GP case study: Gastroenterology
Dr Pettit (BM FRCGP DRCOG) works at The Tolsey Surgery in Wiltshire. The practice was founded in 1987 and is part of Wiltshire CCG. She uses Telephone Advice & Guidance to speak to consultants at Royal United Hospitals Bath Trust (RUH) and has been a GP for 25 years.
Before the service was launched in the area in May 2017, Dr Pettit had to contact the on-call team or write a letter. She prefers the immediacy of the Phone Advice & Guidance service, which is delivered by Consultant Connect and funded by Wiltshire CCG, as:
“You know you will be connected to an experienced consultant who will answer the query, or suggest a treatment.”
When asked about her advice to GPs who are unsure about the service, Dr Pettit told us:
“When I have used it my queries have been answered quickly and efficiently. Consultants appear very happy to discuss cases in a non-judgemental way.”
Below is an example of a recent clinical issue regarding a patient with on-going gastro problems to use Phone A&G.
“A patient had on-going problems following amoebic dysentery abroad, protracted diarrhoea despite treatment and negative stool cultures. I was sure he didn’t need an urgent scope, but not sure whether steroids should be used, or if I should refer him in.”
How Phone A&G helped:
“The consultant suggested the use of a further course of metronidazole, and refer in if still having problems.”
Dr Pettit also commented that both she and the patient “felt reassured that [she] could get access quickly to a consultant opinion.”
Related case studies
This feature, created by HSJ in co-operation with Luton & Dunstable University Hospital, shares key ingredients for meeting the Four-Hour A&E target successfully.
A GP in Southwark CCG uses Photo Advice & Guidance to get immediate A&G from the Dermatology Team at his local trust for a patient with a facial rash not responding to treatment.
A GP in South Warwickshire CCG used Phone Advice & Guidance to get A&G from South Warwickshire NHS Foundation Trust, and gets great results for a diabetes patient.
The Clinical Lead for Emergency Medicine at Ninewells Hospital in NHS Tayside discusses how consultants at the hospital answer calls from Junior Doctors, doctors working in Primary Care and their
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