GP case study: Acute Medicine

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

“Using Telephone Advice & Guidance 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. Telephone Advice & Guidance has 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 Telephone Advice & Guidance is 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 Telephone Advice & Guidance 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 Telephone Advice & Guidance helped:
Dr Fleming used immediate Telephone Advice & Guidance 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 Telephone Advice & Guidance 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

NHS England QIPP Case Study

NHS England QIPP Case Study

NHS England has published a QIPP Case Study on our Phone Advice & Guidance project in North East Essex.

GP case study: Dermatology

GP case study: Dermatology

Dr Karen Grossmark, a GP at PHGH Doctors in Barnet describes why she finds Photo Advice & Guidance a brilliant tool and how she uses it to improve patient care.

GP case study: Teledermatology and Rheumatology

GP case study: Teledermatology and Rheumatology

Dr Francis explains how he uses Telephone Advice & Guidance and PhotoSAF on the Consultant Connect App to benefit his patients.

GP case study: Teledermatology

GP case study: Teledermatology

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

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


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