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Second, relying too heavily on specialised services favours the notion that trans patients comprise an exceptional subgroup, rather than a primary care population with a set of care needs that are not limited solely to medical transitioning.
It was also agreed that to do justice to the CRPD, the focus should be as much on requirements for changes in the environment as on specialised services offered to an individual child.
The aim of the meetings was to analyse the local authorities' capacity to efficiently manage social affairs and to reduce pressure on specialised services.
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Of note, while all parents included in the study indicated that their adolescent was not accessing specialised services at intake, a high proportion of these parents went on to acknowledge receipt of specialised services on the demographic survey.
Eventually, this split between the management of the physical network on one hand and the development and marketing of specialised services for it on the other is likely to be replicated in the telephone industry.Many of the new entrants come from other industries, and bring new ideas and ways of doing things.
NHS England said in a statement: "We will listen carefully to all consultation responses on these proposals, while recognising that providers of specialised services have enjoyed income increases of over £1bn over the past two years".
The Norwegian government has expanded the use of economic incentives and market mechanisms in the health sector, while still relying on GPs to filter access to a number of specialised services including both drug and non-drug treatments.
This results in a situation where very few (specialised) people need to cover an increasing range of specialised services related to particular technological products.
Here is an obvious gap between patients' needs and provision of specialised services.
The method of assessment may also vary depending on the setting, from screening questionnaires, or office-based clinical assessment, to referral to specialised services such as educational psychology or cardiology.
"There is a frequent misperception that trade-offs between universal coverage and timely access to specialised services are inevitable.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com