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    • textbook
    • By textbook 6th Nov 17, 7:23 AM
    • 104Posts
    • 11Thanks
    Using A & E to see a specialist?
    • #1
    • 6th Nov 17, 7:23 AM
    Using A & E to see a specialist? 6th Nov 17 at 7:23 AM
    Do people go to A & E when they feel a GP isn't specialised enough to deal with a problem want to see a specialist in a particular field? I know it should be for emergencies but do people use it for the above reason? Rather than booking to see private specialist/consultant which is expensive.
Page 2
    • Enterprise 1701C
    • By Enterprise 1701C 28th Nov 17, 7:52 AM
    • 18,312 Posts
    • 199,542 Thanks
    Enterprise 1701C
    This is why A&E is so bogged down.

    It is purely for life or limb threatening illness or injury.

    It is not for people who cant be bothered to register for a doctor, or wait for an appointment, or even ask the right questions at the surgery.

    If people did not go down there for a minor cut or minor illness, then maybe life threatening cases would have better attention. Just think, you go down there with a bit of a virus, you might be costing someone their life, apart from anything else you could pass that on to someone who is extremely ill and it could be the straw that breaks the camels back.

    Personally I think they should have the right to say to minor cases that will simply heal or need no treatment, that they should just go and make an appointment with their GP.
    What is this life if, full of care, we have no time to stand and stare
    • jenniewb
    • By jenniewb 30th Nov 17, 2:48 AM
    • 12,262 Posts
    • 11,545 Thanks

    Personally I think they should have the right to say to minor cases that will simply heal or need no treatment, that they should just go and make an appointment with their GP.
    Originally posted by Enterprise 1701C
    They do- or they are supposed to if they are not currently. A&E are only there to patch you up and send you on your way with the advice to see your GP if it doesn't get better.
    They are not there to treat, just patch up and make something safe or roadsworthy, you may find people getting scans and whatever to ensure something is safe (eg no broken bones beneath the surface after a big fall or RTA but there would need to be sound reason for a scan of that nature) and even if there is a break, the only "treatment" as such will be making sure it's safe and not likely to break further (so maybe a plaster cast) but in terms of repairing something which would require a specialist and the same for diagnosing something which is not immediate or life-and-death, you'll just get told to make an appointment with your GP so he/she can refer you and have wasted multiple hours in the process. A&E are simply not able to refer you, even if your condition is chronic and built up over time. Unless you are unsafe to go home (very bad pneumonia or something) they wont keep you in to treat you or operate on you but that really does fit the bill of it being an emergency.
    If A&Es are treating things which are not life or death emergencies rather than just sticking a plaster on it (metaphorically or literally), then they are not sticking to the rules!

    It also may be worth noting that quite a few A&Es also run a duty Doctor service. This is not the same as A&E and is basicly a GP based in a hospital and is designed for those who cannot get an appointment or are unable to get time away from work/child care..etc. They can prescribe things like antibiotics and longer term medication (which is unlike A&E), they can't do more than assess, I don't know if they can refer without your GPs agreement (because the funding for that referral has to come from your GPs surgery and they obviously would need the agreement of your GP first to do this- which would not be practical for many reasons. But can contact your GP with the information they have and possible suggestions. They are not the same as A&E but do sometimes sit within A&Es.
    • Red-Squirrel
    • By Red-Squirrel 30th Nov 17, 11:40 AM
    • 2,000 Posts
    • 5,518 Thanks
    From what my wife's told me about life in A&E - you're better to see a GP than an A&E doctor, for many things. You won't access a specialist this way either (unless you actually need one to stop you dying).
    Originally posted by ringo_24601
    Yeah, A&E is a great way to see a specialist cardiologist if you're having a heart attack, or a specialist neurosurgeon if you've had a massive head injury, or a specialist vascular surgeon if you've cut your foot off with a chainsaw.

    Otherwise, what you're going to get is sent home and a letter to your GP advising them to refer you if needed!
    • Starrystarrynight1
    • By Starrystarrynight1 30th Nov 17, 7:58 PM
    • 134 Posts
    • 266 Thanks
    Do you have an issue with your current GP, OP? Or have you just been listening to silly gossip? If you do have a problem with your current GP, then you should see about registering with an alternative practice whose catchment area you live in.

    If you have something you don't feel a GP can deal with, you are going to need to discuss the issue in detail with a GP first. You might even need to follow a recognised path of initial treatments first before your GP will refer you to a hospital. I read recently that some areas have all their GP referrals sent to a special unit where they're reviewed and it is this unit who decides if the referral can then go forward to the hospital. If this is true, then I'd think as much pertinent information as possible would need to go with the referral.

    I don't know about others, but I was quite angry to read your original post. A&E is busy enough without blatant time wasters. Please do not do this.
    I used to be Starrystarrynight on MSE, before a log in technical glitch!
    • teddysmum
    • By teddysmum 30th Nov 17, 9:49 PM
    • 8,606 Posts
    • 5,093 Thanks
    The checking of GPs' referrals was in the media, but I can't remember whether it was in the pipeline or just a recommendation.
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