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Who and what are GPs with special interests

The NHS Plan set out the target of creating 1000 new General Practitioners with Special Interests (GPwSIs) and to improve access and convenience to primary care services which are delivered closer to patients' homes.

The appointment of GPwSIs should become more rigorous by March 2009 with a formal system of accreditation and reaccreditation every 3 years. PCTs should establish accreditation boards. GPs will have to complete a education course ratified by the RCGP.

GPwSI accreditation requirements will include

  • Professional qualification
  • Supervised clinics
  • Support of appropriate specialist
  • Assessment of individual GPsSI service
  • Three year rolling assessment
  • Approval of PCT panel
  • GPsSIs expected to keep a prtfolio of evidence detailing courses and conferences attended

Many GP are not and don’t want to be accredited GPwSIs but do have a special interest, knowledge or practice responsibility for a specific topic and if you are willing to share your knowledge with other GPs we want to build an information resource for Bristol GPs. Please email contact@bristolgpsolutions.org.uk. We will run a matching service for local GPs.

Many PCTs already realise the benefits of GPwSIs but funding, recruiting, developing and managing the process are hurdles to implementing services. The benefits of GPwSIs, may be improved patient care, reduced strain on acute trusts and increased GP retention.

The NHS library has links and references about GPwSIs:
http://www.library.nhs.uk/healthmanagement/ViewResource.aspx?resID=31948

Practitioners with special interests
A Step by Step Guide to setting up a general practitioner with a special interest (GPwSI) service
http://www.natpact.nhs.uk

There is more information at the Dept of Health website about GPWSIs: http://www.dh.gov.uk/...

Association of Practitioners with Special Interests (APWSI) promotes the role and represent the interests of Practitioners with Special Interests at all levels, from local, regional and national. http://www.apwsi.co.uk/

These guidelines for PCTs and staff have been developed with the Royal College of GPs, providing more specific recommendations for GPwSIs, for a number of clinical specialities

Guidelines for clinical specialties

Guideline: Care for older people
Guideline: Child protection
Guideline: Coronary heart disease
Guideline: Dermatology
Guideline: Diabetes
Guideline: Drug misuse
Guideline: Echocardiography
Guideline: Emergency care
Guideline: ENT
Guideline: Epilepsy
Guideline: Headaches
Guideline: Mental health
Guideline: Musculoskeletal conditions
Guideline: Palliative care
Guideline: Respiratory medicine
Guideline: Sexual health

There have not been any new guidelines since 2003.

If you have any suggestions about how we can improve this section email them to contact@bristolgpsolutions.org.uk

We would like to hear from GpwSIs so that we can facilitate either local or national networks for GPwSIs


Terry Kemple is responsible for this page. It was last updated  and will be reviewed by 1/1/09.