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
A GP in Hardwick CCG used Phone Advice & Guidance to get A&G from her local trust, Chesterfield Royal Hospital NHS Foundation Trust, avoiding clinic referral for a gynae patient.
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 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.
NHS England has published a QIPP Case Study on our Phone Advice & Guidance project in North East Essex.
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.
In this article, Jenny Welling-Palmer, who has held strategic and operational roles in a number of large teaching hospitals, shares her thoughts. The 2017–19 National CQUIN program is in full swing across the NHS. There are 13 nationally defined CQUINs which aim to...read more
As the Q1 deadline approaches for the CQUIN, we've published this handy one page summary. You can download a PDF by clicking CQUIN At-A-Glance 2017 It's not too late if you want us to help you with your CQUIN. If you'd like us to analyse your referral data, propose...read more
Most people know the NHS e-Referrals Service as a way of booking patients into first hospital or clinic appointments. But it also offers a written Advice & Guidance service, provided that local Trust clinicians have agreed to use it. The 2017-19 CQUIN gives Trusts...read more
Never miss a Blog post
Enter your email address to receive notifications of our latest articles
01865 261 467
Consultant Connect Ltd
One St Aldates, Oxford, OX1 1DE
Company registered in England & Wales.
Company number 09488206
01865 261 467