Practice reveals appointment waits were cut by 21% after adding a self-care ...

Adding a simple message onto the end of GP phone lines on how to self-care for a cold could cut waiting times, a study suggests. 

One practice in Scotland saw the wait for routine appointments drop by 21 per cent after patients decided they no longer needed to see a doctor.

It comes as millions of patients are having to wait more than two weeks to see their GP amid a staffing crisis that is hurting the NHS from all sides.

Family doctors are retiring early or leaving because of workload pressures from mounting practice lists and an ageing population. 

The ten areas in England where patients have to wait at least two weeks to see their GP after calling. Figures are for February 2019, published by NHS Digital

The ten areas in England where patients have to wait at least two weeks to see their GP after calling. Figures are for February 2019, published by NHS Digital

Teviot Medical Practice in Hawick, Roxburghshire, added a message to its telephone system last winter, when demand on GPs is known to spike.

The automated clip, played to callers between November 2017 and March 2018, gave advice taken from the NHS Inform website.

Researchers, led by Dr Robin Kerr at the practice, counted the amount of callers who stayed on the line to speak to a receptionist.

WHAT ADVICE FOR THE COMMON COLD DOES THE PHONE MESSAGE GIVE? 

The message played to patients calling Teviot Medical Practice in Hawick, Scotland, follows:

Many people in the area currently have a cold. It's very common and usually clears up on its own within a week or two.

The main symptoms of a cold include:

a sore throat

a blocked or runny nose

sneezing

a cough

There's no cure for a cold, but you can look after yourself at home by:

resting, drinking plenty of fluids and eating healthily

taking over-the-counter painkillers, such as paracetamol or ibuprofen, to reduce any fever or discomfort

using decongestant sprays or tablets to relieve a blocked nose

You only really need to contact your GP if:

your symptoms persist for more than three weeks

your symptoms get suddenly worse

you have breathing difficulties

you develop complications of a cold, such as chest pain or coughing up bloodstained mucus

Source: NHS Inform

They compared the numbers to previous data and found that they received 5.5 per cent less routine calls when the clip was played.

The wait for a routine appointment dropped by 21 per cent, with the mean wait time for the 'third available routine appointment' reducing to 3.5 days from 4.42 days in the previous year.

Dr Kerr said: 'This [study] strongly infers that the telephone announcements reduce demand for GP appointments.

'This study has demonstrated that the use of telephone announcements signposting appropriate patients with the common cold in the direction of community pharmacy or self-management reduces calls navigating to speak to a receptionist.'

The findings were revealed in the British Medical Journal publication Innovations. 

Around seven per cent of problems taken to a GP can be dealt with at home or with a pharmacist, the doctors said.

Following their research, the doctors at Teviot Medical Practice said: 'The authors encourage interested GPs to implement this intervention in their own practices to help improve self-management, reduce seasonal demand and improve patient access.' 

This could be a more appropriate action amid the spiralling waiting times to see a GP seen across the country.

Around 3.8million patients were unable to see their GP within two weeks during February, the most recent NHS Digital data shows.

More than 920,000 are having to wait between three to four weeks for an appointment, with some parts of the country fairing worse than others. 

A simple message on the end of GP phone lines on how to self-care for a cold could cut soaring waiting times, findings from one surgery in Scotland suggests

A simple message on the end of GP phone lines on how to self-care for a cold could cut soaring waiting times, findings from one surgery in Scotland suggests

WHAT TEN CCGS HAVE THE HIGHEST NUMBER OF PATIENTS WAITING TWO WEEKS?

Swindon - 27.54%

Newark and Sherwood - 26.09%

South Norfolk - 24.21%

Isle of Wight - 24.06%

South West Lincolnshire - 23.99%

North Norfolk - 23.61%

Darlington - 23.43%

Greater Huddersfield - 23.06%

Horsham and Mid Sussex - 22.77%

North Derbyshire 22.26% 

In the Swindon CCG area, almost a third (27.54 per cent) of patients didn't see their doctor for at least 14 days after trying to book.

