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ENT cases seen at a local ‘walk-in centre’: a one year review

Published online by Cambridge University Press:  19 May 2008

T Rourke ,
P Tassone ,
C Philpott  and
A Bath
T Rourke*
Affiliation:
ENT Department, St George's Hospital, London, UK
P Tassone
Affiliation:
ENT Department, Norfolk and Norwich University Hospital, UK
C Philpott
Affiliation:
ENT Department, Norfolk and Norwich University Hospital, UK
A Bath
Affiliation:
ENT Department, Norfolk and Norwich University Hospital, UK
*
Address for correspondence: Mr Thomas Rourke, 138A Essex Road, London N1 8LX, UK. E-mail: [email protected]
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Abstract

Aim and method:

This retrospective study reviewed the ENT-related cases seen, and the discharge or transfer outcomes, at both a local ‘walk-in centre’ and the respective emergency department, over one year in Norwich.

Results:

Of the 7657 ENT cases seen at the walk-in centre, the commonest conditions included tonsillitis or pharyngitis, otalgia, cough, and deafness. In comparison, 1586 patients were seen at the emergency department, and the commonest conditions were epistaxis and throat foreign bodies. Of the ENT cases seen at the walk-in centre, 85.4 per cent were treated and discharged. Of the 14.6 per cent referred to other healthcare providers, 11.1 per cent were to the general practitioner. In comparison, the emergency department discharged 41.2 per cent and referred 58.8 per cent to other healthcare providers.

Conclusion:

This study indicates that ENT cases may constitute a large proportion of patients seen in walk-in centres, and that the case types seen may differ from those presenting to emergency departments. It also indicates that walk-in centres may potentially be assessing, treating and discharging 85.4 per cent of ENT patients seen.

Keywords

Emergency CareAmbulatory CareOtorhinolaryngologyGreat Britain
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 3 , March 2009 , pp. 339 - 342
Copyright
Copyright © JLO (1984) Limited 2008

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Footnotes

Presented as a poster at the ENT UK and Royal Society of Medicine Annual Meeting, 6–7, September 2007, London, UK.

References

1 Salisbury, C, Chadler, M, Manku-Scott, T, Pope, C, Moore, L. What is the role of walk-in centres in the NHS? BMJ 2002;324:399–402CrossRefGoogle ScholarPubMed
2 Chadler, M, Sharp, D, Moore, L, Salisbury, C. Impact of NHS walk-in centres on the work load of other local healthcare providers: time series analysis. BMJ 2003;326:532–5Google Scholar
3 Sailsbury, C, Hollinghurst, S, Montgomery, A, Cooke, M, Munro, J, Sharp, D et al. The impact of co-located NHS walk-in centres on emergency departments. Emergency Med J 2007;24:265–9CrossRefGoogle Scholar
4 Hsu, RT, Lambert, PC, Dixon-Woods, M, Kurinczuk, JJ. Effect of NHS walk-in centre on local primary healthcare services: before and after observational study. BMJ 2003;8:530–2CrossRefGoogle Scholar
5 Kmiemtowicz, Z. Walk-in centres fail to take pressure off emergency services in England. BMJ 2005;330:745(letter)Google Scholar