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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Prof
Adrian
Edwards
edwardsag@cardiff.ac.uk
Mr
Nigel
Pearson
PearsonN3@cardiff.ac.uk
Other and unspecified effects of external causes
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Hospital emergency departments (EDs) are under increasing, sometimes extreme, pressure. Patients are
experiencing long hours of waiting to be seen. Part of the demand for emergency care has arisen because people
attend EDs with problems could be resolved in primary care. To respond to this many EDs use a model of service (GPED
model) that includes GPs working in one of three ways: assessing patients and sending them back to their GPÍľ
assessing patients and sending them to a GP clinic next door to the EDÍľ integrating GPs in the ED to provide treatment. Currently there is no clear evidence on the effectiveness of GP-ED models. We will conduct a realist evaluation to
provide evidence of how GP-ED models work in different settings and how outcomes (effectiveness and safety of care
providedÍľ patient and staff experienceÍľ training needs, economic impact) might vary in different situations (including
patient, staff and organisational factors) and depending on how different groups of people react to the service. Twelve
study sites will be purposively sampled in England and Wales based results of a previous literature review and service
evaluation (survey and interview). Three sites will be selected for each GP-ED model and one that does not use GPs.
Quantitative data will be collected from NHS about how services are used. Observations and patient and staff
interviews will be carried out, followed by final survey of all EDs that use GP models. Stakeholder engagement
throughout the project will guide the evaluation. All findings will be integrated to provide evidence on the effectiveness
and cost effectiveness GP-ED models across a range of settings and for a range of proposed outcomes. A toolkit will
be created that can be used by commissioners and providers to inform review, design and implement models of
using GPs for different ED settings.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
Observational type: Qualitative;
You can take part if:
You may not be able to take part if:
• Patients who have presented for conditions that are not on the list of marker conditions • Patients who lack capacity to consent to an interview • Patients who are unable to interviewed in English
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
The study is sponsored by Cardiff University and funded by NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC) .
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Read full details
for Trial ID: CPMS 37354
You can print or share the study information with your GP/healthcare provider or contact the research team directly.
