Even several years after the introduction of telephone help line services like NHS and NHS24 Direct.
Many patients practiced ‘self-triage,’ either waiting to see their personal doctor and risking harm, or calling 999 or visiting Accident & Crisis departments with their health problems. Some clinicians also noticed a dependence on certain palliative sufferers to bypass NHS24, and allowed them to get hold of nurses or various other medical services directly. The authors claim that these difficulties may occur in the areas of the UK, too, although a true number of local developments are addressing a few of these issues. ‘As palliative care evolves, the administration of patients is becoming increasingly complex, and drugs are used in combination with which an OOH doctor may not be familiar often,’ says Dr Fergus. (more…)