Background
Patients presenting in person to the practice may be found to need hospital admission. They may either collapse whilst in our service or present with worsening symptoms of an existing illness or condition. We have experienced some scenarios where an ambulance has been requested but does not arrive until after our closing time. There is less clinical support available after closing time which poses a risk to the clinician and the patient. The service only has access to the building between 8am and 8pm, outside which the NHSPS caretaker is unavailable, and the building should be closed.