Jennifer Withey

“The free text box could be set up so that identified symptoms, where appropriate, could generate an automatic red flag. By way of illustration, a non- blanching rash could automatically justify immediate hospital admission by ambulance in a case of suspected meningitis. Similarly, in this case, where a number of sepsis indicators were present, a red flag could have been raised requiring the call adviser specifically to consider a sepsis pathway. This would act as a second level of security, the”

“is it possible to establish a single patient orientated pathway with a key performance indicator of, for example, 'patient to be seen within two hours' rather than two separate time limits for two or more organisations (here, 111 and Cornwall Health) which cumulatively introduces unnecessary and avoidable delay into the process.”