Despite a lack of evidence, some CCGs are allocating scarce resources to GP A&E Triage. Sofia Lind reports in GP Magazine 26th June 2014: CCG plows further half a million into PM’s seven-day opening model despite uncertainty over A&E impact
GP A&E Triage would be a good idea if we had planned for the numbers needed. We have not.. My old trainer used to say “every patient deserves and examination” as well as “if you do n’t put your finger in you put your foot in”. The risks of litigation increases by not examining the patient. Those doctors who are good at emergency medicine, as well as as triage, and GP primary care will be the “polished” and much desired doctors of the future… This does not necessarily mean they will be GP partners… and continuity of care will be in decline. This will mean more demand for private care in affluent areas, and more importance for working integrated IT systems (which don’t yet exist). The perverse incentive to reduce quality of continuing care is in conflict with the need to ration emergency care services within budget.
David Millett reports for GP Magazine 26th June 2014: GPs should not provide front-line A&E triage, says former GPC leader
In Cornwall, since 2012 GPs have been involved in A&E Triage. Observer article prompts big changes at Cornwall Regional, reported by DONNA HUSSEY-WHYTE Sunday Observer so there should be some evidence…. West Cornwall Hospital still has a skeleton GP manned service, but it seems to be adequate, with no increase in mortality or morbidity..