RT Journal Article SR Electronic T1 Specialist advice for primary care: an evaluation of a gastroenterology email advice service JF Future Hospital Journal JO Future Hosp J FD Royal College of Physicians SP 90 OP 93 DO 10.7861/futurehosp.3-2-90 VO 3 IS 2 A1 Alice L Fulton A1 Horace RT Williams A1 Jayshree Shah A1 Lucy Phillips A1 Jonathan Fluxman A1 Jonathan M Hoare YR 2016 UL http://www.rcpjournals.org/content/3/2/90.abstract AB Communication between primary and secondary care ­physicians is often unreliable and one sided in the form of clinic letters. Alternatively, general practitioners (GPs) may have difficulty contacting an on-call specialist via outdated hospital paging services. At Imperial College Healthcare NHS Trust, a gastroenterology email advice line was set up to promote dialogue and potentially help GPs deal with issues within their practices. The service has been evaluated both objectively through analysis of enquiries and subjectively through a ­survey of GPs’ views. Analysis showed a very high level of satisfaction among users of the service. There is also good evidence to suggest that the service has helped to streamline patient management and led to the avoidance of some outpatient appointments.