GI Services

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GI Services From Secondary to Primary Care

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GI Services. From Secondary to Primary Care. National & Local Strategy. 3 years (10 years!!!) Money (& People) into Primary Care Benefits & Risks What conditions?. Better for Pts – easier access Cheaper Frees up acute Trust time for seriously ill pts. Expensive - PowerPoint PPT Presentation

Transcript of GI Services

Page 1: GI Services

GI Services

From Secondary to Primary Care

Page 2: GI Services

National & Local Strategy 3 years (10 years!!!) Money (& People) into Primary Care Benefits & Risks What conditions?

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Benefits & Risks Better for Pts –

easier access Cheaper Frees up acute

Trust time for seriously ill pts

Expensive Loss of income

with PBR/PBC means Hospitals destabilised

Reduced training for Drs (& nurses)

Time-consuming

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What Conditions ? Coeliac Disease (1% population) Stable IBD (L. sided) IBD immunotherapy Stable Liver Disease (PBC, NAFLD) ……..Alcohol – Related Liver Disease

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How? GI Specialist Nurse Pt self-management protocols More regular contact between GPs &

Consultants Audit, Clinical Governance meetings

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First Steps GI Specialist Nurse Coeliac Disease Immunotherapy Monitoring (Aza, 6-

MP, Mtx, CyA)