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Ingredients for a good GPSI service

From Dr Ken Menon

Ongar, Essex

I read with interest the article on GPSIs ( News, 1 June). My colleagues and I have recently completed doing the first 1,000 cases of vasectomy for a PCT. This service was migrated from the secondary care provider to the PCT and is provided for all the practices in the PCT.

An audit shows a low rate of complications, comparable with that in secondary care, and a significantly reduced waiting list.

The essential requirement for the successful tranfer into primary care is that a service must be, in its totality, as good or better than that provided in secondary care. Ingredients for a good service would be:

·A low rate of complications (infection, scarring), re-operation/salvage surgery, etc

·No undue delays in diagnosis

·Shorter waiting times

·Links to secondary care

·CME

·Regular audit to demonstrate improvement or maintenance of achieved high standards.

I believe the last of these ingredients is, by far, the most important.

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