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GPSIs offer a special service

From Dr Turabali Maimoon, Birmingham

I read with a degree of dismay the article regarding new research claiming GPSIs provide no better care for diabetes patients than other GPs (News, 24 August). It is misinformation and misinterpretation to make a blanket statement about

GPSIs in all specialties.

If a GPSI has had the required extra training, has the support and backing of a consultant colleague in terms of clinical governance, and is

having his or her service regularly audited, then I and probably a lot of my GP colleagues would beg to differ. There is good backing for GPs in specialties such as ENT (my own). Treatment can never be the same as that offered by non-

GPSI colleagues because of the requirement of specialist equipment to offer this service. We offer good quality and value for money (my per patient cost ranges from 30-45 per cent of tariff rate) – a specialist service in a community setting.

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