Advice from Emergency Consultants one phone call away – NHS Tayside Health Board six years on

Published: 6th December 2024
Since October 2018, GPs, paramedics and resident doctors in Tayside have had access to rapid Prof-to-Prof Advice via Consultant Connect from specialists at Ninewells Hospital.
Advice from Emergency Consultants one phone call away – NHS Tayside Health Board three years on - Consultant Connect

Six years after launching in October 2018, the NHS Tayside project is still going from strength to strength and was also shortlisted for an HSJ Award in 2021.

The project enables GPs, paramedics, pharmacists and resident doctors to have access to rapid Prof-to-Prof Advice via Consultant Connect from specialists in Acute Medicine, Cardiology PCI, COVID Assessment Unit, Diabetes and Endocrinology, Emergency Medicine, Acute Frailty, Covid Assessment Unit, Acute Surgical Assessment Unit, Flow Navigation Centre, Medicine for the Elderly, Paediatrics, Palliative Care and Stroke Medicine, at Ninewells Hospital, Dundee. As well as this, patients can now use the service to call the Covid Treatment Enquiry Line to arrange clinical assessments through our PIFU service (Patient Initiated Follow Up).

Resident doctors at the Perth Royal Infirmary can also use Consultant Connect to seek advice from out-of-hours specialists.

Emergency Medicine Consultant Dr Ron Cook, who is also Clinical Care Group Director for Unscheduled Medicine at NHS Tayside, explains it’s about ensuring patients are treated in the best place for them:

‘Not everyone should be attending the emergency department, but not everyone knows what else is available out-of-hours, for example, NHS 24, GP out-of-hours services, and pharmacists. The emergency department isn’t the general answer to all complaints – it’s not there for “convenience”. We try to direct patients so that they see the right person, in the right place, at the right time.’

 

Performance in the last 12 months

In the last year, more than 63,000 calls have been connected via the service, with an average connection time of 17 seconds. On average, across all specialties offered, 25% of calls with a reported outcome resulted in the patient avoiding an unnecessary hospital visit.    

Shortlisted for an HSJ award

At the end of 2021, Ninewells Hospital was announced as a finalist for ‘Best Acute Sector Partnership with the NHS’ alongside Consultant Connect at the HSJ Partnership Awards 2021. They were selected in recognition of their outstanding dedication to improving healthcare by ‘Establishing a COVID-19 Assessment and Admissions Unit’.  Ninewells and Consultant Connect delivered a presentation to the HSJ judges on Monday 26th April. You can view this presentation here.

Advice from Emergency Consultants one phone call away – NHS Tayside Health Board three years on - Consultant Connect

Case Studies

Ambulance Paramedic calls to ED

‘We can access senior advice from a single source that understands the challenges of our environment, distances from available hospitals, our guidelines, and what skills and drugs we have available.’ Keith Dickinson, Paramedic at the Scottish Ambulance Service. Read his case study.

Michael Muir, Clinical Stroke Lead and Paramedic at the Scottish Ambulance Service. finds that Prof-to-Prof Advice via Consultant Connect is a better tool as calls are recorded, there are multiple people on the phone rota if others are busy and you can access multiple departments within the hospital without having to look up contacts or numbers on your phone. Read his case study.

Keith McRavey, Ambulance Technician at Scottish Ambulance Service (SAS), explained: ‘The service helps to alleviate some of the pressure placed on SAS, as emergency ambulances are very frequently requested to convey GP referrals to hospital. It is a fantastic service which benefits myself and my colleagues and, most importantly, our patients.’ Read his case study.

 

GPs to specialists

‘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.’ Dr Rod Fleming, GP at Erskine Practice. Read his case study.

Internal medic calls to ED

Dr Julie Ronald, Clinical Lead for Emergency Medicine at Ninewells Hospital, explains that consultants also provide more general advice to resident doctors via Consultant Connect, covering aspects such as ‘how to manage a patient, remote review of X-rays and which specialty a patient should be referred to.’ She adds that resident doctors ‘are able to do all of this with the knowledge that calls are recorded, so if ever required, we are able to identify and interrogate calls via the Consultant Connect system.’ Read her case study.

A&E specialists to patients

Dr Andrew Russell is an A&E consultant at University Hospital Monklands, NHS Lanarkshire. He makes outgoing calls via the Patient Connect service. The Patient Connect service was set up by Consultant Connect in December 2020, with the aim of getting patients the right care faster and first time. Read his case study.

 

Related links

 
 
More information

If you have any questions about this project or how our service could be implemented in your area, email hello@consultantconnect.org.uk or 01865261467.

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