How do consultants manage increased A&G workload?

Published: 2nd April 2025
It is undoubtedly proven that Advice & Guidance (A&G) avoids unnecessary hospital visits. However, for A&G to be truly effective, specialists need to manage the workload and reply promptly and reliably.
Tech For Good Blog Doctor On The Phone

The ‘Reforming Elective Care for Patients’ plan released earlier this year puts more focus on specialist Advice & Guidance (A&G). From 1 April 2025, GPs will be paid to request A&G, and volumes are expected to almost double this year to 4 million pre-referral A&G requests, up from 2.4 million in 2023/24.

It is undoubtedly proven that A&G avoids unnecessary hospital visits. However, for A&G to be truly effective, specialists need to manage the workload and reply promptly and reliably.

5 success factors for effective A&G delivery

1. Deliver on a channel that suits your team

Systems like Consultant Connect give a choice of 3 channels: Some teams prefer answering short (3.5-4 minutes) telephone calls, others reply on instant messaging (especially if they want to review photos and test results as part of the query) and some teams prefer e-RS and use the Consultant Connect e-RS interface.

2. Make delivery as admin-free as possible

Consultants like systems that require few clicks and are easy on the eye. Consultant Connect’s e-RS interface allows all actions on one screen and responses in half the time. Other channels, like Consultant Connect’s messaging channel, are app-based, and A&G can be answered from anywhere at any time. The telephone service is paperless but yet fully recorded and auditable.

3. Plan workforce

Ensuring A&G is job planned and translated into A&G rotas ensures answer rates are reliable. A system like Consultant Connect hunts down the first available clinician from the rota to answer the query on a first-come, first-served basis.

4. Rely on out-of-area capacity if your teams struggle at times

While advice from a local clinician is always best, your team might have days or periods when it cannot handle demand. Consultant Connect’s out-of-area NHS specialists can be switched on/switched off to back up your rotas as needed.  

5. Real time data informs planning

Data, including A&G volumes and outcomes, feed into job planning and can identify trends such as high or low usage from specific localities or practices.

Contact us:

Whether you already use Consultant Connect or not, we’re here to help. If you have any questions or would like to find out more, please email hello@consultantconnect.org.uk or call us on 01865 261 467.

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