Urology Guide for Commissioners

Developed by the Care Closer to Home Urology sub-group, this resource aims to provide guidance and information for commissioners to consider and use when commissioning services for people with urological conditions, in the community. It is also intended to provide information for clinicians and others who intend to provide urology services in the community.

This document was prepared with input from BAUS and the Association believes it encapsulates the principles its representatives put forward, namely - no specialist practitioner should work in isolation. The implication of this is that:

• A specialist [however defined] working in primary care must be part of, or affiliated to, the local Urology team for governance purposes [appraisal, CPD, recertification and revalidation].
• The leader of the Urology team must be a certificated Urologist [CCT or CESR holder] and on the specialist register of the GMC.
• GPwSI and extended role [nurse] practitioners [AHP] etc providing expert Urological care in the primary sector must be affiliated to the Urological team and have achieved proven urological competencies in their areas of practice.
• The Urological service in primary care must be Improving Outcomes Guidance (IOG) compliant (Improving Outcomes in Urological Cancers -The Manual, NICE 2002)
• Download the guidance and information for commissioners (PDF).