What proportion of adult allergy referrals to secondary care could be dealt with in primary care by a GP with special interest?

Clinical and Translational Allergy
H E SmithA J Frew

Abstract

The concept of a General Practitioner with Special Interest (GPwSI) was first proposed in the 2000 National Health Service Plan, as a way of providing specialised treatment closer to the patient's home and reducing hospital waiting times. Given the patchy and inadequate provision of allergy services in the UK the introduction of GPwSIs might reduce the pressure on existing specialist services. This study assessed what proportion of referrals to a specialist allergy clinic could be managed in a GPwSI allergy service with a predefined range of facilities and expertise (accurate diagnosis and management of allergy; skin prick testing; provision of advice on allergen avoidance; ability to assess suitability for desensitisation). 100 consecutive GP referrals to a hospital allergy clinic were reviewed to determine whether patients could be seen in a community-based clinic led by a general practitioner with special interest (GPwSI) allergy. The documentation relating to each referral was independently assessed by three allergy specialists. The referrals were judged initially on the referral letter alone and then re-assessed with the benefit of information summarised in the clinic letter, to determine whether appropriate triage decisio...Continue Reading

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References

Aug 13, 2002·Journal of Health Services Research & Policy·John Powell
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Dec 13, 2005·BMJ : British Medical Journal·Joanna CoastChris Salisbury
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Citations

Nov 18, 2015·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Tomide IsinkayeHelen Smith
Dec 8, 2019·NPJ Primary Care Respiratory Medicine·Margaret KelmanAziz Sheikh
Jun 7, 2018·Clinical and Translational Allergy·Bertine M J Flokstra-de BlokAnthony E J Dubois
Jan 3, 2021·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·Gillian VanceJudith Holloway

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GPwSI

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