The modernization of the NHS is at the heart of the UK governments policies for public sector services. This modernization programme represents the most radical and ambitious restructuring of the NHS since its inception in 1948. The new Primary Care Groups and Trusts (PCG/Ts) are the main organizational mechanism for delivering the modernization agenda and are therefore key to the success or otherwise of these reforms. To date there has been no comprehensive evaluation of how PCG/Ts have been performing in implementing the modernization programme; this book fills that important gap in knowledge. It provides a strong text of first evidence about the performance of PCG/Ts to date; this forms the basis for discussions about future success and a benchmark for future research.
The New Primary Care will be an essential resource for all advanced students of health care as well as academics, researchers and policy makers.
Introduction modernization and the reform of primary care Primary care organizations, the NHS and the public sector modernization English primary care organizations in an international perspective Primary care organizations, inequalities and equity The new funding regimes risks to the doctor-patient relationship Organizing and governing primary care organizations Improving the quality of care through clinical governance Information for health Shifting the balance between hospitals and primary care Improving local health Primary care organizations, public involvement and democratic accountability Looking outwards primary care organizations and local partnerships Conclusions References Index.
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