The details of the service depend entirely on the location and type of service offered as listed above. Services may, for example, be located within a primary, secondary or non-statutory service, be direct access or through appointment, targeted or universal, gender or sexual orientation specific. The service configuration will depend on the needs of the PCO and other local factors. In all GPwSI services the caseload should be sufficient such that the GPwSI is able to exercise their generic skills and deal with the physical, psychological and social aspects of disease. The GPwSI should be able to demonstrate that their skills are actively used and audited, including evidence of.
