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Failure to maintain patient access to GUM clinics
  1. A S Menon-Johansson,
  2. D A Hawkins,
  3. S Mandalia,
  4. S E Barton,
  5. F C Boag
  1. Chelsea and Westminster Healthcare NHS Trust, London, UK
  1. Correspondence to:
 Dr A S Menon-Johansson
 Chelsea and Westminster Healthcare NHS Trust, London, UK;

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We read with interest the article published by Cassell et al1 about the maintenance of patient access to genitourinary medicine (GUM) clinics following a switch to an appointment based system. Their data show no significant change in the age, ethnic mix, symptom status, and disease mix following the change to appointments. In addition, such a system of 35% prebooked appointments produced an increase in the number of patients seen over that time.

A new appointment based system was introduced at the John Hunter genitourinary medicine clinic at the Chelsea and Westminster Hospital in October 2001. This comprised 80% of appointments which were prebooked …

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