Condition category
Not Applicable
Date applied
30/09/2004
Date assigned
30/09/2004
Last edited
13/06/2007
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Mark Vorster

ORCID ID

Contact details

Regal Chambers Surgery
50 Bancroft
Hitchin
SG5 1LL
United Kingdom
+44 (0)1462 453232
mark@vorster.freeserve.co.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N0096126080

Study information

Scientific title

Acronym

Study hypothesis

Is practice based nurse telephone triage for same day patient requests desirable and cost-effective for a general practice?
Objectives: To compare the effect of nurse telephone triage using computerised decision support versus usual receptionist handling of patient requests in terms of GP and nurse time and costs.
Design: Randomised trial with a cost analysis from the perspective of the practice. Patients requesting an appointment the same day were randomised to receive nurse telephone triage or usual care.
Setting: One mixed urban/semi-rural general practice in the South East of England
Subjects: 383 patients were eligible for randomisation, of which 374 agreed to be randomised.
Interventions: Nurse telephone triage involved a practice nurse carrying out a telephone consultation using decision support software. Usual care involved the receptionist granting the patient's request.

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Not specified

Trial type

Not Specified

Patient information sheet

Condition

Not Applicable: Service delivery

Intervention

Cost-effectiveness analysis of nurse telephone triage from the perspective of the general practice.
Qualitative interviews with all general practitioners and the triage nurse.
Consenting patients (N= 385) from one GP practice in Hertfordshire who asked for same day requests were randomised to either nurse triage or usual care. Patients were followed-up for 28 days.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

1. Time of nurse and GP contact were collected via TAS software and manual timings
2. Prescription costs for each patient
3. Number of other appointments, such as district nurse, midwife, etc.

Secondary outcome measures

Not provided at time of registration

Overall trial start date

01/08/1999

Overall trial end date

31/01/2004

Reason abandoned

Eligibility

Participant inclusion criteria

Not provided at time of registration

Participant type

Patient

Age group

Not Specified

Gender

Not Specified

Target number of participants

385

Participant exclusion criteria

Not provided at time of registration

Recruitment start date

01/08/1999

Recruitment end date

31/01/2004

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Regal Chambers Surgery
Hitchin
SG5 1LL
United Kingdom

Sponsor information

Organisation

Department of Health

Sponsor details

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Not defined

Funder name

HertNet/CRIPACC

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

http://bmj.bmjjournals.com/cgi/eletters/bmj.38226.605995.55v1#77886

Publication citations

Additional files

Editorial Notes