GI Physiology Part 1: Metabolic Pathways Part 2: GI Physiology Part 3: GI Disorders 1.
GI Services
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![Page 1: GI Services](https://reader036.fdocuments.in/reader036/viewer/2022082817/56812a44550346895d8d76d8/html5/thumbnails/1.jpg)
GI Services
From Secondary to Primary Care
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National & Local Strategy 3 years (10 years!!!) Money (& People) into Primary Care Benefits & Risks What conditions?
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Benefits & Risks Better for Pts –
easier access Cheaper Frees up acute
Trust time for seriously ill pts
Expensive Loss of income
with PBR/PBC means Hospitals destabilised
Reduced training for Drs (& nurses)
Time-consuming
![Page 4: GI Services](https://reader036.fdocuments.in/reader036/viewer/2022082817/56812a44550346895d8d76d8/html5/thumbnails/4.jpg)
What Conditions ? Coeliac Disease (1% population) Stable IBD (L. sided) IBD immunotherapy Stable Liver Disease (PBC, NAFLD) ……..Alcohol – Related Liver Disease
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How? GI Specialist Nurse Pt self-management protocols More regular contact between GPs &
Consultants Audit, Clinical Governance meetings
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First Steps GI Specialist Nurse Coeliac Disease Immunotherapy Monitoring (Aza, 6-
MP, Mtx, CyA)