Notes to editors
The report is called Specialists in out-of-hospital settings: findings from six case studies.
The case studies are as follows:
- Portsmouth and South East Hampshire diabetes service
- Leeds interface geriatrician service
- Imperial child health general practice hubs
- Sunderland dermatology and minor surgery service
- Haywood rheumatology centre
- Whittington respiratory service
The research found examples of the following educational approaches that support the delivery of more complex care outside of hospital:
- outreach clinics jointly staffed by hospital consultants and other health care professionals in which benefits accrue beyond the patients seen in clinic, as GPs and others gain confidence to manage similar cases themselves in primary care
- consultant-run email and telephone helplines that provide advice for GPs, nurses and other health care professionals to enable them to better diagnose and treat patients in primary care or make more appropriate referrals
- consultant participation in multidisciplinary team (MDT) meetings, which brings specialist input into the management of patients in the community and facilitates joint learning
- consultant-run education sessions, for instance, one-to-one sessions for GP practices on topics of their choice, education sessions at MDT meetings, and education sessions for GPs and other health care professionals across a clinical commissioning group (CCG)
- consultants supporting staff to work in extended roles by leading intermediate care services that enable nurses and other health care professionals to run clinics that would elsewhere be staffed by doctors.