This workshop explored the approaches developed by five NHS general practices who are learning from their patients and communities to develop resources which provide new health creating options. Human considerations are kept to the fore, teamwork and an active partnership with patients are encouraged and a wide range of integrated ...
Reorientating the NHS to be both needs led and responsive to users has to be a joint endeavour for both commissioners and providers. A new synthesis is required to combine the best of personal patient care with a focus on population health. The King's Fund has recognised community oriented primary ...
Following on from the King's Fund London initiative in 1992 the authors investigated the extent to which acute services in London have moved from hospital into primary or community care. This article considers the extent of movement away from traditional acute care in hospital into the following settings: general practice; ...
The purpose of this document is to take the debate and practice concerning the situation of Black people who are diagnosed as suffering from mental illness beyond the point of counting heads, and instead to focus more on acknowledging and highlighting positive methods of diagnosing and treating mental health problems ...
The imbalance in London between primary health care and hospital services has long been recognised. Attempts are now being made to address this issue by strengthening community-based services. This paper quantifies the nature of the challenge facing primary health care in the capital relative to the rest of the country. ...
This pamphlet describes three aspects of primary health care which were commonly referred to in the evidence to the Royal Commission. The first gives an outline of the current position of deputising services and examines issues of debate. The appendix gives details of the location and ownership of deputising services. ...
Primary care has been the subject of a quiet revolution in recent years, with the ending of the monopoly of provision by independently contracted GPs and the introduction of a range of new targets and new forms of first contact care. Now it is poised for further radical change with ...
Practice-based commissioning (PBC) is a policy intended to give more decision-making power over NHS resources to general practitioners (GPs), and allow them to design and deliver completely new services or commission others to do so. It has a number of underlying policy objectives including delivering more cost effective and convenient ...