What other practices have tried

Each entry is matched to one of the checks Tidemark reports on, with the study behind it and a link to the source.

All entriesDaily contacts above the guideLarge share of unseen clinical workRegular hidden workloadContinuity

Showing entries for Daily contacts above the guide. Show all

Telephone triage before same-day appointments

Redistributes contacts rather than reducing them.

The ESTEEM trial (42 UK practices) found total clinician time per patient was higher with triage — 10.3 to 14.8 minutes — than standard care at 9.1 minutes, and nurse-led triage increased the number of consultations needed within 28 days.

The most commonly proposed fix for daily-contact overload is the one with trial evidence against it working as intended.

Salisbury C et al. ESTEEM trial, cluster-RCT, 42 UK practices. Br J Gen Pract 2015.

Daily contacts above the guide