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Letters Telephone first consultations in primary care

Patient perspectives on telephone first system

BMJ 2017; 359 doi: (Published 30 October 2017) Cite this as: BMJ 2017;359:j4925
  1. Denis Pereira Gray, patron,
  2. Patricia Wilkie, president
  1. National Association for Patient Participation (NAPP), Woking GU21 4QR, UK
  1. denis.pereiragray{at}

As representatives of a major patient charity, we think that Newbould and colleagues have seriously undervalued the adverse effects that patients experience and the extra hospital costs incurred with telephone first consultations in general practice.1

A 4% immediate rise in hospital admissions for (potentially preventable) ambulatory care sensitive conditions, which increases thereafter, is bad for patients. Similarly, the ESTEEM study reported a 22.2% rise …

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