Primary and acute care

Tele triage expert witnesses

Listed tele triage expert witnesses address assessment and disposition decisions made by telephone or video, where the clinician cannot examine the patient. The standard applied accounts for that limitation rather than assuming the information available face to face.

Clinician conducting a remote video consultation, the assessment tele triage expert witnesses review

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The evidence

What a tele triage expert witness is asked to determine

Remote assessment evidence rests on the call record, any triage algorithm used, the disposition reached and the advice given. Where a recording or transcript exists it usually carries more weight than the summary entered afterwards.

  • Whether the questions asked were sufficient to identify the red-flag features relevant to the presentation.
  • Whether the triage tool or algorithm was applied as designed, and whether any override was justified and recorded.
  • Whether the disposition reached matched the answers given during the call.
  • Whether safety-netting advice was given, understood and documented.
  • Whether the limitations of remote assessment should have prompted a face-to-face review.

Practitioners are listed across all four UK nations. Location can be narrowed in the register’s location listings before an instruction is made.

Report routes

Reports prepared

Call records, algorithm outputs and any recording support a records review report without examination. A breach and causation report then addresses whether an identified departure altered the outcome.

Where the matter proceeds to the clinical consequence of a delayed presentation, evidence from the treating specialty is normally required as well. The report pages state what each route addresses.

Tele triage expert witness evidence

A telephone triage expert witness assesses the call against the information the clinician could obtain remotely, and states whether the disposition reached was open to a competent assessor.

Discipline and location are shown in the listing, and the enquiry is made with the practitioner. See the Royal College of Nursing alongside the case material.

2,412 practitioners138 disciplinesFour UK nations

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