Primary care takes the brunt of chronic NHS underfunding

Underfunding Aged Care

Ethics and health care 'underfunding'.

There are continual “crises” in health care systems worldwide as producer and patient groups unify and decry the “underfunding” of health care. Sometimes this cacophony is the self interest of profit seeking producers and often it is advocacy of unproven therapies. Such pressure is to be expected and needs careful management by explicit rationing criteria which determine who gets access to what...

Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

NHS direct: managing demand for primary care?

This paper considers how NHS Direct is affecting demand for primary care in particular out-of-hours services from GPs. This is reviewed through a 3-year study of NHS Direct and HARMONI, the integrated telephone health helpline based in West London. It describes the policy background and development of the services on the site, and some of the outcomes of the HARMONI commissioned research to ans...

Primary care is the cornerstone of our NHS.

There is discriminatory bias against general practice within UK medical schools.1,2 The public purse pays to train doctors to provide an effective and comprehensive NHS. Medical school deans receive substantial remuneration and run the most expensive and prestigious university faculties. They are implicitly tasked with training people to provide a service that deals with a million people every ...