Box 1.

Benefits and challenges in setting up a respiratory specialist hotline for primary care

Benefits
  • Forges new connections with primary care and strengthens relationships, thus expanding clinical networks

  • Supports primary care clinicians with management plans for respiratory patients in the community

  • Enables timely, joined up and appropriate care to be delivered to the patient, leading to a better patient experience

  • Negates the need for a respiratory outpatient appointment or bridges the gap until the next respiratory review

  • Enhances flow of patients through appropriate care pathways in the community and in secondary care

  • Offers a novel way for respiratory trainees to develop their clinical decision-making, communication and specialist medicine skills

Challenges
  • Availability of respiratory specialists to staff the hotline (job planning)

  • Need to streamline information flow and appropriately manage time if service usage is high

  • Ensuring appropriate governance of the system, risk reporting and record keeping

  • Uncertainties when providing advice related to COVID-19 due to the rapidly evolving evidence