General Practice is undergoing the most major series of changes
since the introduction of the National Health Service in 1948. They
concern both concepts of care and practical details of the way care
is delivered. In spite of the hostility generated by the changes
most of the broad general concepts have been accepted. The
principle of patients having more choice is widely supported, the
inclusion of preventive medicine and anticipatory care in the
responsibilities of practice has few opponents, the introduction of
audit as a way of improving performance has been generally
welcomed. Even the idea of putting GPs in better financial
management of patients and drug budgets has had supporters in
principle. The antipathy has generally related to the method of
introduction of these changes. One important concern has been the
time requirements of the New Contract and the feeling that these
will erode the real nature of our work: the close personal
relationship with patients. If we improve the quality of our
management this is less likely to happen. We shall be able to work
within the New Contract and retain the quality of service we pro
vide. If we improve the understanding of our staff of what we are
trying to achieve we are more likely to reach the targets that we
set whilst keeping people happy. vii This book sets out to explain
the New Contract."
General
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