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General practitioners with special interests: implications for clinical governance

Clare Gerada

The appointment of general practitioners with special interests (GPwSIs) is an important element of health service policy in the UK. Primary care organisations (PCOs) need a framework for addressing the quality and standards issues raisedby the design of new services delivered by GPwSIs. Important issues such as patient safety, accreditation, quality assurance, and maintaining competence are raised. This article suggests a framework that PCOs can use for addressing these concerns and ensuring that the clinical governance obligations of GPwSIs are discharged.