Minor Surgery Services at Swiss Cottage Surgery Referral Information for GP Practices There is evidence from within the UK and abroad that minor surgical procedures carried out by general practitioners in general practice premises have high levels of patient satisfaction and are highly cost-effective. The Directed Enhanced Service (DES) seeks to ensure that there is opportunity to provide the maximum appropriate range of minor surgery that can be safely provided in the primary care sector. Under this DES participating GPs require accreditation by NHS England (London Region), undergo 3-yearly re-accreditation, and practices will be required to declare compliance with the Essential Quality and Minor Surgery Requirements. Swiss Cottage Surgery provides a regular, long-established Minor Surgery Clinic, run by Dr Farzad Entikabi, and is also registered to provide this DES to other practices’ registered populations. Minor surgery procedures carried out include: Injections (muscles, tendons and joints) for conditions such as: Osteoarthritis Entheosopathies/Tendinitis Capsulitis Bursitis Tenosynovitis Compression (e.g. Carpal Tunnel/Tennis and Golfers elbow) Aspirations for diagnostic or therapeutic indications (e.g. Ganglion) Invasive procedures, including incisions and excisions for: Pigmented and vascular lesions where histology is required (excluding suspected melanomas) Lesions with atypical behaviour such as bleed or change in colour, where histology is required. These might include, for example, papilloma, dermatofibroma or seborrhoeic keratosis Lesions that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation Epidermoid cysts that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation Keratoacanthoma
Minor Surgery Services at Swiss Cottage Surgery Referral Information for GP Practices There is evidence from within the UK and abroad that minor surgical procedures carried out by general practitioners in general practice premises have high levels of patient satisfaction and are highly cost-effective. The Directed Enhanced Service (DES) seeks to ensure that there is opportunity to provide the maximum appropriate range of minor surgery that can be safely provided in the primary care sector. Under this DES participating GPs require accreditation by NHS England (London Region), undergo 3-yearly re-accreditation, and practices will be required to declare compliance with the Essential Quality and Minor Surgery Requirements. Swiss Cottage Surgery provides a regular, long-established Minor Surgery Clinic, run by Dr Farzad Entikabi, and is also registered to provide this DES to other practices’ registered populations. Minor surgery procedures carried out include: Injections (muscles, tendons and joints) for conditions such as: Osteoarthritis Entheosopathies/Tendinitis Capsulitis Bursitis Tenosynovitis Compression (e.g. Carpal Tunnel/Tennis and Golfers elbow) Aspirations for diagnostic or therapeutic indications (e.g. Ganglion) Invasive procedures, including incisions and excisions for: Pigmented and vascular lesions where histology is required (excluding suspected melanomas) Lesions with atypical behaviour such as bleed or change in colour, where histology is required. These might include, for example, papilloma, dermatofibroma or seborrhoeic keratosis Lesions that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation Epidermoid cysts that are symptomatic and/or have been inflamed on more than one occasion at the time of consultation Keratoacanthoma
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