GP case study: Gynaecology
Dr Ruth Cooper MBChB, D(Obst)RCOG, DGM has been a GP for 25yrs and is a GP Partner at Staffa Health, in Derbyshire.
Dr Cooper has been using the Phone Advice & Guidance (A&G) service, which is funded by Hardwick CCG and delivered by Consultant Connect, for over a year and is a real fan: “I think this service is a very positive development for many reasons.” She uses the service to get A&G from Chesterfield Royal Hospital in Derbyshire.
Prior to the introduction of the service, Dr Cooper would have called the hospital switchboard, which took time and there was always the worry that you might be interrupting the consultant. “Previously I would often have to call the secretary, leave a message and then wait for the consultant to call me back. Sometimes this meant they interrupted a consultation with another patient.”
Dr Cooper likes the fact that it’s an approved service that has the full backing of the Trust and CCG, she says: “You feel less guilty about ‘bothering’ a consultant by phone. Plus the response is more timely and easier. Also, with this system, the discussion is recorded along with the patient’s NHS number, so it is auditable.”
The service is also not dependent upon your relationship with the consultant. Dr Cooper adds:
“It provides a good opportunity to form relationships with consultants you don’t know. Plus every conversation helps add to my learning, should a similar clinical issue present another time.”
Below is an example of a recent clinical issue regarding a patient with gynaecological bleeding that prompted Dr Cooper to use Phone A&G.
“A 35-year-old patient presented with inter-menstrual bleeding and post coital bleeding. She had a inter uterine device in-situ and had had a recent normal smear. I examined the cervix and took some swabs: both were normal.”
How Phone A&G helped:
“I was able to quickly speak to a gynaecologist and discuss my findings. The gynaecologist advised that at this stage I had done all that was needed and all that they would do. The most likely cause was irritation from the IUD threads. I agreed with the patient that she would return for a follow-up appointment if she had additional symptoms or a progression of her symptoms. The patient (and I) were reassured and a referral to clinic was avoided.”
Related case studies
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.
60% of submitted cases do not need to be seen by Dermatology Services in Dorset. Watch this video to find out more.
Dr Davey, a consultant on the National Network, answers a GP's Phone Advice & Guidance call - preventing a possible stroke for a patient.
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.
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.
Most Read Articles
The 8 NHS areas described below have one thing in common - they've all made it radically quicker for clinicians, paramedics etc. to communicate about patients using telephone and photo Advice & Guidance. Click here to download a PDF version of this article. ...read more
Regular readers will know that the Elective Care Transformation Team at NHS England is busy producing a series of handbooks to help Trusts and commissioners to manage rising demand across certain clinical specialties. We were delighted to be included in the gastro...read more
One of the biggest challenges for hospitals delivering an Advice & Guidance service is staffing it. Whether the requests come in from GPs by phone or in writing, most clinicians are expected to respond whilst also doing their day job. This can mean using...read more
Consultant Connect wins the Barclays Award for Innovation at The Oxford Trust Enterprise Awards 2018. The Barclays Award for Innovation, is part of the Oxford Trust Enterprise Awards. It is given to a company whose innovation is having a major impact on the industry...read more
When the BBC published the performance of 133 Trusts in October, Luton and Dunstable University Hospital NHS Trust was ranked first for A&E. 98.6% of patients attending A&E at Luton and Dunstable were treated within 4 hours, compared with an average of 90.1%...read more
One of our customers is a CCG that has been piloting four specialties on Consultant Connect for the last six months. Interestingly, though, they are one of three CCGs that feed into the local Trust. The other CCGs offer written Advice & Guidance (through e-RS) and...read more
Never miss a Blog post
Enter your email address to receive notifications of our latest articles
Consultant Connect Ltd
One St Aldates, Oxford, OX1 1DE
Company registered in England & Wales.
Company number 09488206
01865 261 467