We aim to offer an efficient and equitable service to all our patients. Speed of treatment is facilitated by restricting home visiting to those patients who really need it.
Policy and Criteria for Home Visits
- Home visits are reserved for patients who are genuinely housebound and who do not leave the house for any reason.
- We will visit only if the patient's clinical condition prevents them from travelling to the surgery and they are deemed to have a medical condition that necessitates an urgent medical opinion.
- Age is not a criterion for a home visit, the criteria applies to both older and younger people.
- Home visits will not be undertaken for social/transport reasons.
- The clinician may refuse to visit the patient and offer an urgent appointment at the surgery if he/she feels that is more appropriate.
The Surgery will follow these guidelines:
Please dial 999 in the case of a genuine life-threatening emergency. For life-threatening emergencies, requesting a visit from the GP can delay life-saving treatment.
Some examples are:
- Heart attack (Myocardial Infarction)
- Severe shortness of breath
- Severe bleeding (haemorrhage)
- Suspected stroke - click here for symptoms: www.stroke.org.uk/what-stroke/what-happenswhen-you-have-stroke/what-are-symptoms-stroke
Patients are therefore advised to ring the emergency services directy.
The GP is likely to visit for these conditions:
GP home visiting makes clinical sense and is the best way of giving a medical opinion in cases involving:
- The terminally ill
- The truly bed-bound patient, for whom travel to the premises by car would cause deterioration to their medical condition or unacceptable discomfort.
The GP MAY visit for these conditions:
- Those who are truly bed bound but have a clinical condition that prevents them from being ambulatory.
The GP will NOT usually visit for these conditions ad circumstances and it is expected that the patient will attend the surgery to be seen.
- Common symptoms such as childhood fever, cold, cough, earache, headache, diarrhoea/vomiting and most cases of abdominal pain. These patients are usually well enough to travel by car. It is not harmful to take a child with a fever outside. These children may not be fit to travel by bus or walk, but car transport is available from friends, relatives or taxi firms.
- Adults with common problems, such as cough, sore throat, influenza, back pain and abdominal pain, are also readily transportable by car to the surgery premises.
- Common problems in the elderly, such as poor mobility, joint pain and general malaise, would also best be treated by consultation at the surgery premises where the facilities are available for full examination and investigations. The exception to this would be the truly house-bound patient.
PLEASE NOTE THE FOLLOWING:
- Wherever possible patients requiring a consultation with a GP will be asked to attend the surgery.
- In the surgery the GP undertaking the consultation has access to the full clinical record and access to support services such as Pratice Nurses and therefore a consultation at the practice is better quality with regard to clinical governance issues.
- The surgery has the correct facilities for undertaking examinations.
- Home visits are not an efficient or effective use of pressureised GP time.
- If you request a home visit, you will initially receive a telephone consultation from the Doctor who will discuss your symptoms with you. You may be asked to attend the surgery as a result of this consultation if clinically appropriate. The Doctor will decide on the most suitable place for your condition to be assessed.
- The practice is not responsible for arranging transport to the surgery.
- We will not visit for convenience.