Adequate psychological care requires highly specialist skills and knowledge and in general should not be undertaken by local services in isolation from the MDT.
This lack of competence is devastating for childhood cancer care because it is a highly specialised area that demands specialist knowledge.
In the Westhill suburb of Aberdeen there are said to be more than 200 highly specialist subsea companies clustered together supplying their experience and knowledge and ingenuity not just to companies out there in the North Sea, but wherever in the world oil and gas is being looked for.
This study aimed to investigate the knowledge, attitudes, and practice of clinicians working within specialist and highly specialist Child and Adolescent Mental Health Services (CAMHS) relating to tobacco dependence, its treatment and its relation to mental disorder.
Highly qualified staff, such as degree-qualified educators, tend to promote quality through their specialist knowledge of early childhood education and professional practices (Sylva et al. 2004) and create workplace cultures that support high-quality programs through the ongoing development of pedagogical practices and support for the professional learning of all staff (Ryan and Whitebook 2012).
The latter requirement, that there be reliable indicators, is critical in any scheme to shift tasks from highly competent specialist medical personnel with in-depth knowledge to generalist health workers with limited specialist knowledge, experience, and equipment, while avoiding an unacceptable decrease in quality of care.
"The process sector can be a highly complex area to operate in but, thanks to this investment, Doosan Babcock will have the skillset and specialist knowledge to offer customers an integrated engineering and construction service that is unparalleled".
For over 10 years, she has worked with patients with acute and chronic gastrointestinal disorders e.g Crohn's disease, ulcerative colitis, dysmotility, short bowel syndrome, IBS etc. Her extensive knowledge and experience within intestinal failure and intravenous nutrition support (TPN) have led her into the highly specialist area of intestinal transplantation.
An in-depth knowledge of this field of medicine is currently only required by a small number of individuals working in highly specialist units.
But they are useless without specialist knowledge.
