{"id":3735,"date":"2016-06-03T09:50:08","date_gmt":"2016-06-03T08:50:08","guid":{"rendered":"http:\/\/www.stockportccg.nhs.uk\/practicehub\/?p=3735"},"modified":"2016-06-03T09:50:08","modified_gmt":"2016-06-03T08:50:08","slug":"urgent-care-update","status":"publish","type":"post","link":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/practice-news\/urgent-care-update\/","title":{"rendered":"Urgent Care Update"},"content":{"rendered":"<p><span style=\"color: #3366ff;\"><strong><span style=\"text-decoration: underline;\">OOH Bloods<\/span><\/strong><\/span><\/p>\n<p>There has been a recent surge in D-Dimer and Troponin bloods being sent to Mastercall in the OOH period. The clincians there can have difficulties as they have not seen the patient and so can default to admission. If a clinician takes a blood test of this type &#8211; mark it URGENT and either ensure the result is received before practice closes or discuss with Mastercall to improve decision making.<\/p>\n<p><strong><span style=\"text-decoration: underline;\"><span style=\"color: #3366ff; text-decoration: underline;\">DVT\/PE Pathway<\/span><\/span><\/strong><\/p>\n<p>On a separate but related note the FT have redesigned their DVT\/PE pathway and are using the Wells Pre-test Probability to help direct patients. I thought it would be useful to highlight this in case anyone wasn\u2019t aware of this scoring system &#8211; \u00a0see NICE CG144 for further info (<a href=\"https:\/\/www.nice.org.uk\/guidance\/CG144\/\">https:\/\/www.nice.org.uk\/guidance\/CG144\/<\/a>). Primary care should be using the Well\u2019s score to direct patient\u2019s and inform decisions re management.<\/p>\n<p><strong><span style=\"text-decoration: underline;\"><span style=\"color: #3366ff; text-decoration: underline;\">Direct Referrals<\/span><\/span><\/strong><\/p>\n<p>In a recent Quality review of Urgent Care it was noted by FT clinicians that they regularly receive referrals to \u201cDear ED\u201d. Could I encourage us all to have a \u201cbest guess\u201d at speciality required and refer direct. Although this patient may be streamed through the ED as a direct referral they do not consume the ED Clinicians time to the same extent. If GPs\/ANPs etc have difficulty getting timely responses please let me know and I will feed this back in. Similarly I have asked the FT to inform me of this and will discuss with relevant clinician\u2019s as appropriate.<\/p>\n<p>Dr Simon Woodworth<\/p>\n<p><a href=\"mailto:simon.woodworth@nhs.net\">simon.woodworth@nhs.net <\/a><\/p>\n   ","protected":false},"excerpt":{"rendered":"<p>OOH Bloods There has been a recent surge in D-Dimer and Troponin bloods being sent to Mastercall in the OOH period. The clincians there can have [&hellip;]<\/p>\n","protected":false},"author":246,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[63],"tags":[],"_links":{"self":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/posts\/3735"}],"collection":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/users\/246"}],"replies":[{"embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/comments?post=3735"}],"version-history":[{"count":1,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/posts\/3735\/revisions"}],"predecessor-version":[{"id":3736,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/posts\/3735\/revisions\/3736"}],"wp:attachment":[{"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/media?parent=3735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/categories?post=3735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.stockportpracticehub.co.uk\/practicehub\/wp-json\/wp\/v2\/tags?post=3735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}