Are GPs who specialise in dermatology effective?: High cost of general practitioners with special interests is a fallacy

doi:10.1136/bmj.332.7532.54-a

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Cornelius J Crowley, general practitioner principal (neil.crowley@gp-e85057.nhs.uk)

Queens Walk Surgery, London W5 1TP

Editor—The high cost of the service in the articles by Salisbury et al and Coast et al resulted from its failure to attract enough patients to make it economic.1 2 A proper, community based skin service relies on accuracy, speed, and a rapid reply to the referring general practitioner, as well as being embedded in the community. I set up such a service in Ealing in 2000, …