GP case study: Gynaecology

GP uses Telephone Advice & Guidance to get timely advice for antenatal patient on updated guidance from specialist to start new medication

 “It helps to bridge the gap between primary and secondary care communication. I can discuss challenging cases with specialist colleagues, to make better decisions for patients”.


GP case study: Gynaecology

Dr Edwina Akerele has been a GP for 18 months in North Central London, Barnet. She uses Telephone Advice & Guidance because it “reduces the risk of any potential patient safety issues, as there is no delay in initiating plans”. Dr Akerele says the service is “efficient and all the consultants are friendly, approachable and you can learn a lot”.

Initial Patient Presentation

Dr Edwina Akerele recently saw an antenatal patient, at Mulberry Medical Practice in NHS North Central London CCG. The patient’s midwife recommended that she discussed going on

Acyclovir Prophylaxis in the late stages of her pregnancy with her GP, due to history of recurrent genital herpes”. When Dr Akerele saw the patient, she “was well with no symptoms of genital herpes”.

Therefore, Dr Akerele decided to make a Telephone Advice & Guidance call via Consultant Connect, to discuss the case with a local Gynaecologist. The call proved very useful, as the Gynaecologist let Dr Akerele know that the guidance had recently changed, as

“research had shown it is better for patients with recurrent herpes, to be on Acyclovir Prophylaxis from 36 weeks”.

How Telephone Advice & Guidance helped the patient

“The patient was very satisfied that the recommended management plan, to prescribe the medication, came from a specialist who was aware of the new guidance.”

The patient felt

  • Reassured as the specialist was confident on the right prescription.
  • Safer taking the medication following the Telephone Advice & Guidance call, as previously her midwife and the GP were unsure.
  • Satisfied with the care provided.

How Telephone Advice & Guidance helped the GP

Dr Akerele says the service is efficient and allows patient

“management plans to start in a timely fashion”. She also adds that it helps to “bridge the gap between primary and secondary care communication” and that she can “discuss challenging cases with specialist colleagues, to make better decisions for patients”.

Dr Akerele:

  • Feels more supported in her role.
  • Learnt medical knowledge which may help future patient management.


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

Related case studies

5 minutes with a Paramedic

5 minutes with a Paramedic

Sion Breese, Welsh Ambulance Service NHS Trust Paramedic and Development Clinical Team Leader, shares his experience of using Consultant Connect App.

GP case study: Vascular Surgery

GP case study: Vascular Surgery

A GP in NHS Somerset CCG avoids admission for a Peripheral Vascular Disease patient by using the Consultant Connect App to get Telephone A&G from specialists at his local trust.

GP case study: Orthopaedics

GP case study: Orthopaedics

Dr Manjushree Pande details how the NHS Doncaster CCG Telephone Advice & Guidance service enables her to speak to consultants at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust.

Paramedic case study: rapid shared care for dementia patient

Paramedic case study: rapid shared care for dementia patient

Jonathon Will is the Clinical Effectiveness Lead and a Specialist Paramedic & Tayside Mountain Rescue Officer at the Scottish Ambulance Service. He describes how using a prof-to-prof service enabled the best outcome for a dementia patient.

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


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