Response to requests for general practice out of hours: geographical analysis in north west England

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Abstract
The setting for this study was a town of about 130 000 in the north west of England, with an economy based on traditional manufacturing industries, commerce, and administration. Out of hours primary care services were provided by a single cooperative of 116 general practitioners operating from a primary care centre located in the town centre, serving a total population of 230 000 patients in the town and surrounding suburban and rural areas. The cooperative received about 25 000 calls per year, which were triaged by an on call general practitioner in the primary care centre to receive a home visit (from a second mobile on call doctor), to attend the primary care centre, or to receive telephone advice only.

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