National Network case study: Haematology

Dr Manmit Kaur, a consultant on the National Consultant Network, answers a GP's Telephone Advice & Guidance call - avoiding an unnecessary referral for a patient.

“If you’re uncertain about a case it is always worth discussing your concerns and questions as the patient might be in a situation that needs further attention.” Dr Kaur

National Network case study: Haematology
 

Dr Kaur is a Consultant Haematologist at Luton and Dunstable University Hospitals NHS Foundation Trust. She has been a consultant for two years and joined the National Consultant Network, in October 2018, answering Telephone Advice & Guidance calls from GPs across the UK.

Since joining the National Consultant Network, Dr Kaur has enjoyed answering calls from GPs, saying the benefits include:

“Knowing I am able to help educate and guide GPs.”

We asked Dr Kaur what advice she would give to consultants who are thinking about joining the National Consultant Network but are unsure:

“It’s a good way for them to keep up their regular practice of clinical advice – in addition to the benefits it brings to patients and their local departments by helping to avoid unnecessary referrals.”

Regarding GPs who are unsure about contacting a consultant on the National Consultant Network because they are not in their local area, Dr Kaur gives this advice:

“If you’re uncertain about a case it is always worth discussing your concerns and questions as the patient might be in a situation that needs further attention.”

We asked Dr Kaur to provide a recent example of the advice she gave a GP regarding a patient.

A GP used Telephone Advice & Guidance to contact Dr Kaur about a patient as they were unsure “which investigations or whether a referral was needed for a patient with a long history of non-specific body pain and a slightly raised kappa light chain level.”


How Telephone Advice & Guidance through the National Network helped:

During the conversation, Dr Kaur explained “that a normal haemoglobin, creatinine and the very slight increase in kappa light chains, in the setting of a normal serum protein electrophoresis meant that this did not warrant a referral.”

Instead Dr Kaur advised the GP to “check the patient’s calcium level for completeness and check the serum free light chains in 12 months.”

 

Click here to view and download a PDF version of this case study.

Related case studies

GP case study: Gastroenterology

GP case study: Gastroenterology

A GP in Greater Glasgow and Clyde Health Board avoids an acute admission for a patient with inflammatory bowel disease by using Telephone A&G to speak to a gastroenterologist from his local hospital.

Consultant case study: Respiratory Medicine

Consultant case study: Respiratory Medicine

Dr Turner is a Respiratory Medicine Consultant in NHS Birmingham and Solihull CCG. Dr Turner answers Telephone Advice & Guidance calls via Consultant Connect, from local GPs.

GP case study: Respiratory

GP case study: Respiratory

Dr Rachel Smith has been a GP for three years and currently works at Marine and Oakridge Surgery in NHS Dorset CCG.

Paramedic case study: Emergency Medicine

Paramedic case study: Emergency Medicine

Keith Dickinson, a paramedic at the Scottish Ambulance Service, describes how he uses Telephone Advice & Guidance to speak to consultants at Ninewells Hospital at NHS Tayside Health Board.

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