GP case study: Gastroenterology, Urology, Haematology

Dr James Smith, a Somerset GP, details how contacting local consultants via rapid Telephone A&G on the Consultant Connect App has benefitted patients.

“[I can speak] directly to a consultant, quickly avoiding calling through switchboard” Dr Smith

GP case study: Gastroenterology, Urology, Haematology

Dr Smith works at Frome Medical Practice, a surgery which has access to the Telephone Advice & Guidance service commissioned by NHS Somerset CCG. He uses the free Consultant Connect App to speak to specialists at Royal United Hospitals Bath NHS Foundation Trust (RUH) and has been a GP for fourteen months.

Dr Smith enjoys using Telephone Advice & Guidance on the app as he can speak;

directly to a consultant, quickly avoiding calling through the switchboard.

Prior to using Telephone Advice & Guidance, Dr Smith had to use slower methods for getting specialist advice. These included contacting consultants;

“via secretaries, writing letters or calling the on call consultant or specialist registrar via the switchboard.”

Dr Smith encourages other primary care clinicians to use Telephone Advice & Guidance via the Consultant Connect App and has provided the following examples of when he has used the service to provide a high standard of patient care.

A patient’s ultrasound scan had shown an incidental finding of a renal cyst. Dr Smith used Telephone Advice & Guidance to rapidly contact a Consultant Urologist to discuss the best course of action. The consultant recommended that Dr Smith organise a CT scan and that the patient’s cyst was continuously monitored using further ultrasound scans.

On another occasion, Dr Smith had organised a stool test for a patient with possible pancreatic insufficiency. He was then able to contact a Consultant Gastroenterologist to discuss possible treatment options and whether a referral was necessary.

In addition, another patient’s blood test demonstrated that they had a “case of severe folic acid deficiency presenting with pancytopenia.” Dr Smith used Telephone Advice & Guidance to call both a Haematologist and a Gastroenterologist who were able to provide the appropriate advice.

How Telephone Advice & Guidance helped:


Rapidly speaking to consultants has meant that Dr Smith could streamline the care of his patients. He comments that, in cases such as the above, he could “instigate further investigations or manage the patient’s condition without the need for an outpatient appointment.” This is a much better result for the patients in question.

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

Related case studies

GP case study: Answering SCAS calls

GP case study: Answering SCAS calls

Dr Simon Hodes describes how answering Telephone Advice & Guidance calls from 999 ambulance crews and clinical support desk staff saves NHS resources.

GP case study: Haematology

GP case study: Haematology

Dr Anuradha Giri outlines her experience of using rapid Telephone Advice & Guidance to discuss patient cases with consultants at Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust.

Paramedic case study: Emergency Medicine

Paramedic case study: Emergency Medicine

Michael Muir, Clinical Stroke Lead and paramedic at the Scottish Ambulance Service, describes how he uses Telephone Advice & Guidance to speak to consultants at Ninewells Hospital at NHS Tayside ...

NWAS Case study: ICC Hubs

NWAS Case study: ICC Hubs

Jayne Gilbert from the North West Ambulance Service NHS Trust explains how paramedics use Consultant Connect to speak to ICC Hubs.

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

Permissions

You can view our Terms & Conditions here.

Most Read Articles

5 ways COVID affected NHS Advice & Guidance

We wrote recently about the “new normal” in healthcare. In our view, technologies which help patients avoid physical appointments are here to stay. Here’s how Advice and Guidance changed to become a central part of the new landscape…

read more