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Lattimer et al (p 1053) report on a cost analysis based
on over 14 000 calls during a randomised controlled trial. They show that if the NHS rather than general practitioners funded nurse telephone consultation in out of hours primary care, costs could be
outweighed by savings in the long run as a result of reduced demand for
emergency admission to hospital. The results of this study may not
apply where there is not a single access point to out of hours primary
care services.