GP case study: Paediatrics
Dr Margaret Kalilani-Themuka works at the Brooklands Health Centre in Milton Keynes CCG. The surgery has had access to Phone Advice & Guidance, provided by Consultant Connect and commissioned by the CCG, since September 2017. She has been a GP for 36 years and uses the service to contact consultants at Milton Keynes University Hospital NHS Foundation Trust.
We asked Dr Kalilani-Themuka how she used to contact specialists before Phone Advice & Guidance was available to her:
“I phoned the hospital and looked around for who was senior enough and available in the department to advise me. it was time consuming.”
Dr Kalilani-Themuka finds Phone Advice & Guidance “a better tool” because:
“It is quick and efficient, so time is saved on a busy day! The advice you get is precise and given by very experienced clinicians in whichever specialty. I highly recommend it.”
Below is a recent example of a clinical issue regarding a baby with low oxygen saturation that prompted Dr Kalilani-Themuka to use the Phone Advice & Guidance service.
“I saw a baby who was relatively well. He had a slight cold but the mother was worried. The examination was largely uninformative apart from an oxygen saturation of 82%. I tried different oximeters but the sats were still low.”
How Phone A&G helped:
“I decided to discuss my findings with a paediatrician who immediately told me to send the child in! The child ended up in hospital for four days and was treated for the infection on site. The point is, apart from the low sats, the baby was as good as normal. Using Phone Advice & Guidance that day was crucial. If I hadn’t had the conversation with the specialist, it’s very likely that the baby would have ended up as a 999 call from home later.”
Related case studies
In this video, GPs in Solihull explain how using Photo A&G through the Consultant Connect App allows them to share images directly with a community GPER.
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 Barnes, a consultant in Sunderland, answers a Phone Advice & Guidance call and avoids an admission for an elderly patient.
Dr Davey, a consultant on the National Network, answers a GP's Phone Advice & Guidance call - preventing a possible stroke for a patient.
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