General Practitioners and Emergency Departments (GPED)

Not Applicable

Completed

• Conditions: Health services and delivery research; Not Applicable

• Registration Number: ISRCTN51780222
• Lead Sponsor: niversity of the West of England

Brief Summary

2018 Protocol article in https://www.ncbi.nlm.nih.gov/pubmed/30287675 protocol 2021 Other publications in https://pubmed.ncbi.nlm.nih.gov/34031113/ initial qualitative findings (added 26/05/2021) 2021 Other publications in https://pubmed.ncbi.nlm.nih.gov/34107355/ qualitative analysis (added 10/06/2021) 2022 Other publications in https://pubmed.ncbi.nlm.nih.gov/35879107/ Qualitative results (added 14/02/2024) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36264875/ (added 14/02/2024)

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-01-04
• Study Completion: 2020-05-31
• Last Update Posted: 27 February 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 1081

Inclusion Criteria

1. Adult patients presenting at ED
2. Carers of patients presenting at ED
3. Staff working in ED

Exclusion Criteria

Work Package C (Qualitative)
1. Patients aged under 18 years
2. Critically ill patients. (We will be led by NHS staff who will identify patients not appropriate for inclusion in study)
3. Non-English speakers
4. Patients who lack capacity (e.g. due to cognitive impairment)

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The number of ED attendances measured before and after GPED implementation.

Secondary Outcome Measures

Name	Time	Method
The following are assessed using routinely collected HES data:<br>1. 4 hour performance<br>2. Unplanned ED re-attendance within 7 days<br>3. Mortality within 28 days after attendance<br>4. Emergency hospital admission<br>5. Zero day admission (subject to an examination of coding behaviour by hospital Trusts)