Estimates were made of potential annual costs associated with the burden of minor ailments that presented in general practice or ED and were deemed manageable in a community pharmacy, had actually presented at community pharmacy.
Twenty-nine were considered manageable in a community pharmacy.
Above we estimated that 65 minor ailments out of 1175 GP consultations (5.5%) were deemed manageable in a community pharmacy.
Thus, 13.2% (65/494) of all adult 'in hours' consultations were assessed as minor ailments, manageable in a community pharmacy (95% CI: 10.2 16.1%).
Assuming that 2.9% (29/1014) of these were for minor ailments manageable in a community pharmacy, this equates to 659199 attendances that could be redirected away from EDs annually, with an estimated potential annual cost of £74900007 (95% CI: £53906280 £95893773).
A patient rated mostly '4' is likely to require high security, mostly '3' will require medium security, mostly '2' will require PICU, mostly '1' is likely to be suitable for an open ward and mostly '0' is likely to be manageable in the community setting.
These areas are: manageable overload, control, rewards, community, fairness, and values [ 11].
It is important to point out that it is not an instrument for individual evaluation, but to evaluate dimensions opposing burnout –Energy, Implication, Efficacy-, all all other variables which contribute positively or negatively to burnout: manageable workload, control, possibility, community feeling, intrinsic rewards, coherence of values and a sense of fairness.
Islands therefore provide a perfect interdisciplinary interface for scientists and practitioners, an experimental set up of discrete, manageable and replicated biological communities (Warren et al. 2015).
Misconduct and mistakes feel more manageable and correctable when a community admits and atones for them as one.
In political terms, the issue that is posed appears to be whether these huge centres of population can continue as effective communities with democratically manageable governments.
