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Practices to provide plastic surgery under CCG rewrite of DES

A CCG has revamped the existing minor surgery DES to include all minor plastic surgery procedures, under a scheme that will see practices take on more specialist care in the community.

The initiative, developed under new co-commissioning powers by NHS Chorley and South Ribble CCG and NHS Greater Preston CCG, is designed to save £500k and will see practices with the facilities take on plastic surgery that is usually provided in hospital.

GPs from any surgery will be able to refer their patients to the service at a neighbouring practice, if they need to.

Payments under the DES will be doubled for plastic surgery techniques as ‘minor plastics procedures are more complicated and will usually require more time than a usual minor surgery procedure’.

A spokesperson for the CCGs across Chorley, South Ribble and Greater Preston said: ‘’This will create more choice for patients as currently there are only a small number of practices providing this service across the locality, meaning patients are resorting to secondary care.

‘We tested the appetite for this among local GPs, and the majority responded that they would be happy to see patients who are registered with other practices.’

The spokesperson added: ‘A number of our GPs have previously been subcontracted by our acute provider for minor plastics procedures and approached the CCG about including this element in the local commissioned service. We have worked collaboratively with all stakeholders and have agreed that this element, following further development can be incorporated in to the local commissioned service.’

Readers' comments (6)

  • Vinci Ho

    With the right amount of expertise in community
    With the right amount of funding
    Why not?
    But can NHS really afford 'minor plastic procedures'???

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  • Or how about just stop funding these cosmetic procedures completely , unless there is a real clinical need, then reality is it should be done in hospital. This will save loads more money

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  • no my MDU bill is high enough already thank you very much

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  • Plastics = flaps and grafts, not cosmetic low priority procedures I think.

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  • I am very sorry, but if I or any member of my family required plastic surgery,I would insist that it is performed by a proper plastic surgeon with an FRCS (Plastic Surgery) and not some Johnny come lately.
    I thought that general practitioners were so hard pressed that they could not keep up with their current workload without having to take on any extra work like minor plastic surgery (whatever that may be).
    And what about the epidemic of dog bites (especially of the face) in children which present at hospitals, often out of normal working hours where they are often managed by plastic surgeons, if operations are required. Are these minor? Are they going to be referred to these general practices, even out-of-hours.? Or are we talking about minor cosmetic
    procedures (Botox/Dermal filers etc). At the moment the market in cosmetic surgery and aesthetic medicine is unregulated with an estimated 4,000 providers in the UK. Might I humbly suggest that general practitioners stick to what they are good at,especially with the intolerable workloads they have to endure.

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  • If low priority procedures encompass skin lesions which cause mechanical symptoms and functional deficit in some CCGs I think that cosmetic indications would be very unlikely. The new process of credentialling will also stop the Johnnies referred to in our learned Consultant's posting from jumping on a (very small) bandwagon. I think that in this day and age, we all know the limitations of our capacity and capabilities. What this does celebrate is that, as GPs, our careers can be as portfolio as we plan. Yes, our families deserve the procedures which are appropriate, necessary, carried out by a suitably trained person, in the right place for the right price. Not all of this needs to be in secondary care. Consultants can also be employed by practices and are in some centres. The landscape is changing.

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