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6 7 Although UK-specific data is lacking, international studies suggest that GP practices that performed more community surgery had a lower referral rate to secondary hospital care for some procedures.
These specialists may form a significant part of any future community surgical training resource, but as they do not form part of this data, this section of community surgery providers cannot be commented on.
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A spokesman for Celtique Energie said it would be hosting the first of regular community surgeries in the area later this month to discuss its proposals in detail and answer questions.
Eight paired clusters of villages were randomised to community or village-based surgery (86 participants) or health centre-based surgery (72 participants).
Additional recruitment will occur from community orthopaedic surgery practices located in Tennessee and Kentucky.
The doctors will be mainly focused on weekends when community GP surgeries are closed.
Community-based surgery when compared to health centres increased uptake with comparable outcomes.
At two years 185/593 (31%) of individuals who were still epilating accepted the offer of free community-based surgery.
The cost of travel was significantly less in the clusters randomised to community-based surgery (difference between means 10.5 Dalasi, 95% CI 6.07 to 14.93).
All 14 community GP surgeries in the area served by the University Hospital of North Norway (UNN) Harstad were randomised to the intervention or control group.
28 With regard to audit of outcomes, the community-based surgery outcomes audit (http://www.hscic.gov.uk/cbsa) opened in 2013 as a voluntary tool to support accreditation, and to 'support re-accreditation, appraisal, revalidation and local contracting'.
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