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. 2017 Nov 22;7(11):e016901. doi: 10.1136/bmjopen-2017-016901

Table 4.

Average cost of all initial primary care actions in response to an e-consultation*

All initial response actions n % All e-consultations (n=482) Average cost per e-consultation
GP face-to-face appointments 186 39 £12.73
GP telephone calls 187 39 £7.76
Nurse face-to-face contacts† 70 15 £1.76
Nurse telephone appointments 0 0 £0.00
Prescriptions 151 31 £1.25
Fit notes 31 6 £0.37
Routine referral letters 56 12 £0.67
2-Week wait referral letters 10 2 £0.12
GP given advice by email 125 26 £0.00
Other GP actions 108 22 £0.00
Unknown GP actions 15 3 £0.00
GP-led triage cost £11.60
Average cost of e-consultation £36.28

*Staff time collected from individual patient data from eight practices participating in the audit. Triage time of 5 min per e-consultation was assumed based on responses in our companion qualitative study. Staff time valued using 2015 unit costs for health and social care (Curtis and Burns, PSSRU).

†Includes treatment room and tests.

GP, general practitioner.