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PJ Online homeThe Pharmaceutical Journal
Vol 276 No 7392 p311
18 March 2006

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Strategy launched for care of patients with GI disorders

A blueprint to provide a strategy for the future care of patients with gastrointestinal disorders has been drawn up by the British Society of Gastroenterology (PDF 370K).

“Care of patients with gastrointestinal disorders in the UK: A strategy for the future” was launched on 14 March. The report says that without a clear plan, the development of GI services will continue to be “fragmentary, reactive and driven by uncoordinated Government initiatives, potentially to the disadvantage of the service overall”.

The report calls for a multidisciplinary approach and will be used to negotiate improvements throughout the service. An “overwhelming finding” of the report is the lack of good research or evaluation relating to initiatives in service delivery.

Tony Morris from the Royal Liverpool Hospital said: “Training ‘all round’ gastroenterologists is no longer a sustainable option in the long term. Proposed progression to sub-specialty training could include three or four of the following: luminal gastroenterology, hepatology, advanced therapeutic endoscopy or academic gastroenterology in addition to an initial basic training in general gastroenterology.” He warned: “There is an acute shortage of GI radiologists and this critical manpower issue needs addressing urgently.”

The BSG is also angry at the Government’s failure to honour its promise of introducing a national bowel cancer screening programme from April (PJ, 6 August 2005, p156).

Professor Morris commented: “Things are just not in place; people have not been trained and the promised money has not been released. We just don’t know when this programme will start. Perhaps someone should ask the Government what is going on.”

It has been estimated that the total non-NHS cost to the UK economy of illness or death from GI disease is £7.8bn a year, while total hospital costs for GI disorders are £1.4bn a year. Drugs for the 60 million prescriptions are costing £802m a year and the price of GP consultations is put at £136m per annum.

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