GP case study: Gynaecology
Dr Wendy Morris (MB BS MRCGP DRCOG DFSRH) has been a GP for 20 years. She currently works at Tanworth-in-Arden Medical Practice Centre, in Warwickshire.
Prior to the introduction of the Phone Advice and Guidance service commissioned by South Warwickshire CCG, Dr Morris says: “If I needed specialist advice, I would either ring the consultant’s secretary or seek advice from the resident medical/surgical officer.”
Having used the Phone A&G service for over a year now, Dr Morris says the service provides her with “Immediate access to expert advice and someone who can make things happen.”
When a new service is implemented, every Practice is sent a set of personalised posters as a reminder of the service Dial-In Number. In addition, all GPs are invited to use the Consultant Connect App to access the service on their mobile phone.
Below is an example of a recent clinical issue regarding a patient with advanced cancer that prompted Dr Morris to use Phone A&G.
“A 54-year-old female presented with obvious advanced cancer. The two-week wait (2WW) referral had been done. I tried ringing 2WW but because this line is not staffed by a clinician, I was unable to move the appointment from 14 days and the patient was deteriorating.”
How Phone A&G helped:
“I was put through to one of the gynaecologists within seconds and they arranged for the patient to be scanned that day and given appropriate follow-up treatment. This would have been an acute admission otherwise. An acute admission was avoided and the patient was given the care they needed.”
Related case studies
Dr Patrick Davey, a consultant on the National Consultant Network, answers GP Phone Advice & Guidance calls from around the UK. This includes calls from Southwark GPs.
A GP in Somerset CCG used the Consultant Connect App to get A&G from the Rheumatology Team at his local trust for a patient with atypical Polymyalgia Rheumatica presentation.
A GP in South Warwickshire CCG avoids acute admission for a cancer patient by using Phone A&G from her local trust, South Warwickshire NHS Foundation Trust.
Dr Clive Anggiansah, a GP in Bexley CCG, discusses how he uses Safe Clinical Photography (PhotoSAF) via the Consultant Connect App to benefit his patients.
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