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Nurse-led telephone advice

Martin Roland
Med J Aust 2002; 176 (3): . || doi: 10.5694/j.1326-5377.2002.tb04310.x
Published online: 4 February 2002

Australia is following North America, the United Kingdom and other developed countries in promoting the use of nurse-led telephone advice services. The core of these services is very similar — nurses follow computer-driven protocols to give advice about a wide range of problems, most of which relate to acute minor illness. In the UK, NHS Direct has been introduced by government to improve access to NHS services and NHS Direct advice is also available on the Internet.1 In this issue of the Journal , Turner and colleagues report for the first time the operation of a nurse-led telephone advice service in Australia, HealthDirect in Western Australia.2 The service has been widely used, with over 300 000 calls being received during the first two years of its operation.


  • National Primary Care Research and Development Centre, University of Manchester, Manchester, UK.


Correspondence: m.roland@man.ac.uk

  • 1. NHS Direct website <http://www.nhsdirect.nhs.uk>
  • 2. Turner VF, Bentley PJ, Hodgson SA, et al. Telephone triage in Western Australia. Med J Aust 2002; 176: 100-103. <eMJA full text>
  • 3. Jone J, Playforth MJ. The effect of the introduction of NHS Direct on requests for telephone advice from an accident and emergency department. Emerg Med J 2001; 18: 300-301.
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  • 11. Munro J, Nicholl J, O'Cathain A, Knowles E. Evaluation of NHS Direct first wave sites. First interim report. Sheffield: Medical Care Research Unit, University of Sheffield, 2000. Available at <http://www.shef.ac.uk/~scharr/fulltext.htm>
  • 12. Foster J, Jessop L, Dale J. Concerns and confidence of general practitioners in providing telephone consultations. Br J General Practice 1999; 49: 111-113.
  • 13. Christensen MB, Olesen F. Out of hours service in Denmark: evaluation five years after reform. BMJ 1998; 316: 1502-1505.

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