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Independents' Day

Taking overview of GPSI cost

From Professor Chris Salisbury

Professor of primary health care

University of Bristol

Dr Davison is correct that our results are based on one study of one GPSI service in one specialty, so cannot necessarily be generalised to all other GPSI services. We were careful to make this point in the BMJ article.

But I think many people are assuming that GPSI services will be cheaper and our results mean that we should question this assumption.

Our comparisons were not with the tariff (although we

do mention the tariff as background in the


We compared the true total costs of care over nine months for patients referred to GPSI or hospital, including the costs of subsequent consultations, investigations, etc.

It is important to consider the true overall costs of GPSI services to the NHS, irrespective of which budgets these costs are coming from.

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