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Point-of-care testing aids decision-making in GP-based assessment hub

A study in primary care demonstrates how testing can avoid unnecessary hospital admissions and improve patient pathways. Laura Mitcham explains how rapid assessment of full blood count and C-reactive protein contributed to the success of the project.

Oxford Academic Health Science Network (AHSN) has recently published the results of a study exploring the use of point-of-care testing (POCT) within a pioneering GP group practice. The study commenced in January 2019, aimed at relieving winter influenza pressures and to meet local Clinical Commissioning Group (CCG) demands to reduce unnecessary hospital visits and admissions. The study demonstrates tangible benefits for clinical decision-making and cost savings, and the current pressures on health services render the findings even more relevant today.

Overview

The Brookside Group Practice in Lower Earley, Berkshire, had already introduced a new model for its patient pathway by creating a multidisciplinary, paramedic-led urgent care clinic with the aim of retaining patients in a primary care setting where possible. This service was the subject of an in-depth audit and evaluation, working alongside the AHSN, which demonstrated that this model provided a reduction in waiting times, more efficient referrals, and cost savings of between 4% and 38%.1 The introduction of pathology POCT represented the second phase of the project to enhance still further their decision-making process.

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