Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor
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Appendix B: Acutely unwell adult patient journey<br />
Unwell adult: current situation<br />
Makes appt<br />
to see<br />
nurse<br />
• May wait several days for<br />
appt<br />
•Nurse may manage<br />
consult<br />
•May also need review by<br />
GP – then or later<br />
Unwell adult rings<br />
for appointment –<br />
3+ week wait for GP<br />
Given<br />
phone<br />
advice by<br />
nurse<br />
Goes to<br />
ED<br />
•May be managed with<br />
phone advice<br />
•May need rptd ph calls<br />
•May need to make appt<br />
or end up at ED<br />
•Seen at ED<br />
•May be for problem<br />
better managed in GP<br />
•May have LTC and ED<br />
may not know current<br />
Rx<br />
Waits 3<br />
weeks for<br />
GP<br />
•My deteriorate while<br />
waiting and be admitted<br />
•May suffer from delayed<br />
treatment<br />
•May get better and not<br />
need appt<br />
Unwell adult: future scenario<br />
Given appt<br />
to see<br />
nurse<br />
within 24<br />
hours<br />
•Seen within 2 days<br />
•Nurse may manage<br />
consult under SO<br />
•May also need review by<br />
GP at the time<br />
Unwell adult rings<br />
for appointment –<br />
triaged over phone<br />
Given<br />
phone<br />
advice by<br />
nurse<br />
Advised to<br />
see<br />
pharmacist<br />
•May be managed with<br />
phone advice<br />
•IF not improving within<br />
24 hours seen by nurse or<br />
GP<br />
•Seen by pharmacist and<br />
treated under ‘SO’ with GP<br />
reviewing consult note<br />
and signing script later<br />
Given appt<br />
to see GP<br />
within 48<br />
hrs<br />
•Different appt lengths<br />
available according to<br />
nature of problem – 10 /<br />
15/ 20 / 30 min (e.g.<br />
exacerbation of complex<br />
LTC)<br />
Business case appendices V12 AC 25Feb2010 Page 17