We do provide a home visiting service for those patients who are too frail to attend the surgery. It may be a nurse or doctor who visits, depending on the situation. A GP will decide the appropriate clinician to visit.
Our home visit guidelines are as follows:
1. Visit recommended
Home visiting makes clinical sense and is the best way of giving a medical opinion in cases involving the terminally ill or the truly housebound patient for whom travel by car would cause a significant deterioration in their medical condition.
2. Visit may be useful
Following a conversation with a health professional, it may be agreed that a seriously ill patient may be helped by a home visit.
If you require a home visit please telephone us before 11.00 am as this helps our clinicians to plan their time efficiently.
Be prepared to give the receptionist a full outline of the problem as this helps us see the most appropriate cases first.
The receptionist can only add visit requests to the daily visit list, it will be a doctor who decides if your request for a visit is appropriate. To make this decision, he / she may telephone the patient and discuss the case.
If they decide that it is not appropriate for carry out a home visit, the patient will be notified by telephone and informed that they will need to attend the surgery to be seen.
In all of the following cases, it is imperative that the patient is treated as soon as possible, to achieve the best possible outcome. A delay in treatment while waiting for a house visit is damaging to the patient and inappropriate. In these case it is essential to get the patient to hospital as soon as possible and the correct approach is to call ‘999’ for an ambulance.
Heart Attack – severe crushing chest pain.
Suspected Stroke – paralysis of any part of the body with associated lack of speech or cognitive ability.
Difficulty breathing – patient is breathless, more than usual and is unable to walk.
Severe Headache associated with nausea
Double Vision – Patient has double vision for more than 5 minutes.
Common symptoms of childhood: fevers, cold, cough, earache, headache, diarrhoea/vomiting and most cases of abdominal pain. These patients are usually readily transportable and able to travel to the surgery. It is also likely that they would be assessed & treated more rapidly and effectively by attending the surgery, rather than waiting for a doctor to visit.
Please note: it is not harmful to take a child with fever outside.
Adults with common problems, such as cough, sore throat, influenza, general malaise, back pain and abdominal pain are also readily transportable to the doctor’s surgery.
NB. It is not the doctor’s role to arrange transport to the surgery. It is the responsibility of the patient or their carer to do this.