B. Hurwitz et al., Dialogue and interchange across the primary/secondary interface: piloting SpR secondment to a general practice diabetic clinic, CLIN MED, 1(5), 2001, pp. 374-377
The growing volume of diabetic care taking place in UK general practice and
pressure to unload hospital clinics are resulting in entirely separate pat
ient caseloads, in which structured care and monitoring of large numbers of
patients over many years can take place in one health care sector alone. I
n these circumstances, it is important to guard against the GIR service bec
oming educationally and clinically isolated from hospital diabetic clinic c
are and vice versa. Greater interplay of staff between health sectors could
serve as an antidote. Educational objectives for brief SpR secondment to g
eneral practice diabetic clinics were formulated and three month SpR second
ment to a central London practice clinic was set up and judged a success fo
r GP and SpR alike. This was followed by GP and consultant sitting in on ea
ch other's diabetic clinics, allowing each to appreciate similarities and d
ifferences in their clinic, case load and practice setting.