GP access system in which the GP first speaks on the phone with anyone who might otherwise have requested an appointment

1. TeleConsult First
GP access system
Birmingham North East LCN
Birmingham University

2. Demand per week in Birmingham
 61,000
same day GP consultations
 5,500 Walk In Centre/Urgent Care Centre
attendances
 4,327 attendances at A&E
 1,731 Unplanned hospital admissions

3. TeleConsult First

4. Benefits for wider health economy
 Reduction
in A&E attendances and
possible emergency admissions
 Earlier
identification of patients with long
term conditions resulting in appropriate
use of services across health economy

5. 20% reduction in A&E attendance

6. Benefits for wider health economy
 Reduction
in A&E attendances and
possible emergency admissions
 Earlier identification of patients with long
term conditions resulting in appropriate
use of services across health economy
 Peer-reviewed evaluation by stepped
wedge cRCT

7. Benefits to patients
 Speak
to their GP sooner (within 2 hours)
 See their GP sooner when appropriate
 Get more time with their GP when they
need it
 Save time by avoiding unnecessary
appointments
 Improved continuity of care
 Overall improved patient experience

8. Benefits to GPs
 Greater
sense of control
 Negotiate agenda in advance
 Manage patient expectations
 Manage caseload efficiently
 Improve utilisation of nurse and other
healthcare professionals
 Reduce DNAs to almost zero
 Free up capacity within general practice

9. Non-recurring costs






Additional medical cover for the backlog of appointments
Additional administrative, technical and clinical time
during course of pilot
Additional IT and telephony infrastructure
Communications campaign promoting pilot
Project management support to oversee implementation
Evaluation of pilot through educational establishment by
undertaking qualitative and quantitative research to
evaluate delivery of objectives of project

10. TeleConsult First