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The conflict between specialist diabetes services and acute-general internal medicine for consultant diabetologists in the UK in 2006

The conflict between specialist diabetes services and acute-general internal medicine for consultant diabetologists in the UK in 2006
The conflict between specialist diabetes services and acute-general internal medicine for consultant diabetologists in the UK in 2006
An online survey of consultant diabetologists in the UK examined the interface between specialist services and acute-general internal medicine (acute-GIM). Out of 592 consultants, 289 (49%) responded. Of these, 94% contributed to acute-GIM, devoting equivalent time to acute-GIM and specialist diabetes services. Of the respondents, 10% provided a single-handed specialist service and 78% provided endocrine services. The survey found the input to acute-GIM was increasing, partly because other specialties were opting out. The increased commitment to acute-GIM compromised specialist diabetes activity through reduced consultant and training-grade time for outpatient activity and service development. The shift to primary care of chronic disease led to further conflict between acute-GIM and delivery of a specialist service, given the current systems for provision of consultant-led care. The large number of specialist trainees in diabetes and endocrinology will require innovative commissioning mechanisms that reflect the need to sustain and develop specialist diabetes and endocrine care in the appropriate settings as well as the continued input in acute trusts for acute-GIM
chronic disease, development, consultant physicians, england, acute-general internal medicine, disease, diabetes, specialist training, endocrinology, system, editorial, community shift, activity
1470-2118
377-380
Winocour, Peter H
b836f92a-7a93-44d5-b89f-f019833ef6c0
Gosden, Charlotte
db164180-f3a9-4e09-8668-66be10d75abd
Walton, Chris
0da56e35-648d-49c6-bddf-b3782d2a0c41
Turner, Bridget
cf435084-93dd-4ecd-8bc0-5ffd30580c0c
Nagi, Dinesh
eb936d60-ece9-4ffc-9889-0b21be977712
Holt, Richard I.G
d54202e1-fcf6-4a17-a320-9f32d7024393
Winocour, Peter H
b836f92a-7a93-44d5-b89f-f019833ef6c0
Gosden, Charlotte
db164180-f3a9-4e09-8668-66be10d75abd
Walton, Chris
0da56e35-648d-49c6-bddf-b3782d2a0c41
Turner, Bridget
cf435084-93dd-4ecd-8bc0-5ffd30580c0c
Nagi, Dinesh
eb936d60-ece9-4ffc-9889-0b21be977712
Holt, Richard I.G
d54202e1-fcf6-4a17-a320-9f32d7024393

Winocour, Peter H, Gosden, Charlotte, Walton, Chris, Turner, Bridget, Nagi, Dinesh and Holt, Richard I.G (2008) The conflict between specialist diabetes services and acute-general internal medicine for consultant diabetologists in the UK in 2006. Clinical Medicine, 8 (4), 377-380.

Record type: Article

Abstract

An online survey of consultant diabetologists in the UK examined the interface between specialist services and acute-general internal medicine (acute-GIM). Out of 592 consultants, 289 (49%) responded. Of these, 94% contributed to acute-GIM, devoting equivalent time to acute-GIM and specialist diabetes services. Of the respondents, 10% provided a single-handed specialist service and 78% provided endocrine services. The survey found the input to acute-GIM was increasing, partly because other specialties were opting out. The increased commitment to acute-GIM compromised specialist diabetes activity through reduced consultant and training-grade time for outpatient activity and service development. The shift to primary care of chronic disease led to further conflict between acute-GIM and delivery of a specialist service, given the current systems for provision of consultant-led care. The large number of specialist trainees in diabetes and endocrinology will require innovative commissioning mechanisms that reflect the need to sustain and develop specialist diabetes and endocrine care in the appropriate settings as well as the continued input in acute trusts for acute-GIM

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More information

Published date: August 2008
Keywords: chronic disease, development, consultant physicians, england, acute-general internal medicine, disease, diabetes, specialist training, endocrinology, system, editorial, community shift, activity

Identifiers

Local EPrints ID: 70584
URI: http://eprints.soton.ac.uk/id/eprint/70584
ISSN: 1470-2118
PURE UUID: 9c11f225-58a1-48b8-b820-509fdf6d42ca
ORCID for Richard I.G Holt: ORCID iD orcid.org/0000-0001-8911-6744

Catalogue record

Date deposited: 10 Mar 2010
Last modified: 23 Jul 2022 01:48

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Contributors

Author: Peter H Winocour
Author: Charlotte Gosden
Author: Chris Walton
Author: Bridget Turner
Author: Dinesh Nagi

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