- A Collaborative Team: After-hours GP services are not a replacement but are designed to complement your regular GP.
- Communication is Key: Your after-hours consultation detailed clinical notes are securely sent to your regular GP, keeping your patient record complete.
- Safety First: Sharing this information is a big step towards patient safety. It prevents medication errors and ensures a holistic view of the patient's health.
- Follow-Up is Crucial: It is essential to always arrange a follow-up visit with your regular GP after an after-hours appointment, particularly if you have a chronic condition or received a referral.
- You Are in Control: You play an indispensable role by providing correct GP details and actively engaging in your care. Facilities such as My Health Record can further the safety and continuity of your healthcare.
Ensuring Seamless Healthcare
What would you do if a family member suddenly became unwell at 8 PM on a Tuesday? You could not take them to your regular GP, and your decision could cause this common dilemma how to get medical advice promptly without disrupting their ongoing healthcare. The fear of fragmented care, when different doctors hold different pieces of the puzzle but no one has the complete picture, is a legitimate concern for many people.
However, Australia's healthcare system is structured in a way that makes this problematic. After-hours GP services, such as home doctor visits and telehealth consultations, are not separate entities. Instead, they operate as a vital extension of your regular GP's practice, thus offering you a link of care when it is hard to get a face-to-face consultation during the nights, weekends, or public holidays.
The ideal in Australian general practice is continuity of care. This concept, supported by major organisations such as the Royal Australian College of General Practitioners (RACGP), implies that your healthcare is handled smoothly over time, with all your healthcare providers functioning as a single team. With our continuity of care model, your regular GP stays informed, and your care feels seamless. This piece explains the teamwork between after-hours services and your regular GP, giving you confidence that your healthcare journey remains linked, safe, and well-ordered, regardless of when you ask for help.
How Visit Notes Are Shared for Uninterrupted Care
The most significant factor in continuous patient care is the thorough and secure sharing of clinical notes. The after-hours doctor who talks to you is not only responsible for solving your problem; they also must ensure that your primary care provider gets all the information. This is not only a gesture of politeness; it is an essential part of the clinical handover process, aimed at patient safety.
The Process in Detail: From Consultation to Communication
Your clinical information is handled with the highest professionalism and security.
Step 1: The Diligent Consultation
The whole thing starts with the consultation. The after-hours doctor will conduct a thorough examination, checking not only your symptoms but also their origins and your medical history. They realise that they only see a brief aspect of your health and will provide as much as possible about your background to make the right clinical decision.
Step 2: Creating a Comprehensive Report
The doctor drafts a thorough clinical report. This paper is more than just a few words written in a prescription form. A typical after-hours report usually includes:
- Information about the patient, including the name, date of birth, and other identifiers.
- Time and Date of the Consultation: This creates the most accurate records.
- Reason for Consultation: Describe the health problem situation.
- Clinical Findings: the doctor's observations during the examination.
- Diagnosis or Assessment: the doctor's professional recognition of the issue.
- Treatment Plan: replete with any advice given, medication provided as a starter pack, or prescriptions issued.
- Follow-Up Recommendations: precise guidance on subsequent steps, e.g., whether to see your regular GP.
Step 3: Secure and Swift Transmission
The detailed report is also good news for your regular GP, as it is sent to them securely. It is certainly not sent by a regular, unsecured email. Healthcare providers use dedicated, encrypted messaging systems that comply with the stringent requirements of the Australian Privacy Act 1988. Thus, in most cases, this document reaches your regular GP's inbox before the clinic opens the next business day. Part of the visit process involves securely sharing consultation notes with your doctor the following morning. Also, check our service areas for availability.
Why This Communication is the Cornerstone of Patient Safety
Many people ask, "Do after-hours doctors share notes?" To understand why they do so is to acknowledge the safety net it provides fully.
1. Ensures Medication Safety and Accuracy
One of the most significant risks of divided care is the increased likelihood of medication errors. Your regular GP should be aware of all the medicines you are currently taking and any potential allergic reactions you may have. If an after-hours doctor writes you a new prescription, updating that information immediately will stop harmful drug interactions and ensure the official medication list is accurate. It is an essential preventive measure for adverse occurrences.
