Transcript Practitioners with Special Interests

Practitioners with
Special Interests GPSIs
The NHS Plan (July 2000) envisaged that
by 2004 ;
‘ upto 1000 specialist GPs will be taking referrals from
fellow GPs for conditions in specialities such as
ophthalmology , orthopaedics, dermatology and ear nose
and throat surgery,. They will also be able to undertake
diagnostic procedures such as endoscopy’ (ch 12
,para.7
Improvement, Expansion and Reform :
Priorities and Planning Framework 1003-2006
(Oct 2002) states that by 2006 there will be an
increase in:
‘activity taking place in primary and community settings
to contribute to the national assumption that at least one
million more outpatient appointments ( around 10%) take
place in the community rather than the hospital ‘
Two broad categories of activities that may be
undertaken by GPwSIs :
Delivering a clinical service
Undertaking of procedures
The Big Idea
Allowing GPs to deliver a clinical service
beyond the normal scope of general
practice ,undertake advanced procedures ,
or develop services
Increase the capacity of primary care to
undertake outpatient appointments
Reduce patient waiting times
Provide a more convenient service
Free up consultant time in secondary care
IMPLICATIONS
Expansion of the physical capacity in
primary care
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Premises
One-stop shops
Diagnostic and treatment centres
Which Specialties?
Care for older people
Child protection
Coronary heart disease
Dermatology
Diabetes
Drug misuse
Echocardiography
ENT
Epilepsy
Headaches
Mental health
Musculoskeletal conditions
Palliative care
Respiratory medicine
Sexual health
Guidelines
No particular training courses
DOH and RCGP framework
Process of accreditation by employer
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Determines the core competencies to deliver
the particular service, and the evidence
required to demonstrate that a GP has met
these competencies , and the criteria for their
maintenance .
Further Information
www.natpact.nhs.uk/specialinterests
www.doh.gov.uk/pricare