Similarly, a relationship between provision of services and reduced delay has also been shown, with those patients who have use of a rapid access endoscopy service experiencing less delay in referral.
Where a rapid access endoscopy service was available, patients were found to experience less delay in referral (Martin et al, 1997; Manes et al, 2002), albeit with the caveat that inappropriate use of such a service could actually contribute to delay (Manes et al, 2002).
Rapid access to services requires that there is understanding of the warning signs for stroke.
It is perhaps ironic therefore that the screening cases should enjoy more rapid access to services than clinical cases.
(ii) Rapid access to services characterised by supportive non-judgemental staff who delegate medical control over the process to women appear to characterise positive responses to medical TOP.
Eleven out of 83 responders reported that their GP did not make an urgent referral to the rapid access gynaecological services because their GP had told them that their bleeding was normal.
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They described how the community matron took over many aspects of the workload such as sorting out prescriptions, referring onto and obtaining rapid access to other services, being a mediator between all other services, and providing a sense of security which reduced anxiety.
[2 24]" Features of the stroke service model include rapid access to a specialist service and the commencement of early interventions such as thrombolysis and rehabilitation.
