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GI Services

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

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GI Services

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  1. GI Services From Secondary to Primary Care

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

  3. 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 Benefits & Risks

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

  5. How? • GI Specialist Nurse • Pt self-management protocols • More regular contact between GPs & Consultants • Audit, Clinical Governance meetings

  6. First Steps • GI Specialist Nurse • Coeliac Disease • Immunotherapy Monitoring (Aza, 6-MP, Mtx, CyA)

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