GP case study: Diabetes
Dr Peter Gregory, MBBS MRCGP DCH, has been a GP for 30 years. 10 years of which was spent working in Sports and Exercise Medicine.
Prior to the introduction of a Phone Advice & Guidance service, Dr Gregory would phone or email a couple of consultants he knew directly if they worked in the right specialism. Otherwise he would use Advice and Guidance on ‘Choose and Book’: “Previously if I had a suspected urgent case, I would have been forced to try to admit the patient or phone a secretary to try to get a message to a consultant (that was often unsuccessful).”
The Surgery has been using Phone A&G, commissioned by South Warwickshire CCG and delivered by Consultant Connect. Dr Gregory says of the service: “The response is immediate and it is always better to be able to deal with the problem, resolve it and tick it off. Sometimes this is clinically crucial too.”
Using the Mobile App
We asked Dr Gregory what advice he would give GPs feeling unsure about whether to try the service:
“I have found it very useful and I would recommend that you have the phone number to hand and use it. It’s also probably worth downloading the app so that you can use it when out on a visit.”
Whilst most A&G is sought via the Phone A&G service, Dr Gregory still occasionally uses electronic A&G with a ‘letter’ dictated and sent through e-Referral when he has more time.
Below is a recent example of how Dr Gregory has used Phone A&G to benefit a patient who possibly had Type I diabetes:
“I was unsure if the patient should be started on insulin or oral hypoglycaemics. Usually I would manage Type II presentations myself, but admit children or teenagers presenting with Type I to paediatrics.”
How Phone A&G helped:
“The patient was anxious to do something about the situation and wanted answers from me straight away. The Diabetes and Endocrinologist understood the difficulty, defining this type of diabetes, and was able to start the patient’s management the same day through the Diabetes Nurses in the hospital clinic. Admission was never indicated, but a referral to outpatients would have taken some weeks at least. It felt good to have the management started within a few hours of the diagnosis. This was a great result.”
Related case studies
A GP in Wiltshire CCG explains how she used Phone Advice & Guidance to get immediate A&G from Royal United Hospitals Bath NHS Foundation Trust for a complex gastro case.
A GP in Southwark CCG uses Photo Advice & Guidance to get immediate A&G from the Dermatology Team at her local trust for a child with a body rash and a history of eczema.
Dr Francis explains how he uses Phone Advice & Guidance and PhotoSAF on the Consultant Connect App to benefit his patients.
An Advanced Paramedic Practitioner in Milton Keynes, describes how he safely uses his mobile to take clinical photos in both a surgery setting and when visiting patients at home.
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