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Promoting Advice & Guidance for GPs, improving access to consultant advice
We launched Advice & Guidance through eRS for rheumatology 12 months ago but have had very few queries sent through.
However, during the last 2 months there has been an increase in queries from primary care. Consultants have been more pro-active to return referrals back to primary care clinicians and advise that advice is sought through A&G. Referrers have been receptive to this and in many instances it has negated the need for the patient to be formally referred.
GPs have also been more pro-active to contact us about patients who they are concerned about and again this has often resulted in patients being referred more appropriately, or negated the need for a referral as advice about initial management has been given promptly.
What is needed to sustain the change?
Investing time in the triage process is needed for this to be sustained. We have been fortunate that referral numbers have been reduced and so consulatants have been able to take a more pro-active approach providing advice and redirecting referrals where appropriate.
We are keen to look at how we look to be more accessible to GPs, so GPs can access advice more promptly when questioning whether or not a patient needs to be referred. This needs careful review of job plans and time set aside to deal with queries
What is your region?
North West
Hi Dr MacPhie
Your experience with your Advice and Guidance strategy is really valuable to read-
Can you add more about whether this is a good will approach or part of a commissioned service, especially if there is more take-up of the strategy and investment in dedicated responding time.
Are you triaging any referrals towards an advice and guidance strategy before appointing
Any advice for other services from your local experiences?
Many thanks for your post
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Status labels added: Collaboration, Education, Effective Team Working, Guidance, Information Sharing, Patient Selection, Prim/Sec Integration, Referral Pathway Redesign, Telephone Advice, Horizon 1
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Status labels added: Prim/Sec/Com Integration, Reduced Bureaucracy, Triage, Upskilling Of Staff
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The idea has been progressed to the next milestone.
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Status labels removed: Collaboration, Education, Effective Team Working, Guidance, Information Sharing, Patient Selection, Prim/Sec Integration, Prim/Sec/Com Integration, Reduced Bureaucracy, Referral Pathway Redesign, Telephone Advice, Triage, Upskilling Of Staff
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