North Warwickshire and District Doctors-On-Call

HOW TO CONTACT NEWDOC

NEWDOC operates an URGENT out-of-hours doctor service during weekday evenings and nights, and at weekends and public holidays when your own surgery is closed. The exact time that NEWDOC covers for your own doctor depends when they hand over to us as many practices hold their own emergency surgeries in the evening and at weekends. Therefore, regardless of the day or time you need to contact an out-of-hours doctor, you must always call your own surgery first to check whether they are able to deal with your call. When your surgery has handed over to NEWDOC your own surgery's answerphone message will give NEWDOC's telephone number, or they may have arranged for your call to be automatically diverted to NEWDOC. Make sure you have a pen and paper ready to copy down any instructions.

WHEN YOU SHOULD CONTACT NEWDOC

You should only contact NEWDOC for URGENT medical conditions that cannot wait until your own surgery re-opens. In particular, NEWDOC should not be used for:

Routine consultations for non-urgent conditions.

Details of test results that have been carried out by your own GP.

A second opinion for something that you have recently seen your own GP about.

Repeat prescriptions or delivering/obtaining medication.

For convenience because you are unable to see your own GP during normal opening hours.

Potential life-threatening emergencies, such as unconsciousness, suspected heart attack, major injury or accidents, overdoses or suspected poisoning. These should be dealt with by ringing 999 and asking for the ambulance service.

Patients who deliberately misuse the NEWDOC service will have their details passed to their own GP for follow-up action.

Please note that the NEWDOC Primary Care Centre is not a `drop-in' facility. You must always contact NEWDOC first by telephone to arrange an appointment at the Primary Care Centre.

WHAT WILL HAPPEN WHEN YOU CONTACT NEWDOC

Please note that all telephone calls to or from NEWDOC are automatically recorded.

When you telephone NEWDOC please ensure that you are able to give our receptionist the following information:

The patient's full name, date of birth, address and name of usual GP.

A contact telephone number that the doctor can call back to speak to either you or the patient.

Details of the patient's illness, any relevant medical history including details of any medication that may have already been prescribed.

If you or the patient suffers from a speech or hearing impairment, has difficulty using the English language or are calling from a payphone please make sure that you tell this to the receptionist at the start of your call.

The receptionist will either arrange for a doctor to call you back or for certain conditions will ask you to attend the Primary Care Centre for a consultation with one of our duty doctors. If you would prefer to talk to a doctor on the telephone first, this can always be arranged.

WHAT WILL HAPPEN WHEN THE DOCTOR CALLS YOU BACK

The duty doctor will call you or the patient back, usually within 30 minutes but this may be longer during busy periods. If at any time you become seriously concerned for the patient's condition while waiting for the doctor to return your call either ring us again or if you cannot get through to NEWDOC do not hesitate to dial 999 and ask for the ambulance service.

The duty doctor will need to obtain detailed information about the current medical problem to form a reasonable opinion on whether or not the patient requires urgent care. If the doctor agrees that urgent care is required one of the following services will be offered:

1. Telephone advice to self-manage the condition. If subsequently the patient does not improve within the timescale indicated by the doctor, or you become concerned for their condition, do not hesitate to call NEWDOC back again for further advice.

2. A consultation at the out-of-hours Primary Care Centre. No appointment time will be given but as you have requested urgent treatment you will be expected to attend within two hours. Please note you may not attend the Primary Care Centre unless you have previously agreed this with the duty doctor, or the receptionist has invited you to attend.

3. A home visit if the doctor decides that the patient is too ill to travel to the Primary Care Centre.

4. Arrange an ambulance to admit the patient directly to hospital if the patient's condition requires an immediate hospital admission.

Details of all contacts with NEWDOC will be passed to the patient's own GP the next working day for any follow-up action and for inclusion with your personal medical record.

WHY YOU MAY BE ASKED TO COME TO THE PRIMARY CARE CENTRE

There are three main reasons why patients are best seen at the Primary Care Centre rather than at home:

1. The Centre is fully resourced with medical equipment and support staff including nurses which facilitates better delivery of care. Being located in an acute hospital, specialist advice or emergency admission is available if required.

2. A patient can be properly examined in better light and observed, if need be, until their condition improves.

3. A doctor can usually see at least three times as many patients at the Centre in the time it takes them to do one home visit and so many patients will benefit.

We would ask that you co-operate with the doctor's decision and do not insist on a home visit if you are fit enough to travel. If all the patients use NEWDOC sensibly and co-operate with the duty doctor's decision we can deliver a service that is best designed to meet the needs of those who are most at need.

TRANSPORT

Patients who are invited to attend the Centre and who do not have access to their own transport will need to seek assistance from relatives or friends, or use public transport or taxi firms. NEWDOC cannot assist with transport or travel costs to attend the Primary Care Centre.

While we sympathise with the difficulties some patients may experience, a home visit cannot be given simply to overcome transport problems if the patient's condition does not warrant a home visit on medical grounds.

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