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• W1966154477 abstract "Introduction: There are a variety of routes in which individuals can access out-of-hours care. In addition to traditional services, NHS Direct is increasingly involved in out-of-hours services. Evidence suggests that attendance at accident and emergency (A&E) departments is increasing. Anecdotal comments suggest that some patients perceive it as the quickest way to access out-of-hours care. Objective: To examine access times for different out-of-hours services by examining the time elapsed between families deciding to seek medical advice and seeing a doctor, in order to improve understanding of how this may influence the use of unplanned paediatric services. Method: Data was gathered on the time elapsed between deciding to seek medical advice and seeing a doctor for different patient pathways, including attending A&E directly; attending a GP out-of-hours collaborative; and telephoning NHS Direct. Data was collected over two weekends from automated call records from primary care patients and by questionnaire from 530 emergency department patients. This work was carried out as part of a service evaluation. It was registered with the Audit Office at Sheffield Children's Hospital, who agreed that no ethical approval was needed. Results: Attending A&E directly was on average 30 minutes quicker than seeing an out-of-hours GP. Those who initially telephoned NHS Direct experienced the greatest delays. It took 20 minutes longer for families who accessed the GP collaborative via NHS Direct to be seen compared with those who accessed it directly. Conclusions: Even when taking journey times into account, direct attendance at A&E provided the most rapid access to out-of-hours care. The involvement of NHS Direct has introduced additional delays in being seen by a doctor. Further work is required to examine the impact of this on the ways in which patients access out-of-hours care." @default.
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• W1966154477 date "2009-11-01" @default.
• W1966154477 modified "2023-09-27" @default.
• W1966154477 title "Unplanned paediatric care pathways" @default.
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• W1966154477 doi "https://doi.org/10.12968/bjhc.2009.15.11.45019" @default.
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