Consultant physicians working with patients - Royal College of ...
Consultant physicians working with patients - Royal College of ...
Consultant physicians working with patients - Royal College of ...
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2 Specialties Diabetes and endocrinologyTable 2 Example <strong>of</strong> a consultant work programmeProgrammedActivity Workload activities (PAs)Direct clinical careWard rounds, referrals, on call 20–25 <strong>patients</strong> 1–3.5Outpatient clinicsDiabetes 4 new and 6 follow-up or 12 follow-up <strong>patients</strong> 1–4.5Endocrinology 4 new and 8 follow-up or 16 follow-up <strong>patients</strong> 0.5–3.5Specialist clinics: diabetes and endocrinology 8 new/follow-up <strong>patients</strong> 1Patient-related and supporting clinical administration 1.5–2.5Patient education, health pr<strong>of</strong>essional education andcommunity support1Total number <strong>of</strong> direct clinical care PAs on average 7.5Supporting pr<strong>of</strong>essional activities (SPAs)Service management: trust and networkWork to maintain and improve the quality <strong>of</strong> healthcareOther NHS responsibilitiesDepartmental management and servicedevelopmentEducation and training, appraisal, audit andclinical governance, continuing pr<strong>of</strong>essionaldevelopment and revalidation,and researchFor example, medical director, clinical director,lead consultant in specialty, clinical tutor <strong>with</strong>trust1.51Local agreement8 Key documents for commissioning diabetesservices are Commissioning diabetes <strong>with</strong>out walls 3and Commissioning specialist diabetes services foradults <strong>with</strong> diabetes. 49 Demand for endocrine services in secondary care isalso increasing, especially <strong>with</strong> regard to thyroiddisease.10 Complex endocrine disease may need relativelyexpensive investigation and treatment (eg growthhormone, octreotide, tolvaptan and cinacalcet),<strong>with</strong> specialist services being commissionednationally (www.specialisedservices.nhs.uk).References1 NHS Institute for Innovation and Improvement.Inpatient care for people <strong>with</strong> diabetes, 2008.www.institute.nhs.uk2 Diabetes UK, <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians. The DiabetesUK/RCP diabetes and endocrinology national manpowerreport 2012. London: Diabetes UK, 2012.3 NHS Diabetes. Commissioning diabetes <strong>with</strong>out walls.2009. www.diabetes.nhs.uk4 Diabetes UK. Commissioning specialist diabetes servicesfor adults <strong>with</strong> diabetes. 2010. www.diabetes.org.ukC○ <strong>Royal</strong> <strong>College</strong> <strong>of</strong> Physicians 2013 97
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