Shared care can workBMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7060.819 (Published 28 September 1996) Cite this as: BMJ 1996;313:819
- Elisabeth C M Logan, Consultant haematologist,
- Martin J Auger, Consultant haematologist,
- Peter Cotton, Chief biomedical scientist,
- Peter I Otter, Pathology systems manager
- King's Mill Centre for Health Care Services, Sutton in Ashfield NG17 4JL
EDITOR,—We welcome D A Fitzmaurice and colleagues' reference to quality assurance in their editorial on monitoring anticoagulation in primary care.1 In 1993 we have introduced a formal shared care policy for monitoring oral anticoagulant treatment in a district where few general practitioners are prepared to manage their own patients.2 This policy clearly defines areas of responsibility for the hospital, general practitioners, and community nurses.
A “yellow anticoagulant book” is used as the principal means of communication. Patients are initially seen in the clinic and are subsequently transferred to a community sampling system. …