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International Primary Care Association

Clinical Focus Volume 3 N1

Volume 3 Issue 1 - 2008

The medical profession is rarely out of the media. The government over the last few years has used the re-negotiated GP contract, to which they were signatories as a mechanism for driving future policy. The matter at present being that, GPs are now very well paid and therefore additional work and services can be implemented with or without agreement. This has led to the stand off on extended hours for GP surgeries, with the BMA essentially opposed to the terms on the table and the government indicating, no alternative option on implementation of the added services.


General Practitioner with Special Interest (GPwSI) is one of the pledges made by the Government to formalise the role of specialists in Primary Care to minimise hospital referrals and take pressure off secondary care. Although, there are guidelines for appointment of GPwSI in clinical areas there are none available for GPwSI in Public Health. In this article we describe the Walsall experience and highlight the role of GPwSI in public health by describing some of the work done by them in certain key areas of public health practice. This article describes the benefits of having GPwSI in public health, the challenges faced in commissioning GPwSIs in public health practice and makes recommendations for popularising them, including methods for accreditation.


Acupuncture is a safe treatment option available to healthcare professionals. It is often used for pain management and the treatment of nausea. There is no single model to explain its mode of action and until recently, an adequate control needle was unavailable. This article describes the impact of acupuncture on the NHS and the effect it has had me as a general practitioner, as an enhanced (PMS+) service provider and as a GPSI in musculoskeletal medicine.


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International Primary Care Association
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