Consider potential to expand the online triage questions to a wider audience across all of General Practice, as well as starting to ask the question in other settings, such as Emergency Departments and Urgent Treatment Centres, and look in more detail at automatic coding. (Hurley Group/NHSE)
The eConsult question is on every practice system that has eConsult and therefore the practice will have a record of all patients that have identified themselves as suffering from gambling harm. It is recognised that more education is required in terms of healthcare professional recognising and identifying gamble harm and the referral pathways.
Dr Emma Ryan has written a Competency Framework for GPs and HC professionals with a view to this being rolled out to GPs and practice teams across the country. We have attended a further national conference aimed at primary care in April 2022. We ran a stall and undertook a presentation raising the awareness of gambling harms to primary care.
The PCGS are undertaking an initial assessment within 10days of referral and time to treatment is 2-3 weeks.
The service was initially set up to cover SE London Lambeth, Southwark, Lewisham, Bexley, Bromley and Greenwich. As the service has developed and the PCGS has afforded more exposure in terms of presentations at conference and the relaxing of Covid rules referral are now coming from all over the country with a referral rate of 1-3 patients a week. We continue to work collaboratively with Gamcare and Gordon Moody accepting higher acuity patient with multiple comorbidities.
Within the Hurley Group we have a portfolio of running Urgent Treatment Centres across SE London both colocated with A&Es and standalone and therefore we have embedded the same principles of 'asking' the gambling question with patients presenting with depression and anxiety and mental health issues. We promote this via eTriage.
Our communication to practices/networks also go out via the A&E delivery Boards and seen as essential as more and more patients are using these services due to increase in mental illness and anxiety and depression.