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Don't drag GPSIs into this

Hang on, there seems to be a blurring of distinctions between GPs who carry out minor surgery as part of their in-house DES and GPSIs who carry out more complex procedures and take referrals from other practices.

With wide variation between English PCTs in their interpretation of the eligibility criteria in the DES specifications after the abolition of the Red Book, and no national standard for CME requirement, patients have little guarantee that their GP is competent at taking away their basal cell carcinoma.

It is unclear whether this debate is about GP minor surgery or GPSI minor surgery, which is a different ball game altogether. With the microscope on GP minor surgery and PCTs starting to enforce accreditation for the minor surgery DES, it is unhelpful to drag non-GPSIs into this argument.

Once we have national reaccreditation for the DES providers then we can argue that GPs and GPSIs have gone through a certification of competence to allow confidence in all procedures. Would you trust just any GP to cut out your basal cell carcinoma?

Dr Soon Lim, Bushey, Hertfordshire

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