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The fact that few patients want to see a GP outside of normal office hours, and especially at weekends, has raised fresh questions about whether extended hours are a good use of NHS resources.
Previous estimates of ED workload in Cape Town have demonstrated that a significant proportion of presenting populations are emergency or urgent in nature, present to the ED outside of normal office hours, involve a large paediatric case mix and are typically walk-in or self-referred [6, 7].
Similar vaccination activities were combined; for example, patient reminders by voicemail, email, and mailed notices = "reminders", and total hours during which vaccine was offered outside of normal office hours = "evening/weekend hours".
However, these links were informal and based on personal relationships and the village doctors often felt hesitant to call the qualified doctors outside of normal office hours and there was no assurance that a qualified doctor would be available when needed.
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Labour's access figures were rejected by the Tories, who pointed out that the numbers were a year out of date and did not take into account the party's GP access fund – which was helping millions of patients see their doctors outside normal office hours.
In one study using self-tonometry, half of the IOP peaks occurred outside normal office hours, and elevated readings were recorded on patients with documented progression of glaucomatous damage [ 8].
Visiting a FD outside the normal office hours, in the evening or on weekend, was only rarely possible.
About 11% of the GP consultations were registered outside normal office hours or in the weekend.
In total, 11% of the GP consultations were registered outside normal office hours (between 8 AM and 17 PM) or in the weekend.
Buchanan recommends that staff connecting to council networks remotely should inform management of the reasons for access, particularly when such connections occur outside normal office hours.
In relation to out of hours service provision only 60.4% of services reported that they open sometime at weekends while just over half open outside normal office hours.
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