Specialist referrals (APCS)

Who are we?

Advanced Primary Care Services (APCS) offer specialist care to a variety of patients that require further care for some specialist health problems but do not require hospital treatment. Patients will be seen by either consultants, specialist health care professionals or GPs with special interest in each speciality. Services are based in both Shropshire and Telford and Wrekin services.

Our services

We offer assessment and treatment of a range of conditions as well as advice and guidance on managing these conditions. Depending on the service you are referred to we are able to offer a variety of diagnostics and treatment services. Currently APCS are able to offer services in the following specialities:


Ear, Nose and Throat (ENT)


Sleep Apnoea Screening

The people we see

Within APCS we see patients with dermatological, gynaecological or Ear, Nose and Throat (ENT) problems who need further care but do not require hospital treatment. We also see patients who have sleep or snoring disorders and patients who have been considered as possibly suffering from sleep apnoea.

New patients

New patients can be referred into the service by GPs via referral through Choose and Book. We only accept referrals for adults aged 18 upwards with the exception of our Telford & Wrekin Dermatology and ENT services where we see all age groups.

Existing patients

Existing patients or patients previously seen within the APCS services can be referred back into the service in the same way as new patients. The same age restrictions apply as those for new patients.

Services we do not offer

We are unable to see patients who require hospital treatment which includes surgery.

What you should bring with you

On your initial assessment it is advised that you wear clothing appropriate for examination and bring a detailed list of any current medication.

Frequently asked questions

What are Advanced Primary Care Services?

Advanced Primary Care Services see a variety of patients needing specialist, but not hospital treatment, for particular health problems. These services have been developed using the skills of practitioners with special interests who are GPs, nurses, therapists and other health professionals who develop additional expertise which enables them to expand their clinical practice in a defined area. These advanced practitioners are able to diagnose, manage and treat more simple problems and procedures in primary care, so reducing the need for a referral into main hospital or consultant care.

Who are GPs with special interests?

They are GPs who supplement their core generalist role in a doctor's surgery by delivering an additional high-quality service to meet the needs of patients. They must

  • Demonstrate appropriate levels of skill and competence to fulfil the role they are specialist in (probably a postgraduate diploma in the relevant field).
  • Demonstrate a clear understanding of the key role being asked to fulfil. This is done through a vigorous process and accreditation with a local panel of professionals.
  • Understand the appropriate clinical pathway.
  • Understand and participate in the clinical network in relation to the clinical pathway.
  • Set out commitment to on-going training, updates and education through appropriate appraisal and a personal development plan.
  • Make appropriate indemnity arrangements.
  • Make appropriate peer review and mentoring arrangements.
  • Demonstrate how the role fits the existing portfolio.
  • Provide evidence of professional registration and recognition on a Primary Care Trust performers list.


Special Educational Needs and Disability (SEND) and our "Local Offer"

What is the Local Offer?

The local offer provides information for children and young people with special educational needs (SEND) and their parents or carers in a single place. You can find out more about information about this on our SEND reforms and Local Offers page.

SEND/Local Offer information

Full SEND and Local Offer details are located elsewhere:

How can families complain if they are not happy with the service?

All complaints are handled by our Patient Advice and Liaison Service (PALS) and Complaints teams.


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