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Telephone Consultation

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1st December 2003 : NHS Direct and NHS 24:
Leading the world in telephone consultation practice development: For general overview visit the UK sites:
http://www.nhs24.com
http://www.nhsdirect.wales.nhs.uk
http://www.nhsdirect.nhs.uk

Out of hours opportunities in England (PDF)

Developing NHS Direct
This paper sets out service development and organisational plans for NHS Direct for the next three years and beyond.
http://www.doh.gov.uk/developingnhsdirect/

The clinical, organisational and cost consequences of computer-assisted telephone advice to category C 999 ambulance service callers: results of a controlled trial http://www.doh.gov.uk/

WILSON, R., HUBERT, J., 2002. Resurfacing the care in nursing by telephone: lessons learned from ambulatory oncology. Nursing outlook, 50 (4), 160-164.
The authors argue that the widespread understanding of nursing by telephone as a form of triage has led to an underestimation and undervaluing of the nurse's role as caregiver and decision-maker. They propose the term 'telephone mediated care' be used instead. This article challenges nurses involved in ehealth to ensure that the values of nursing are entrenched into the way ehealth services operate
KNOWLES, E., O'CATHAIN, A., MORRELL, J.F., NICHOLL, J.P., 2002. NHS Direct and nurses - opportunity or monotony? International journal of nursing studies, 39, 857-866.
Department of Health funded research into factors that impact upon job satisfaction and staff retention within NHS Direct. The authors conclude that whilst job satisfaction amongst NHSD nurses is generally high they expressed concern about the impact of insufficient time for clinical supervision and updating and the long-term effects of the adoption of a call centre ethos.
BAKER, M., ROBSON, .B, SHEARS, J., 2002. Clinical decision support in the NHS - the clinical element. The journal of clinical governance, 10, 77-82.
NHS Clinical Assessment System (NHS CAS) is the decision support software used by NHS Direct and NHS 24. This article describes how the NHS CAS algorithms used by nurses are designed, reviewed and updated.
SANDELOWSKI, M., 1998. Looking to care or caring to look? Technology and the rise of spectacular nursing. Holistic nursing practice, 12 (4), 1-11.
In this article the author argues that there is a risk that the use of distancing technologies, such as those involved in e-health, could result in nurses acting as medical substitutes, thereby perpetuating medical notions of care delivery. This article challneges nurses engaged in ehealth to consider the extent to which nursing values can become compromised by the technology they are using.