Reducing reattendance at a GP surgery co-located with an A&E

INTERVENTION: Control arm: no letter Intervention arm: a letter and leaflet sent from the A&E‐sited GP service to the patient shortly after attendance suggesting alternative local services which may be more appropriate in the future CONDITION: Non‐urgent re‐attendance at an on‐site GP at an A&E in Medway ; Not Applicable PRIMARY OUTCOME: Re‐attendance (yes/no binary outcome) within the 6 months following their initial attendance. This data will be extracted from routine healthcare data collected by the GP surgery MedOCC. Data collectors will look at individual patient records and count the number of attendances recorded at MedOCC in the 6 months following each patient’s initial attendance (i.e., when they were recruited into the study). Data will be extracted for each patient individually by running manual searches once per patient at the 6‐month point (182 days after initial admission). A binary outcome (reattended? Yes/no) will be derived from the number of attendances in this 6‐month period. SECONDARY OUTCOME: 1. Mean number of re‐attendances within the 6 months following initial attendance, comparing control and intervention groups (data extracted in the same way as above); 2. Primary and secondary outcomes will be analysed for an interaction with sex, deprivation (using first half of postcode as proxy) and age INCLUSION CRITERIA: 1. All ages 2. All genders 3. Referred to MedOCC (on‐site GP) from A&E only during period of intervention