Chronic shortages of staff in places such as GP surgeries is jeopardising quality of care and waiting times, with staff numbers failing to keep pace with demand. 

More than 1,000 GPs have left the NHS since 2015, and official figures in February showed that a further 10,000 are expected to quit in the next five to ten years because they are 50 or over.

Almost a fifth (18 per cent) said they would leave or retire within the next two years, blaming unmanageable workloads and increased demands from an ageing population. 

Pressures faced by doctors also include a rising number of patients, some with multiple complex health conditions.

This has led to concerns that the average consultation time of 10 minutes in the UK – thought to be the shortest in the developed world - is simply not enough. 

Doctors are also avoiding working extra shifts or leaving the profession early in a bid to avoid hefty tax bills on their pension.

More than 3,500 doctors retired early to avoid bills of thousands of pounds on capped pension saving allowances, the Government said this week. 

The complexity of the crisis is expected to put 762 practices in the UK at risk of closing within the next five years, according to The Royal College of General Practitioners. 

More than 2.5million patients across England could see their GP surgeries close in the next five years, experts revealed in November. 

Overall, NHS staff shortages in England have hit more than 100,000 positions, according to three think tanks, the King’s Fund, the Health Foundation, and the Nuffield Trust. 

They predict that the situation could increase to almost a quarter of a million by 2030 if not dealt with.

