Access to urgent opinions
GPs have difficulty getting hold of specialists for urgent advice which may avoid an admission.
Hospital practitioners have difficulty getting hold of GPs to discuss patients.
Urgent phone calls for advice may go to junior members of staff who are less competent to deal with the problem.
Phone calls are not always added to the patient record.
Urgent admissions routed via A&E may delay a specialist opinion.
Emergencies may be seen quicker if sent direct to A&E.