort of your desk as we bring the experts to you in our series of online webinars.

Join our mailing list

Join our mailing list and we'll keep you informed of our latest blogs, project news, and upcoming webinar dates and topics.

Recent tweets

Contact us

Permissions

You can view our Terms & Conditions here.

Most Read Articles

How to help your Junior Doctors

If the NHS is to attract and maintain the best staff to care for its patients, urgent steps need to be taken to support and motivate the junior doctors who work within it. That’s where professional-to-professional advice systems come in.

read more
Consultant Connect & System EROC

As an established NHS data stakeholder, we have extended our existing collaborations with NHS England to work closely with the EROC team to support the new coding and reporting requirements. Find out how…

read more
How Dermatology is changing

Dr Nambi shares his experience of how dermatology pathways and practices have evolved over the last 12 months, and how the Consultant Connect teledermatology service together with dermoscopy has helped improve the quality of referrals, whilst reducing demand on secondary care throughout the pandemic

read more
3 examples of successful accelerator bids

NHS England and NHS Improvement introduced an ‘Elective Recovery – Accelerator Systems proposal’ in April 2021. In this article, we share how ‘Accelerator Systems’ are using Consultant Connect to restore activity.

read more