GP case study: Acute Medicine

A GP in NHS Tayside Health Board avoids an admission for patient with possible pneumonia of influenza by using prof to prof clinical decisions to speak to a specialist at Ninewells Hospital.

“Using prof to prof clinical decisions meant the patient was managed in the community avoiding the need for a hospital admission.” Dr Fleming

GP case study: Acute Medicine

Dr Rod Fleming has been a GP for 20 years. He is a GP at Erskine Practice which is part of NHS Tayside Health Board. Prof to prof clinical decisions have been available in this area since September 2018 and Dr Fleming uses the service to speak to local consultants at Ninewells Hospital.

Dr Fleming thinks that prof to prof clinical decisions are a good tool and says:
“I can directly call the appropriate consultant and it also frees up time for the hospital switchboard service.”

This is a better service than the methods he previously used to get Advice & Guidance, as these often included:
“bleeping the on-call consultant through switchboard.”

Dr Fleming recommends the service to other GPs, he says:

“It’s very useful to use to get advice on any patient who you think may or may not need an admission and/or who may benefit from a specialist opinion.”

We asked Dr Fleming to provide an example of when he used the prof to prof clinical decisions service to benefit a patient. Below is a recent example:
“I contacted the Acute Medicine consultant about a 27-year-old woman who presented with a one-week history of a flu-like illness with a dry cough, vomiting and left sided chest pain. She was noted to be pyrexial and tachycardic but had a normal sounding chest and normal O2 saturations. I suspected it was either a community acquired pneumonia or influenza and wanted to get an urgent CXR.”

How prof to prof clinical decisions helped:
Dr Fleming used immediate prof to prof clinical decisions to speak to a local Acute Medicine Consultant who “agreed that if the patient attended hospital, they would look at the CXR on PACS and call the patient with the results.”

The patient was prescribed antibiotics in case of pneumonia. “The CXR did not show any initial changes though the radiologist did report signs of possible pneumonia. Using prof to prof clinical decisions meant the patient was managed in the community avoiding the need for a hospital appointment.”

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

Related case studies

GP case study: Respiratory

GP case study: Respiratory

Dr Rachel Smith has been a GP for three years and currently works at Marine and Oakridge Surgery in NHS Dorset CCG.

GP case study: Telederm

GP case study: Telederm

Dr Alice Overbury describes how she uses Photo Advice & Guidance for Teledermatology on the Consultant Connect App.

Paramedic Case Study

Paramedic Case Study

Steven Evans works for the Welsh Ambulance Services NHS Trust. He shares an example of when using Consultant Connect helped avoid A&E for an elderly patient.

GP case study: Dermatology

GP case study: Dermatology

Dr Andreas Photiou, who has been a GP for 10 years, tells us how he regularly uses PhotoSAF on the Consultant Connect App, to request advice from consultants at University Hospitals Coventry & Warwickshire NHS Trust.

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

Referral Triage saves lives

Dr Patrick Davey is a Consultant Cardiologist and Senior Medical Advisor of Consultant Connect. In this blog article, Dr Davey writes about the benefits of Referral Triage via Consultant Connect.

read more
0
0