So from an NHS perspective, general practitioner with special interest clinics look as if they are effective mainly in providing better access but will do this in a cost effective manner only if the increased capacity cannot be provided in hospital clinics. In terms of safety and clinical effectiveness, general practitioner with special interest services need to be set up in close collaboration with local specialists, who should provide ongoing training and education. This has not always been the case, and many general practitioners with special interests are not currently receiving nationally agreed levels of training.4.
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