Clinical GP Liaison Co-ordinator

Just peddling this idea.

So it is not new that we cannot keep non-emergency presentations out of the ED.

The reality is that these presentations tend to require brief intervention.

So firstly – is it actually worth the hype and expense to make a small dent on these presentations, when the reality is that (whilst annoying and often trivial) these presentations can often be dealt with swiftly and easily.  (I know that is not always the case).

So if we must push forward and make a change, it has to be affordable and actually make a change.

Given the later, I wonder of the value of a liaison person that can become involved with these non-emergency encounters:

  • to educate the patient and their family
  • to educate these groups the value of a regular GP         
  • to facilitate finding a regular GP for these groups

I am not suggesting this is an easy conversation to have but it would seem cost effective.  Most EDs wouldn’t need more than 2 staff filling this role that would cover all but the unsavoury hours in the ED.  A nurse with community experience would be well placed, but equally a nonclinical person with good community knowledge and health literacy could do well in this position.  In some ways a nonclincal person would avoid the clinical conversations / interference with clinical care.

Ongoing population education (ad campaigns) should reinforce this.

It avoids setting up costly extra clinics and could be easily trialled in a few centres at relatively low cost.  We are simply urging these groups to use the existing resources in the community..

Furthermore, this prevents pulling GPs out of the exisiting community in an already pressured environment.

Why the contribution is important

  • to educate the patient and their family
  • to educate these groups the value of a regular GP         
  • to facilitate finding a regular GP for these groups

It avoids setting up costly extra clinics and could be easily trialled in a few centres at relatively low cost.  We are simply urging these groups to use the existing resources in the community..

Prevents pulling GPs out of the exisiting community.

Prevent competition to existing GP practices in the HSS location.

That extra attention during the ED episode of care could be seen as extra TLC/love towards the patients!

by RodW on August 15, 2019 at 06:44PM

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