title: Effect of NHS walk-in centre on local primary healthcare services: before and after observational study.
abstract: OBJECTIVE
  To assess the effect of an NHS walk-in centre on local primary and emergency healthcare services.
  
  
  METHODS
  Before and after observational study.
  
  
  METHODS
  Loughborough, which had an NHS walk-in centre, and Market Harborough, the control town.
  
  
  METHODS
  12 general practices.
  
  
  METHODS
  Mean daily rate of emergency general practitioner consultations, mean number of half days to the sixth bookable routine appointment, and attendance rates at out of hours services, minor injuries units, and accident and emergency departments.
  
  
  RESULTS
  The change between the before and after study periods was not significantly different in the two towns for daily rate of emergency general practice consultations (mean difference -0.02/1000 population, 95% confidence interval -0.75 to 0.71), the time to the sixth bookable routine appointment (-0.24 half-days, -1.85 to 1.37), and daily rate of attendances at out of hours services (0.07/1000 population, -0.06 to 0.19). However, attendance at the local minor injuries unit was significantly higher in Loughborough than Market Harborough (rate ratio 1.22, 1.12 to 1.33). Non-ambulance attendances at accident and emergency departments fell less in Loughborough than Market Harborough (rate ratio 1.17, 1.03 to 1.33).
  
  
  CONCLUSIONS
  The NHS walk-in centre did not greatly affect the workload of local general practitioners. However, the workload of the local minor injuries unit increased significantly, probably because it was in the same building as the walk-in centre.
authors.affiliation: Department of Epidemiology and Public Health, University of Leicester, Leicester LE1 6TP. rth4@leicester.ac.uk
authors.forename: Ronald T
authors.initials: RT
authors.lastname: Hsu
authors.forename: Paul C
authors.initials: PC
authors.lastname: Lambert
authors.forename: Mary
authors.initials: M
authors.lastname: Dixon-Woods
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Kurinczuk
mesh_terms: D039602:After-Hours Care / Q000706:statistics & numerical data; D000553:Ambulatory Care / Q000706:statistics & numerical data; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D001071:Appointments and Schedules; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D005194:Family Practice / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006801:Humans; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D011446:Prospective Studies; D013222:State Medicine / Q000706:statistics & numerical data