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Case report| Volume 65, ISSUE 7, P966-968, July 2012

The deleterious impact of primary care-based commissioning on plastic surgery services and patients

  • Z. Ahmad
    Correspondence
    Corresponding author. Tel.: +44 (0) 1782 552718; fax: +44 (0) 1782 553531.
    Affiliations
    Department of Plastic and Reconstructive Surgery, City General Hospital, University Hospitals North Staffordshire, Stoke on Trent, Staffordshire ST4 6QC, UK
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  • W. Kisku
    Affiliations
    Department of Plastic and Reconstructive Surgery, City General Hospital, University Hospitals North Staffordshire, Stoke on Trent, Staffordshire ST4 6QC, UK
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  • W. Jaffe
    Affiliations
    Department of Plastic and Reconstructive Surgery, City General Hospital, University Hospitals North Staffordshire, Stoke on Trent, Staffordshire ST4 6QC, UK
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Published:December 02, 2011DOI:https://doi.org/10.1016/j.bjps.2011.11.020
The deleterious impact of primary care-based commissioning on plastic surgery services and patients
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      Summary

      The wide variation in the availability of treatments across the National Health Service (NHS) in England has led to a postcode lottery due to the rationing of available services by individual Primary Care Trusts (PCTs). In 2005 an NHS Modernisation Agency document, “Action on Plastic Surgery” was designed to aid PCTs making funding decisions on Plastic Surgery patients. Despite this and evidence in the Plastic Surgery literature, patients continue to experience difficulties in the primary care setting accessing our services.

      Policy and procedure for the authorisation and management of individual funding requests. Stoke on Trent Primary Care Trust, http://www.medlaw.eu/pdf/Stoke.PCT.IFR.23.11.10.pdf.

      The authors present two patients who presented to their GPs requesting to seen by the local Plastic Surgery service regarding their symptoms in an effort to explore the possible available treatment modalities. These patients were not referred and subsequently these patients operated upon themselves leading to complications which warranted inpatient management.

      Keywords

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      Article info

      Publication history

      Published online: December 02, 2011
      Accepted: November 8, 2011
      Received: August 9, 2011

      Footnotes

      ☆This work has not been presented at any meetings to date wholly or in part.

      Identification

      DOI: https://doi.org/10.1016/j.bjps.2011.11.020

      Copyright

      © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.

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