General practice has changed considerably over the past decade. Practice size has increased, the workforce has grown and become more diverse, the range of services offered has expanded, and the contracting and financing arrangements for GPs have changed. Current government policy aims to improve access and choice for patients, to ...
In January 2006 the Department of Health published Our health, our care, our say: a new direction for community services. It is the government's seventh White Paper on health since coming to office in 1997 and, after several years of reform aimed at the acute hospital sector, it represents what ...
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 ...
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 ...
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. ...
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. ...
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; ...
This publication gives an account of a project co-funded by the NHS Executive and the King's Fund. It was devised as a response to the crisis in GP morale which began to be recognised in 1994. A participative workshop, 'A Day in the Life of a GP 2010' was designed, ...