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International Primary Care Association

Clinical Focus Volume 3 N2

Can Specialist General Practitioners provide an alternative to ENT specialists? A comparison of referrals and clinical management of patients between hospital and intermediate care clinics



To compare the referral patterns and clinical management of patients seen by GPwSIs with patients seen in traditional hospital ENT clinics.


A retrospective analysis of data from the clinical notes of 337 patients seen by GPwSIs in a primary care trust compared to a randomly selected sample from a neighbouring primary care trust seen by consultants or specialist registrars in hospital.


ENT clinics run by GPwSIs in ENT in a community intermediate treatment and diagnostic centre and traditional ENT outpatients clinics run by consultants from a teaching hospital secondary care trust.


337 patients from Bradford South & West PCT seen by GPwSIs and 338 patients from Bradford North Primary Care Trust seen by either a consultant or specialist registrar.

Main Outcome Measures:

Referral rates, clinical presentation and subsequent management of patients.

Additional Info

  • Authors: D Strachan, J Wright, E Warren, R Stephenson, D Rout, A McElligott, J Frewer & C Raine
  • Keywords: General Practitioners with a Special Interest (GPwSI) ENT; ENT Consultants; Clinical outcome; Intermediate Care Clinics
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Read 1276 times Last modified on Monday, 26 November 2012 10:45

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