Specialist referrals (APCS)

Frequently asked questions

What are Advanced Primary Care Services?

Advanced Primary Care Services see a variety of patients needing specialist, but not hospital treatment, for particular health problems. These services have been developed using the skills of practitioners with special interests who are GPs, nurses, therapists and other health professionals who develop additional expertise which enables them to expand their clinical practice in a defined area. These advanced practitioners are able to diagnose, manage and treat more simple problems and procedures in primary care, so reducing the need for a referral into main hospital or consultant care.

Who are GPs with special interests?

They are GPs who supplement their core generalist role in a doctor's surgery by delivering an additional high-quality service to meet the needs of patients. They must

• Demonstrate appropriate levels of skill and competence to fulfil the role they are specialist in (probably a postgraduate diploma in the relevant field).
• Demonstrate a clear understanding of the key role being asked to fulfil. This is done through a vigorous process and accreditation with a local panel of professionals.
• Understand the appropriate clinical pathway.
• Understand and participate in the clinical network in relation to the clinical pathway.
• Set out commitment to on-going training, updates and education through appropriate appraisal and a personal development plan.
• Make appropriate indemnity arrangements.
• Make appropriate peer review and mentoring arrangements.
• Demonstrate how the role fits the existing portfolio.
• Provide evidence of professional registration and recognition on a Primary Care Trust performers list.