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Inside Health

GP Access, Telehealth, ICU, Sewage

Inside Health

BBC

Health & Fitness, Science

4.4575 Ratings

🗓️ 24 July 2012

⏱️ 29 minutes

🧾️ Download transcript

Summary

Do you have trouble getting an appointment to see your GP? If so, you are not alone. A Department of Health review from 2009 suggested that as many as 200,000 patients a day struggle to get a consultation with their doctor. And a quarter of those who want to book an appointment in advance simply can't. One Inside Health listener emailed us to ask why some surgeries seem to only release appointments on the day - a bit of a telephone lottery - and others do allow for some advance booking. Chair of the the Royal College of General Practitioners Dr Clare Gerada offers some insight.

Monitoring patients in their own homes - telehealth - is one of the latest developments in general practice. The government hopes that the technology will help at least 2 million people over the next 5 years, saving the NHS more than a billion pounds. The £2,000 black boxes measure blood pressure, blood sugar levels and blood oxygen - information that's then sent over the internet to a medical professional. But the project to monitor patients with long term conditions like diabetes, heart failure and breathing difficulties hasn't got off to a good start and GP Margaret McCartney questions whether it will ever live up to the hype.

The most seriously ill patients in hospital are looked after in Intensive Care - where they are given life-saving treatment and support with vital bodily functions like breathing. To help staff relieve anxiety - and enable staff to carry out procedures like inserting breathing tubes - patients are often sedated. Dr Chris Danbury from the Royal Berkshire hospital in Reading says it's important to get the level of sedation right - not too little and not too much. One consequence of the drugs and environment can be hallucinations and flashbacks - with some patients reporting dreams of being abducted by alien space ships. Specialist outreach nurses in Reading - like Sister Melanie Gager - are skilled at offering strategies to overcome this - including follow-up visits to the ICU for both patients and their families.

Now that summer has finally arrived for most parts of the UK, if you are planning an outdoor swim then there may be hazards lurking in the water. Heavy downpours result in the release of sewage into the sea from overflow pipes - which can affect water quality for a couple of days. Inside Health reporter Anna Lacey met Pollution Control Manager Dr Robert Kierle on the banks of the river Axe in Weston-Super-Mare - and Surfers Against Sewage who are offering a free text service to alert would-be bathers about local measurements of any pollutants.

Transcript

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0:00.0

Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down.

0:23.1

And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Lina.

0:27.0

I'm excited.

0:27.6

You're dead to me, the comedy podcast that takes history seriously.

0:31.0

Listen first on BBC Sounds.

0:33.1

This is a download from the BBC.

0:35.2

To find out more, visit BBC.com.uk slash radio four.

0:40.6

Hello. In today's programme, I don't want to appear a spoil sport, but now that the summer has

0:46.1

finally arrived, if you're planning an outdoor swim, then you should listen to what

0:50.9

Annalasi is discovered for inside health about hazards that could be lurking

0:55.2

in the water. Telehealth, technology that's supposed to help at least two million people over the

1:00.5

next five years and save the NHS more than a billion pounds, but the project to monitor

1:05.5

patients with long-term conditions in their own homes hasn't got off to a good start. Margaret McCartney questions whether it will ever live up to the hype.

1:14.5

And I visit an intensive care unit to learn more about sedation

1:18.5

and discover why so many seriously ill people dream

1:21.8

they're on spaceships run by aliens.

1:25.1

But first, do you have trouble getting in to see your GP?

1:28.4

If so, you're not alone.

1:30.1

Improving GP access and responsiveness,

1:32.8

the Department of Health Review published in 2009,

1:35.9

suggested that as many as 200,000 patients a day struggled to get a consultation with their doctor.

1:41.4

And a quarter of those who want to book an appointment in advance can't.

...

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