Clinical advisors at NHS 111 improve accuracy for paediatric patients and their advice is more reliably followed: a retrospective observational cohort study
Paediatric patient journeys suggest triage by CHAs is less risk-averse and more accurate. Patients are more likely to avoid attending ED if advised to by a CHA. Callers who terminate a call early may typically represent the 'worried well'. CHAs may better identify these patients and discourage them from attending ED in prerecommendation conversation. This has implications for the cost-benefit balance of NHS 111 staffing.
Authors
- Tony Stone (ORCID: https://orcid.org/0000-0002-0167-3800)
- Jen Lewis (ORCID: https://orcid.org/0000-0002-3765-1566)
- Suzanne Mason (ORCID: https://orcid.org/0000-0002-1701-0577)
- Susan Croft (ORCID: https://orcid.org/0000-0003-4190-2599)
- Nicola Jay (ORCID: https://orcid.org/0000-0003-1388-192X)
- Richard Pilbery (ORCID: https://orcid.org/0000-0002-5797-9788)
- Rebecca Simpson (ORCID: https://orcid.org/0000-0003-1677-5938)
- Nicola Ennis
Institutions
- Nottinghamshire County Council (GB)
- Sheffield Teaching Hospitals NHS Foundation Trust (GB)
- Yorkshire Ambulance Service NHS Trust (GB)
- Sheffield Children's NHS Foundation Trust (GB)
- Nottingham Scientific (United Kingdom) (GB)
- University of Sheffield (GB)
Publication Details
- Journal
- Archives of Disease in Childhood
- Published
- 2025-10-22
- DOI
- https://doi.org/10.1136/archdischild-2025-328896
- Citations
- 1
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 2.25
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care