This page provides a best practice example for standard 3 of Facing the Future: Together for child health standards, which describes how general paediatric referrals are seen in a community setting by a consultant paediatrician and a GP with a special interest in Aberdeen. The joint paediatric community clinic delivers care closer to patients' homes and provides shorter waiting times, which has improved overall patient experience.
Standard 3: There is a link consultant paediatrician for each local GP practice or group of practices.
Model - "Pulling together"
- All general medical referrals from one GP cluster are triaged by a single consultant, who determines whether to resolve over the telephone, see in community clinic or refer to specialist services. Vetting decisions are consistent with standard practice.
- The community clinic is manned by a paediatric consultant and GP with a special interest and patients are jointly discussed before and after the clinic, which is hosted in a primary care setting. The clinic runs one afternoon per month.
- Between February and September 2018, 26% of referrals were resolved without a face-to-face meeting. Of these patients, 18 were provided with telephone advice, eight letters of advice were written for GPs, and in four cases investigations were arranged. Twenty-four percent of cases were referred direct to specialist services. Community clinic appointments were arranged for 50% of referrals. Waiting time fell from 67 days to less than one month.
- IT supports clinic letters and access to hospital records.
Contact for further information
Royal Aberdeen Children's Hospital, NHS Grampian
Dr Steve Turner, Consultant Paediatrician and RCPCH Officer for Scotland - firstname.lastname@example.org