Volume 2 Issue 3 - 2007
The new guidance on accreditation for GPs with Special Interests (GPwSIs), published in April this year by the Department of Health1, has created quite a stir. Those not accredited under the new standards by March 2009 risk losing their title and their PCT contracts cancelled.2
Breast cancer remains a leading cause of mortality in women. Four in five new cases are diagnosed in women aged 50 and over, with the peak in the 50 to 64 age group.
Triple assessment is the gold standard method of assessing symptomatic breast lumps, consisting of history and examination, imaging and needle biopsy. The combined accuracy of the three components of triple assessment is greater than the accuracy of any of the individual components.
Dermatology is a high volume specialty with enormous unmet need in the community. General Practitioners with a Special Interest (GPwSIs) can play a valuable role in improving access to appropriate advice and treatment for many patients with skin disease. This article describes the key clinical governance and management issues to set up an effective service. A considerable commitment from the GPs, the local dermatologists and the management is needed if the service is to reach its full potential.