Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.

The NHS 111 telephone advice and triage service is a vital part of the management of urgent and emergency care (UEC) services in England. Demand for NHS 111 advice has increased since its introduction in 2013, and the service is of particular importance in light of the current pandemic and resulting...

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Autores principales:	Jen Lewis, Tony Stone, Rebecca Simpson, Richard Jacques, Colin O'Keeffe, Susan Croft, Suzanne Mason
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2bec4226f35b47f7b37dfc99c1d46ae9
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spelling	oai:doaj.org-article:2bec4226f35b47f7b37dfc99c1d46ae92021-12-02T20:11:23ZPatient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.1932-620310.1371/journal.pone.0251362https://doaj.org/article/2bec4226f35b47f7b37dfc99c1d46ae92021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251362https://doaj.org/toc/1932-6203The NHS 111 telephone advice and triage service is a vital part of the management of urgent and emergency care (UEC) services in England. Demand for NHS 111 advice has increased since its introduction in 2013, and the service is of particular importance in light of the current pandemic and resulting increased demand for emergency care. Currently, little is known about the effectiveness of NHS 111 in terms of the appropriateness of the advice given, or about the compliance of patients with that advice. We aimed to address this issue by analysing a large linked routine dataset of all NHS 111 calls (n = 3,631,069) and subsequent emergency department (ED) attendances made in the Yorkshire & Humber region from March 2013-March 2017. We found that many patients do not comply with advice, with 11% (n = 289,748) of patients attending ED when they are advised to self-care or seek primary care. We also found that a considerable number of these patients are further classed as urgent (88%, n = 255,931) and a substantial minority (37%, 106,207) are subsequently admitted to hospital. Further, many patients who are sent an ambulance or told to attend ED are classed as non-urgent upon attending ED (9%, n = 42,372). This research suggests that the level at which NHS 111 is currently triaging results in many hundreds of thousands of mis-triaged cases annually. Additionally, patients frequently do not comply with the advice they receive. This has implications for understanding the accuracy and efficiency of triaging systems.Jen LewisTony StoneRebecca SimpsonRichard JacquesColin O'KeeffeSusan CroftSuzanne MasonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251362 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Jen Lewis Tony Stone Rebecca Simpson Richard Jacques Colin O'Keeffe Susan Croft Suzanne Mason Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
description	The NHS 111 telephone advice and triage service is a vital part of the management of urgent and emergency care (UEC) services in England. Demand for NHS 111 advice has increased since its introduction in 2013, and the service is of particular importance in light of the current pandemic and resulting increased demand for emergency care. Currently, little is known about the effectiveness of NHS 111 in terms of the appropriateness of the advice given, or about the compliance of patients with that advice. We aimed to address this issue by analysing a large linked routine dataset of all NHS 111 calls (n = 3,631,069) and subsequent emergency department (ED) attendances made in the Yorkshire & Humber region from March 2013-March 2017. We found that many patients do not comply with advice, with 11% (n = 289,748) of patients attending ED when they are advised to self-care or seek primary care. We also found that a considerable number of these patients are further classed as urgent (88%, n = 255,931) and a substantial minority (37%, 106,207) are subsequently admitted to hospital. Further, many patients who are sent an ambulance or told to attend ED are classed as non-urgent upon attending ED (9%, n = 42,372). This research suggests that the level at which NHS 111 is currently triaging results in many hundreds of thousands of mis-triaged cases annually. Additionally, patients frequently do not comply with the advice they receive. This has implications for understanding the accuracy and efficiency of triaging systems.
format	article
author	Jen Lewis Tony Stone Rebecca Simpson Richard Jacques Colin O'Keeffe Susan Croft Suzanne Mason
author_facet	Jen Lewis Tony Stone Rebecca Simpson Richard Jacques Colin O'Keeffe Susan Croft Suzanne Mason
author_sort	Jen Lewis
title	Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
title_short	Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
title_full	Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
title_fullStr	Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
title_full_unstemmed	Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.
title_sort	patient compliance with nhs 111 advice: analysis of adult call and ed attendance data 2013-2017.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/2bec4226f35b47f7b37dfc99c1d46ae9
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Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017.

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