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Discuss the changes that have occurred in primary care in England during the last 10 years. What has been the impact on patients? How might developments in general practice continue over the next 10 years?
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| Submitted: Mon Jun 19 2006
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Discuss the changes that have occurred in primary care in England during the last 10 years. What has been the impact on patients? How might developments in general practice continue over the next 10 years? Philippa Callegari General Practice is a well-used and valued public service. Eight out of ten people visit their general practitioner (GP) every year 1 and 99% of the English population are registered with a GP. The service costs £8.2 billion (including prescribed drugs), which is one fifth of the NHS total expense.2 The main development in health care policy has been the introduction of market mechanisms within the NHS 3. This move was the initiative of the Conservative Party and aimed at giving the Primary Health Care Team (PHCT) more say over the delivery of secondary care. Its purpose was to increase efficiency and limit increases in expenditure. The development of general practice (GP) fundholding which began to...
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