A stitch in time? Minor surgery in general practice

Abstract

This paper describes a study of local evidence from 6 socioeconomically different areas of England about the development of minor surgery in general practice since the 1990 contract. The results are discussed in relation to a review of the literature on minor surgery in general practice. Evidence suggests that general practitioners in the study areas have taken up the minor surgery option with enthusiasm, indicated by the increased activity. Activity does, however, vary by area, with greater service provision being evident in the more affluent areas. Issues of concern remain, especially lack of appropriate skills and expertise, and research into the most effective teaching methods is urgently needed. Issues of quality and effectiveness have still to be addressed. Local audit is necessary to ensure that increased activity leads to improved patient care.minor surgery