Lum wrote:
If some or all services had a GP or nurse, and some free accomodation for those who they determine is genuinely unfit to drive then perhaps we could get ill people off the road rather than risk causing an accident through lack of attention or inability to correctly control the vehicle.
Interesting idea Lum. I'd agree with Homer that NHS Direct is a pretty good service and certainly a good number to keep handy. They can do more than you'd think. Definitely scope for advertising their number by the paracetamol in the shop.
Local Primary Care trust would be unlikely to physically site a doctor or nurse in a M/way services unless it could see real need/savings. Problems would be cost, not enough nurses/doctors to recruit, hooking up clinical IT systems, cost of administration. Could have local, unfit to drive, sick people driving on motorway to reach services if they don't like their doctor/want a 2nd opinion etc. Clinician might need to prescribe medication which causes drowsiness etc etc.
However, I'd advocate use of 'tele-medicine'. -Monitoring & diagnosis over internet. This is increasingly being set up for rural communities. You could have the kit set up at a services for that. It would be more focused on cardiac probs but this could limit arrests on the outside lane...