GP case study: Vascular Surgery
Dr Steven Edgar (MB ChB MRCGP) works at Millbrook Surgery – a training practice in Somerset – and has been a GP for 10 years. The surgery has 5,000 patients and serves Castle Cary and the areas surrounding it. He uses the Yeovil District Hospital Telephone Advice & Guidance service, which is funded by Somerset CCG and delivered by Consultant Connect.
Dr Edgar prefers to access the service via the Consultant Connect App:
“When using the app, I don’t forget to provide feedback. It’s straightforward to do this. I don’t need to remember/find the numbers. I can see which services are currently open which changes day to day and by time of day. Other than that, it has the same effect as using a landline phone, it’s just a better way of getting going.”
Dr Edgar highly values the app and recommends it to other GPs. He writes that: “The app has helped me get the information I need to make better decisions for my patients, less time hanging on for switchboard and leaving messages with secretaries.”
Below is an example of when a recent clinical issue regarding a patient with potential Peripheral Vascular Disease prompted Dr Edgar to use the app.
“I suspected a patient was developing Peripheral Vascular Disease but wasn’t sure. Measurements at the surgery had been done and were suspicious so I wanted to order further investigations but wasn’t sure which or if admission was needed. I went on the app and contacted the vascular surgical team who suggested that they would do all the investigations in a one stop shop vascular clinic as needed so admission wasn’t necessary unless things got worse and a routine clinic referral was made.”
How Phone A&G (via the app) helped:
“The patient avoided unnecessary admission and investigation and had a more convenient one stop shop review which confirmed the diagnosis.” Dr Edgar also added that “the patient was very glad to not have to be admitted to hospital.”
Related case studies
Dr Patrick Davey is a Consultant Cardiologist on the National Consultant Network. He answers calls from GPs around the country such as Dr Andrew Ross - a GP in Lambeth.
A GP in Lambeth used Phone Advice & Guidance to get A&G from the Rheumatology Team at her local trust for an elderly patient with swollen lower legs and joint pain.
48% of calls to the service have resulted in a referral being avoided. Watch this video to find out more.
Dr Mo Sahebjalal, a consultant on the National Consultant Network, answers a Phone Advice & Guidance call, avoiding an unnecessary referral for a 75-year-old patient with a rash.
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