Even though out-of-hours in the UK is managed by PCTs, the whole concept is run on a money-making model rather than a caring one.
If out-of-hours was based the previous system, where patients were looked after by their own GPs forming small groups, this gentleman's life might not have been in danger.
Having worked in out-of-hours I can share some experiences. There are some out-of-hours organisations that actively discourage face-to-face consultation.
I think the whole structure should change and we must take out its commercial aspect.
Dr Ayakannu Kandiah, GP, Swindon