"Imagine just-in-time deliveries of rare medicines to specialist clinics or even direct delivery of doses to chronic patients periodically, " Mr Simons says.

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More than 40 women have been seen in specialist clinics following a review into the work of a consultant obstetrician and gynaecologist who was suspended at Cornwall's main hospital.

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However, the numbers currently being treated in specialist clinics are just a "drop in the ocean, " given the millions of Indians with little or no access to health care, according to Gulrez Shah Azhar, a senior lecturer at the Indian Institute of Public Health in Gandhinagar.

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Ministers - and many doctors - argue these conditions could be better managed in community settings by encouraging GPs to set up specialist services or hospital consultants to run clinics in the community.

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She said allergy care had "firm foundations" with more than 90 allergy clinics operating in England and more money was being made available to increase specialist allergy training posts to build on that.

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These clinics will ensure that people suspected of suffering from angina can be assessed by a specialist within two weeks of referral by a GP.

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