Practitioners with Special Interests GPSIs

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Practitioners with Special Interests GPSIs
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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

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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

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Two broad categories of activities that may be
undertaken by GPwSIs

• Delivering a clinical service
• Undertaking of procedures

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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

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IMPLICATIONS

• Expansion of the physical capacity in primary
  care
• Premises
• One-stop shops
• Diagnostic and treatment centres

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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

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Guidelines

• No particular training courses
• DOH and RCGP framework
• Process of accreditation by employer
• 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 .

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Further Information

• www.natpact.nhs.uk/specialinterests
• www.doh.gov.uk/pricare