Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
This letters describes 26 out of 228 being converted to 999 and another 15 to go to the accident department. This reflects the impression locally where the 111 to 999 rate is now over 10%. . Previous figures over many years suggested GP OOh centres had a 999 rate of about 3%. Of the 11% that ended up ' appropriately' in the emergency department how many were discharged within 4 hours and could have been managed in primary care