Costs of nurse telephone consultations out of hours outweighed by savings

April 13, 2000

Cost analysis of nurse telephone consultation in out of hours primary care: evidence from a randomised controlled trial

The costs of telephone lines operated by nurses for out of hours primary care may save the NHS money in the long term, indicates research from the University of Southampton in this week's BMJ.

Lattimer and colleagues conducted a cost analysis of out of hours nurse telephone consultations for a general practice cooperative in Wiltshire, England for 12 months from January 1997. The cooperative includes 55 general practices serving 97,000 registered patients.

The costs of providing the telephone consultations amounted to just over £81,000 for the year, but over £94,000 was saved from reducing the demand for emergency admissions to hospital for both adults and children. If this figure were achieved across England, say the authors, it would be comparable with the estimated costs of providing NHS Direct sites at a cost of £1 per head of the population per year. Additional savings of almost £17,000 were made as a result of a reduced need for GPs to visit patients in their homes and fewer surgery appointments within three days of making a call. But, say the authors, GPs currently bear most of the cost of nurse telephone consultations and stand to gain least from the savings associated with it. The authors warn that the results may not apply where there is more than one access point to out of hours primary care services.

Dr Val Lattimer, Health Care Research Unit, University of Southampton


Related Nurses Articles from Brightsurf:

Nurses burned out and want to quit
A survey of nurses caring for children with heart problems has revealed that more than half are emotionally exhausted.

Work-related PTSD in nurses
A recent Journal of Clinical Nursing analysis of published studies examined the prevalence of post-traumatic stress disorder (PTSD) among nurses and identified factors associated with work-related PTSD among nurses.

PA school nurses on the frontlines of the opioid epidemic
As opioid overdoses continue to grab headlines, more states are providing their communities with easier access to naloxone, which can prevent death by reversing opioid overdoses.

Paying attention to complaints can protect nurses from violence
New UBC research shows, for the first time, a clear link between patient complaints and violence towards nurses.

Social networking sites affect nurses' performance
Addiction to social networking sites reduces nurses' performance and affects their ability to concentrate on assigned tasks, according to a study published in the Journal of Advanced Nursing.

Are american nurses prepared for a catastrophe? New study says perhaps not
On average, American colleges and universities with nursing programs offer about one hour of instruction in handling catastrophic situations such as nuclear events, pandemics, or water contamination crises, according to two recent studies coauthored by a nursing professor at the University of Tennessee, Knoxville.

Gender bias continues in recognition of physicians and nurses
A new study has shown that patients are significantly more likely to correctly identify male physicians and female nurses, demonstrating continuing gender bias in the health care environment.

How nurses bring clarity to the nature of social change
History provides an enhanced understanding of the factors that inform social policy.

When tempers flare, nurses' injuries could rise
A new study by researchers at Michigan State University and Portland State University has found that when there's an imbalance in support among nurses at work, tempers flare and risk of injuries can go up.

New nurses work overtime, long shifts, and sometimes a second job
New nurses are predominantly working 12-hour shifts and nearly half work overtime, trends that have remained relatively stable over the past decade, finds a new study by researchers at NYU Rory Meyers College of Nursing.

Read More: Nurses News and Nurses Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to