Setting: Urgent and Emergency Care (NHS 111)

“I assessed a breathless patient over the phone who had significant palpitations and presyncope. I was almost certainly going to arrange an ambulance but then on accessing the shared care record it came to light he had a background of anxiety and was on propranolol. He hadn’t taken his medication that morning. I advised him to take it. I eventually called the patient back to reassess and he was symptom free. I was able to give him the best support and treatment and freed up an ambulance to treat patients elsewhere.”

Advanced Clinical Practitioner, South East London