Out of hours care provided by nurses rather than doctors... good idea?

[Eleusis]

I think this is a reduction in the quality of care. And, I wonder if the the hole left here is big enough to open up the private market. Do you think we'll start seeing private GPs offering out of hours care by doctors rather than nurses? Hence widening the gap of haves and have nots.

BBC article

I think A&E's should employ Gp's to see the general practice that comes through their door night after night.

I find most doctors a complete waste of time. More so than NPs and PAs.

expat! No really say what you feel, don't sit on the fence

mcdreamy its not the gp's fault though

and they would probably have seen it during their training anyway

You know that old saying, 'Common sense isn't that common'?

Yes, well, it has many applications, particularly in the field of medicine.

yes, but it's as well as, not instead of.Depends on what pt's needs are.

my gp is actually fantastic

she is really young, caring, interested, knowledgeable too

expat do you have anything nice to say about anything, ever?

I really think there is a case for Gp's to be employed in A&E, I'm not critising anyone, A&E staff, nurses or doctors. DH is a GP and he agrees, I'm a nurse and have done my time in A&E too!

Naily, sorry you're not having a very good day. HOpe tomorrow is better.

she likes cars !

I mean employed along side the A&E specialists - does that make sense? I know what I mean

mcdreamy, why would having a gp in a&e help anything at all? i dont understand

cars RULE, hills!

have you decided if you're going with the big new build yet?

expat

WHAT????????

I think i know what you mean now mcdreamy

Naily, sorry you seem chippy today. Hope tomorrow is better for you.

But I'm really not interested in getting nasty and snappish on here.

It's been bad enough recently already.

K.

Going to leave this thread now.

Because while DH worked in A&E there was so much general practice medicine it was felt that it was enough to emply a GP for just that. So many people turn up in A&E when they can't get appointments with their doctors or with problems that are neither accidents or emergencies.

With the on call Dr's care reducing in some areas why not centralise the GP service at night and base some of it around A&E departments. Just a thought, not neccessarily a solution.

er yes, probably .Are you stalking me in yr big 4x4 or something?!

expat i am never chippy
i am having a lovely day
i just get the impression you dont like the nhs or much else

sorry np cross posts

mcdreamy

GP have a great deal of common sense as we are good at seeing what is common and self-limiting.
We know when someone is unwell and then refer appropriately.
We also have a lot of experience in a wide range of specialities and we know when to seek expert help when required
I see an awful lot of people in my day with self-limiting disease and I agree with McDreamy, there are a lot of 'well' patients who attend A+E.
Doctors and nurses compliment each other, but nurses are cheaper than Docs so the reason that there are so many more NPs is becuase the NHS is saving money.Might be a good thing, might be bad thing.
And look at the rise in assistants midwife assistants, teaching assistants, could we have nurses assistants soon, they will be cheaper yet.

I do alot of OOH too , with a call handler, nurse triager, emergency care practitioner doing visits and GP (me) doing consultations and I think we offer a great service.
We laso see A+E patients when they are busy and I often see patients who are beyond OOH remit.
We are cheaper as well per consultation than an A=E consultation as we rely on clinical acumen and do not need to do realms of tests

I agree with the point about the gap between have and havnots widening.
Our services are being whittled away