HOW MANY PATIENTS IN YOUR AREA HAD TO WAIT MORE THAN TWO WEEKS?  CCG Total appointments Same day 8 TO 14 DAYS 15 TO 21 DAYS 22 TO 28 DAYS <28 DAYS TOTAL > 14 DAYS % 14 DAYS England 23,077,849 9,772,483 3,312,613 1,763,295 1,167,847 921,658 3,852,800 16.7% NHS Darlington CCG 46,941 15,779 6,926 4,422 3,400 3,175 10,997 23.43% NHS Durham Dales, Easington and Sedgefield CCG 161,402 61,815 27,579 10,348 5,326 4,032 19,706 12.21% NHS North Durham CCG 130,351 58,319 19,031 8,782 4,942 4,014 17,738 13.61% NHS Hartlepool and Stockton-on-Tees CCG 118,270 45,444 19,440 8,511 5,349 4,408 18,268 15.45% NHS Northumberland CCG 160,989 74,231 20,606 12,852 7,763 7,427 28,042 17.42% NHS South Tees CCG 140,808 60,853 18,503 9,273 6,501 6,928 22,702 16.12% NHS South Tyneside CCG 60,054 22,948 7,953 3,948 2,384 1,825 8,157 13.58% NHS Sunderland CCG 114,679 42,109 19,534 7,455 5,023 4,338 16,816 14.66% NHS Blackburn with Darwen CCG 60,542 24,718 9,119 3,548 2,039 1,461 7,048 11.64% NHS Blackpool CCG 77,238 28,665 11,989 6,316 4,979 2,285 13,580 17.58% NHS Bolton CCG 96,903 39,888 14,365 6,563 4,247 3,103 13,913 14.36% NHS Chorley and South Ribble CCG 64,904 24,809 9,683 5,461 3,782 4,024 13,267 20.44% NHS Oldham CCG 101,976 42,659 15,177 8,242 6,653 4,350 19,245 18.87% NHS East Lancashire CCG 142,274 58,246 21,924 11,259 8,224 5,684 25,167 17.69% NHS Eastern Cheshire CCG 75,281 29,480 12,400 6,226 3,849 3,052 13,127 17.44% NHS Heywood, Middleton and Rochdale CCG 96,219 36,836 15,079 8,299 4,993 3,710 17,002 17.67% NHS Greater Preston CCG 62,111 25,599 9,862 5,406 3,296 1,953 10,655 17.15% NHS Halton CCG 56,182 27,975 6,241 3,804 2,842 1,794 8,440 15.02% NHS Salford CCG 45,571 20,139 5,985 3,827 2,664 1,746 8,237 18.08% NHS North Cumbria CCG 162,068 69,837 21,912 11,103 7,467 6,520 25,090 15.48% NHS Knowsley CCG 71,005 31,868 10,479 3,601 1,852 1,295 6,748 9.50% NHS Morecambe Bay CCG 143,149 52,803 21,659 10,801 9,062 7,531 27,394 19.14% NHS South Cheshire CCG 74,740 28,128 11,697 6,890 4,722 3,026 14,638 19.59% NHS South Sefton CCG 48,437 22,275 7,968 2,615 1,147 829 4,591 9.48% NHS Southport and Formby CCG 49,029 21,304 6,516 3,605 2,169 1,953 7,727 15.76% NHS Stockport CCG 115,478 45,709 19,514 10,201 6,470 3,995 20,666 17.90% NHS St Helens CCG 71,551 32,541 9,671 5,361 3,763 1,769 10,893 15.22% NHS Tameside and Glossop CCG 107,559 41,022 15,619 10,537 7,607 4,687 22,831 21.23% NHS Trafford CCG 76,625 30,750 12,968 5,855 3,722 3,671 13,248 17.29% NHS Vale Royal CCG 39,597 18,352 6,334 3,425 1,800 839 6,064 15.31% NHS Warrington CCG 79,159 37,251 10,557 5,959 3,467 3,252 12,678 16.02% NHS West Cheshire CCG 106,283 45,212 17,031 6,894 4,596 3,332 14,822 13.95% NHS West Lancashire CCG 42,456 14,708 7,263 3,406 1,799 1,388 6,593 15.53% NHS Wigan Borough CCG 106,636 40,318 15,476 7,388 5,042 3,662 16,092 15.09% NHS Fylde and Wyre CCG 78,416 32,692 9,118 6,138 5,858 4,486 16,482 21.02% NHS Airedale, Wharfedale and Craven CCG 85,345 41,616 10,255 6,071 4,402 4,653 15,126 17.72% NHS Barnsley CCG 113,516 44,054 17,862 10,692 5,261 5,136 21,089 18.58% NHS Bassetlaw CCG 55,305 27,722 6,017 3,795 3,451 3,337 10,583 19.14% NHS Bradford Districts CCG 168,945 74,073 20,477 12,470 9,433 12,469 34,372 20.35% NHS Calderdale CCG 96,772 42,242 11,171 8,302 5,851 4,963 19,116 19.75% NHS Bradford City CCG 66,656 34,685 7,410 3,620 2,008 2,663 8,291 12.44% NHS Doncaster CCG 147,129 64,500 21,330 9,521 5,208 5,226 19,955 13.56% NHS East Riding of Yorkshire CCG 125,169 48,399 20,047 9,736 7,366 7,499 24,601 19.65% NHS Greater Huddersfield CCG 100,647 39,534 13,574 9,404 6,293 7,509 23,206 23.06% NHS Hambleton, Richmondshire and Whitby CCG 66,353 25,156 9,825 4,503 3,664 3,012 11,179 16.85% NHS Harrogate and Rural District CCG 71,936 29,993 9,734 5,763 4,134 3,534 13,431 18.67% NHS Hull CCG 110,539 41,810 19,187 9,656 6,755 3,806 20,217 18.29% NHS North East Lincolnshire CCG 88,750 41,529 11,417 7,243 3,966 2,874 14,083 15.87% NHS North Kirklees CCG 84,551 33,672 10,227 6,013 3,910 4,397 14,320 16.94% NHS North Lincolnshire CCG 83,421 36,524 11,696 5,685 4,007 3,455 13,147 15.76% NHS Rotherham CCG 124,440 47,454 18,621 10,042 6,231 5,529 21,802 17.52% NHS Scarborough and Ryedale CCG 61,458 21,565 9,046 5,423 3,478 4,147 13,048 21.23% NHS Sheffield CCG 278,359 115,171 38,275 23,824 17,934 19,380 61,138 21.96% NHS Vale of York CCG 142,231 51,630 25,150 14,033 8,207 4,612 26,852 18.88% NHS Wakefield CCG 189,447 88,314 21,379 12,721

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