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 ...
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 ...
Attempts to give more choice to users of public sector services has been a major theme of the Labour government's public sector modernisation programme. Policies have been developed in health care, education and social housing that aim to give users a greater choice of publicly or privately owned providers, and ...
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 ...
Practice-based commissioning is a policy that aims to give more influence and control to GP practices in England over how money is spent on health care services. At the moment, the bulk of NHS money is allocated to primary care trusts (PCTs) who then commission and reimburse hospitals (and other ...
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 ...
Since 1997, the Labour government has made some momentous changes to the way primary care is managed and delivered. The creation of Primary Care Groups, the development of NHS Direct and the implementation of clinical governance will all have an effect on GP services for decades to come. In "What ...
A series of information handouts and leaflets given out to delegates attending the Conference on complementary medicine held at the Royal Society of Medicine, London on 26th September 2000.
This publication is a summary of the full report of the same name. The1990s has seen fundamental changes in the field of primary care. Amidst the recent flood of white papers and ministerial announcements, the King's Fund and the Evening Standard set out to find what Londoners think of the ...