The purpose of this publication is to examine the implications of contemporary policy and organisational change for the future of general practice. The opening chapter sets modernisation in context. The next two chapters examine the historical roots of the current situation and the profession's response to current crises. The fourth ...
This book presents the reality of racism in today's NHS. It attempts to tackle the discrimination and injustice some people from minority ethnic groups working in the health service and particularly medicine currently endure. Using a range of anecdotal accounts, historical perspectives and research by contributors from culturally diverse backgrounds, ...
This report presents the findings from a two-year research project comprising six case studies of how primary care groups and trusts (primary care organisations, PCOs) are carrying out their health improvement role. It analyses: the approach taken by the six sites to health improvement, and the development of relevant strategies ...
This report presents the findings from the first phase of a two-year research project comprising six case studies of how primary care groups and trusts (PCG/Ts) are carrying out their health improvement role. Its purpose is to record the development of the health improvement role by the sites in their ...
Community-oriented primary care (COPC) is an approach to health care which combines the principles and skills of public health and family practice. It offers participants an action-oriented framework for working together on health needs at practice level. In 1992, the King's Fund, in association with other organisations, initiated a pilot ...
This guide explores the benefits of introducing community development health programmes. Using a community-oriented primary care approach (COPC), the guide explains how to use resources more effectively, set health goals and health programmes linked to local needs, identify those who most need health care, and support people's desire to take ...
This guide has been written for members of primary health care teams (PHCTs) where the team has decided to run a community -oriented primary care (COPC) programme on depression or anxiety. It is designed to assist at the two stages of detailed problem assessment and intervention planning. As a result ...
This discussion paper examines psychosocial provision in the community for dying people, and argues that the new-found commissioning powers of primary care trusts (PCTs) are the key to unlocking better, more integrated care. PCTs are now in the position to: strengthen clinical governance within the new N.I.C.E. guidelines; improve education ...
When it came to power in 1997 the Labour government committed to reducing health inequalities, and made extra funding available to those primary care trusts (PCTs) in areas of the country with the worst health and deprivation indicators (Spearhead areas). The General Medical Services contract introduced a pay-for-performance scheme known ...
Primary care trusts (PCTs) are struggling to deliver the demanding modernisation agenda set for them by ministers. In consequence, two new policy themes - stronger market incentives and the decentralisation of budgetary power - have been introduced to strengthen the commissioning role of PCTs. This discussion paper looks at how ...