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Ascertaining GP demand for a full-time paediatric emergency assessment unit

Ascertaining GP demand for a full-time paediatric emergency assessment unit
Ascertaining GP demand for a full-time paediatric emergency assessment unit
Changes in the general practitioner (GP) contract have led to the development of a variety of models for managing children who become sick outside of GP surgery hours. One such model is the hospital-based 24-hour paediatric emergency assessment unit (PEAU). This study sought to assess the demand for such a service in one English regional health authority. The opinions of general practitioners (GPs) regarding the service were sought via a fax survey, and a retrospective analysis of out-of-hour admissions staying less than 24 hours, over two discrete three-month periods. Differences in GP referral outcomes were also examined. GPs using the current PEAU (N=431) were invited to participate. GP’s responses, and analysis of PEAU out-of-hours throughput and admission trajectories were obtained. Results indicate that 83.9% of respondent GPs strongly agreed or agreed that the unit should provide a 24-hour PEAU service. 987 sick children were admitted to hospital out of PEAU opening hours, of which 404 had a stay of less than 24 hours. There was widespread approval by GPs to implement a 24-hour PEAU service, however, analysis of the hospital data showed that there were currently insufficient out-of-hours admissions to warrant changes in service delivery.
gp contract, out-of-hours, paediatric assessment
1753-1594
82-84
Aitken, Penny
1a3cd5ef-c1a3-422c-9519-b7eb29f7ec47
Glasper, Edward Alan
381a920c-2ec2-40d4-a205-13869ff7c920
Wiltshire, Maureen
178d8aa6-8aab-4590-9e4e-b1ddcbaccb16
John, Patricia
38d586a3-4a41-4af0-a3be-4790c5c103e2
Abbay, June
c30f7f5e-ecc5-4eae-8dc3-8d2442c10bbc
Aitken, Penny
1a3cd5ef-c1a3-422c-9519-b7eb29f7ec47
Glasper, Edward Alan
381a920c-2ec2-40d4-a205-13869ff7c920
Wiltshire, Maureen
178d8aa6-8aab-4590-9e4e-b1ddcbaccb16
John, Patricia
38d586a3-4a41-4af0-a3be-4790c5c103e2
Abbay, June
c30f7f5e-ecc5-4eae-8dc3-8d2442c10bbc

Aitken, Penny, Glasper, Edward Alan, Wiltshire, Maureen, John, Patricia and Abbay, June (2007) Ascertaining GP demand for a full-time paediatric emergency assessment unit. Journal of Children's and Young People's Nursing, 1 (2), 82-84.

Record type: Article

Abstract

Changes in the general practitioner (GP) contract have led to the development of a variety of models for managing children who become sick outside of GP surgery hours. One such model is the hospital-based 24-hour paediatric emergency assessment unit (PEAU). This study sought to assess the demand for such a service in one English regional health authority. The opinions of general practitioners (GPs) regarding the service were sought via a fax survey, and a retrospective analysis of out-of-hour admissions staying less than 24 hours, over two discrete three-month periods. Differences in GP referral outcomes were also examined. GPs using the current PEAU (N=431) were invited to participate. GP’s responses, and analysis of PEAU out-of-hours throughput and admission trajectories were obtained. Results indicate that 83.9% of respondent GPs strongly agreed or agreed that the unit should provide a 24-hour PEAU service. 987 sick children were admitted to hospital out of PEAU opening hours, of which 404 had a stay of less than 24 hours. There was widespread approval by GPs to implement a 24-hour PEAU service, however, analysis of the hospital data showed that there were currently insufficient out-of-hours admissions to warrant changes in service delivery.

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More information

Published date: June 2007
Keywords: gp contract, out-of-hours, paediatric assessment

Identifiers

Local EPrints ID: 46496
URI: https://eprints.soton.ac.uk/id/eprint/46496
ISSN: 1753-1594
PURE UUID: 13c40a51-17ad-4293-84c2-3636926e8d0e

Catalogue record

Date deposited: 02 Jul 2007
Last modified: 13 Mar 2019 21:02

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