NHS in UK introduced nurse lead clinics and walk-in-centres all over UK in 2003 to help reduce patients consult doctors and waiting-time. The emergency out-of-care was also managed using nurses. Some experienced clinicians protested but their concerns were not addressed.
This resulted in increased number of avoidable death, complications, complaints, litigation and compensation payouts and loss of moral in hospitals and general practice.The number of children aged less than five years doubled since. This is said to be due to systematic failure of primary care and doctors are thinking of introducing a tool to help reduce hospitalisation.

The scandals have made people more anxious and worried and are said to be rushing to consult doctors in private clinics. This is one we think this is not a good idea and will increase in antibiotic abuse and colonise more people with superbugs.

In the past twenty years doctors encouraged patients to seek help early with a view to reduce complications. Unfortunately this has now undermined patient’s confidence and hence over dependence on their doctor.

Healthcare providers are thriving on theoretical illusion and have failed to deliver the care they promised.

We believe in practical reality and will help deliver the care we promised. The solution we have is simple and can be used by doctors and patients all over the world.

Serious illness do not present with different symptoms. Doctors do not diagnose illness based on observation.

Every doctors will strive hard to diagnose and treat illness early to prevent complications. Treating complications is difficult, increase cost and also affect family.

Diagnosing illness is often based on good history, proper clinical examination and their clinical acumen.

MAYA was developed based on clinical acumen. This is safe because we have used this method for almost thirty years and have never failed to diagnose rare and complicated illness.

This tool will help you to identify potentially serious illness early and so reduce wasted consultations.

By reducing visit to hospital and surgery we hope to reduce antibiotic abuse and cost of providing care. This we hope will bring in changes the way we manage emergency care in community and hospitals.

Offering antibiotics, investigations and treatment that are not necessary is un-ethical and so not in the interest of our profession.

Encouraging patients to visit doctors or hospitalisation will place vulnerable children or you at risk of hospital-aquired infections, medical errors, drug reactions and emotional trauma.

We have meticulously collected data, compiled a list of common symptoms that make patients anxious or visit emergency appointment.


When a patient describe the symptom for which you are seeking professional attention, you are also reporting the story of an illness as you remember .Srivatsa.KM; QHC, Vol 5; 2; 1996 .

If you believe to have a medical problem, you may be the one who rush to consult a doctor or a nurse without thinking about the cost nor about the time you waste.

This happens very often and some of you have raised concern about the quality of care because your expectation was not met.

Publication about healthcare advice seeking behaviour state patients with serious illness often find consulting a nurse better. These patients are often too scared to accept the diagnosis by a doctor and so delay consulting a doctor.

You must know most important duty of a doctorsis “Do No Harm”. At times this may be difficult for some people to accept because they assume antibiotics are essential to cure the illness. The advice or treatment suggested in the best in your interest is not what you expected and so you may be disappointed.


As children, our parents consulted a doctor when we were unwell and often treated with antibiotics. Unfortunately this has now conditioned us to believe we must take treatment when we are ill or think we are depending on doctors and nurses to reassure or treat you.

36% of people who access emergency care are  between 18-40 Years , and 26% are between 40-60 Years. These are educated, affluent people and are often not very ill.

Patients who demand antibiotics are also the educated and employed. This is because you are made to believe antibiotics were essential to kill the “germs” and also think you are spreading germs at work place.

It is often difficulat for doctors to educate “The Educated” and offer treatment that is not necessary. “Antibiotics will kill the good helpful germs”, resulting in you being colonised with “Antibiotic-Resistant Bacteria”.

Maya is designed not only to prevent pateints visiting a healthcare centre but also will encourage you to do so when the combination of symptoms are considered serious….


We created this tool to help reduce patients access emergency care or visit health care centres with some common symptoms. The tool was developed based on knowledge, experience and clinical acumen. The decision process is the ones we used to decide who needs hospital care who does not.

Receptionist  with no knowledge or training in managing healthcare could use the tool prioratise appointment. By organisng the appointment system better, the moral of staff and the trust of patients in the system is likely to increase and the patients would benifit.

Patients often accept advice from the receptionist or the chemist when they do not get an appointment. This can be detrimental to your health and so decided to release this as an app.

MAYA is the only tool developed to help differentiate well from unwell.

W e have seen how our tool help receptionists, nurses identify serious illness and offer the best solution. By simply providing the software, the number of patients consulting a doctor will reduce by 30%.

Saving NHS is not by demanding extra funds nor by industrial action but by helping to reduce access, DNAs, re-visits to consult another GP or go to A&E because of failed consultation.

2003 ©KMS | UK Patent GB10004457.6

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