Why the urgency?

  • Research type

    Research Study

  • Full title

    Why the urgency? A study to investigate the considerations and actions of Out of Hours Primary Care Service Users.

  • IRAS ID

    185502

  • Contact name

    Sue Pender

  • Contact email

    sue.pender@nhs.net

  • Sponsor organisation

    City Health care Partnership

  • Duration of Study in the UK

    0 years, 5 months, 31 days

  • Research summary

    The Out of Hours (OOH) Primary Care Service provides a medical and non-medical healthcare practitioner service from 18.30 hours until 08.00 hours on weekdays and all day at weekends and Public Holidays when day time GP surgeries are closed.
    Patients can self-refer to the OOH service for what is advertised as access to ‘urgent medical care service’. However, the OOH service is not intended as an emergency care provider but is designed for ‘people experiencing a medical problem that cannot reasonably be expected to wait until the next opportunity to contact their own GP practice in-hours’.
    Despite many initiatives within day time primary care provision to facilitate accessible and responsive service provision, the contacts for the service continue to rise with people seeking medical support during the out-of-hours period.
    This research proposal has been prompted by comments from OOH staff who have indicated a perception that patients have an expectation for ‘instant’ access to healthcare treatment based on their personal choice and convenience rather than need, coupled with an unwillingness (or inability) to self-care and thus, may consider accessing the out-of-hours service as a first point of contact.
    Published research studies have in the main, tended to focus upon the relationship and impacts of OOH Primary Care service provision upon hospital Emergency Departments or articles based on descriptive accounts of OOH service users’ perceptions of their care received, therefore little is known about the factors which influence peoples decisions to seek an ‘urgent medical care’ during out of hours period rather than await to see their own GP during the surgeries opening hours.
    This study seeks to interview service users to explore the characteristics, motives and expectations of service users who access the OOH Primary Care service within a single OOH provider site which spans across the City of Hull.

  • REC name

    London - Brent Research Ethics Committee

  • REC reference

    15/LO/1315

  • Date of REC Opinion

    15 Jul 2015

  • REC opinion

    Favourable Opinion