2. Maintains a Holistic Health Picture
Sometimes, a minor and somewhat acute problem is the first indicator of a significant underlying issue. Your regular GP, who knows your long-term health, family history, and lifestyle, is the best person to see these patterns. A report from an after-hours service regarding a rare abnormal symptom might be the final puzzle piece needed for a crucial diagnosis
3. Promotes Efficiency and Reduces Redundancy
Complete information about you received by your GP ensures they will not have to see you again for the same issue. Therefore, you will not have to undergo the same medical tests twice. Besides, they will not spend a follow-up appointment trying to figure out what happened; instead, they can immediately proceed with the next steps in your care. It is a great time- and resource-saver for you and the healthcare system.
When To Book a Follow-Up with Your Regular GP
After-hours GPS can only cover urgent, short-term issues in your life. Your regular GP knows everything about you and is the expert. Integrating after-hours care into your long-term personal health plan is, therefore, one of the primary reasons for follow-up visits. These are the most critical instances when it is crucial to schedule that subsequent appointment.
For Review of an Acute Issue
If the doctor on call has just helped you through your emergency and you are feeling great, it might be a good idea to see a follow-up visit with your regular doctor. They can physically assess your progress, rule out potential complications, and document the event in your permanent patient record. Infections or minor injuries are examples of the importance of such a visit, where the final check-up serves as a safety measure to ensure complete recovery.
For Management of Chronic Conditions
An acute illness related to an ongoing condition (such as asthma, diabetes, or heart disease) can significantly affect such a patient. The after-hours visit may have eased the situation, but your regular GP should evaluate how this event impacts your overall Chronic Disease Management Plan. They will decide whether you need to continue with the usual medications, if you need different ones, or if you need a new plan to avoid future problems.
To Discuss Referrals and Test Results
Sometimes the doctor refers you to a specialist or requests pathology tests (such as a blood test or a swab). While it sets the ball in motion, your regular GP will handle this. They can:
- Explain the results to you in the light of your medical history.
- Help you decide which specialist to see.
- Make sure the specialist has all the necessary information.
- Taking over the long-term care plan role once the specialist has given suggestions.
Refer to our FAQs page for more details.
Your Active Role in Maintaining Continuity of Care
Even though everything is set up so smoothly, you, the patient, are still the most important person to ensure the line of communication stays open. Being proactive is imperative.
Keeping Your Records Updated: The Foundation of Communication
This is the most crucial action you can take regarding communication.
- Provide Accurate GP Details: When arranging an after-hours service, you must provide your usual GP's details. The doctor's name, the clinic's name, and the location will be needed. It is crucial to have all this information ready and give it correctly. If the details are wrong, then the report may not be sent, leaving a gap in care that the system is designed to prevent.
- Reveal Your Health Background: Don't take it for granted that the after-hours doctor is already familiar with your history. Notify them about significant chronic health conditions, recent operations, allergies, or essential family history. The more background you give, the better care you will get.
- Be Proactive and Participate: You should feel empowered enough to ask the doctor on call, "Will my regular GP receive a report of this visit?" Doing so confirms the procedure and reassures you.
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9 min readFrequently Asked Questions
Yes, they do. After-hours GPs make a point of sending the consultation notes from your visit to your regular GP in a secure way so that your care can continue and remain well coordinated.
Sharing information between doctors helps eliminate the risk of incorrect medication, avoid unnecessary tests, and ensure complete health records, which will enable your GP to make better long-term decisions.
Definitely, a follow-up appointment should be scheduled if you have a chronic ailment, have been prescribed medication, or have been advised to get tests or see a specialist.
My Health Record is a place where essential health details, such as medications and allergies, are stored safely so that the doctor who attends to you after hours and your regular GP can view and even update them securely.
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Written By
Dr. Muhammad Mohsin, General Practitioner
MBBS, AMC
Dr. Muhammad Mohsin completed his studies from University of Health Sciences, Lahore Pakistan in 2008. He came to Australia in 2012 and has woked as a resident and GP in various hospitals and medical centres across Australia. He has a particular interest in men's health, travels medicine, chronic disease management, and general family medicine.