Since 1 May 2011 Brighton Integrated Care Service (BICS) has been running a Neurology Advice pilot scheme which provides referring GPs with the opportunity to access specialist consultant advice within 3 days of making a referral. The consultant triager (Dr Saha) is able to write an advice letter to the GP, organise a telephone consultations with patients and GPs, and order and review diagnostic tests. All 12 Brighton practices participated in the pilot; the pilot is still running with over 800 new patient referrals to date. The practices were divided equally into three groups. Group 1 practices sent all their referrals to the Neurology pilot, Group 2 practices had the option of using the service and Group 3 was the control group. The data shows that Group 1 and 2 practices have seen a significant drop in the number of referrals sent on to hospital outpatient clinic. Group 3 practices have seen a rise in the number of referrals sent on to a clinic. The reduction in onward referrals was higher for Group 1 practices than for Group 2 practices. 14% of referrals resulted in a telephone consultation. Investigations were ordered for 24% of referrals and of these 37% resulted in the patient being discharged. 85% of GPs felt that their patients had benefited from the Neurology pilot and 92% felt that the pilot should continue. The neurology advice service enables the improved management of patients in a primary care setting and is likely to account for the significant reduction in onward referrals seen from practices involved in the pilot.
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.