Knowledge has to be improved, challenged, and increased constantly, or it vanishes. Peter Drucker

 
Weekday afternoon, in hours, every bay full.  People dial 999 mostly when they are awake.
 

Could one of these have stayed at base, for the sake of a phone call?  

Promising research links A&E attendance to access

Recent reports have found that 20-30% of attendances at A&E were for conditions which could have been treated in primary care.  Some hospital consultants put the figure at 50%

Is perceived lack of rapid access to a GP a key explanation?

The evidence:  20% lower A&E attendance rate at Patient Access practices

Research conducted in the NHS by Harry Longman and published here shows the association, fully adjusted for patient age/sex/deprivation, for FY0910.  Is it causal?  It is consistent across a diverse spread of practices by geography, size, deprivation, urban & rural contexts.  The same result has been demonstrated by East Midlands Quality Observatory, using a different method of standardisation and for FY1011.

Analysis of practice operations shows the rapid response given to all patients, typically less than one hour to contact a doctor.  The hypothesis is that this gives confidence in the availability of the GP, raising the threshold for self-referral to A&E.

Contact us - practical help is at hand.