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Understanding the service use patterns of emergency department frequent attenders: could paediatric outreach be a solution?
  1. Duncan James Hockey1,
  2. Jonathan Fluxman2,
  3. Mando Watson3,
  4. Robert Klaber3
  1. 1 Department of Primary Care and Public Health, Imperial College London, London, UK
  2. 2 Harrow Road Health Centre, London, UK
  3. 3 Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK
  1. Correspondence to Dr Duncan James Hockey, Imperial GP Specialty Training, Department of Primary Care and Public Health, Imperial College London, Charing Cross Campus, Reynolds Building, London W6 8RP, UK; chockey{at}

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London has some of the highest rates of emergency department (ED) attendance in the country, and with visits increasing,1 there is a constant pressure to meet clinical quality indicators.

This study looks at frequent ED attenders and attempts to understand their patterns of service use. We hoped to explore whether with a more integrated approach to care, we might be able to target this cohort and reduce their ED attendance rates through community-based interventions.


We chose an inner London GP surgery which lies in an area of deprivation and high ethnic diversity, listed all attendances to the local paediatric ED from this practice over a year to identify the frequent attenders and then reviewed this cohort's GP contacts both within …

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