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Welfare Reform on the Web (May 2006): National Health Service - primary and community care

N. Hawkes

Times, March 29th 2006, p.22

Despite the 2004 white paper’s recruitment targets, insufficient capacity to deliver public health work affects seventy four per cent of primary care trusts. A new survey shows falling staff numbers. The article provides comments and reports the author’s call for job protection and increased training.

A. Nolan

Health Service Journal, vol.116, Apr. 13th 2006, p.24-25

There are moves to deliver NHS services via social enterprises as an alternative to in-house provision by primary care trusts or contracting out to the private sector. Social enterprise has its critics at both ends of the political spectrum. The Left sees it as the first stage in privatising the health service and the Right as seeing it as having an unfair advantage over the private sector in any tendering process

N. Timmins

Financial Times, April 20th 2006, p.2

Taking longer to set up, social enterprises need government help to exploit opportunities in the new competitive health care market according to the King’s Fund. Large businesses are otherwise set to “sweep unchallenged” into the primary care market reports Timmins.

R. Jones and others

Journal of Health Services Research and Policy, vol.11, 2006, p.106-109

In 2000, the UK government called for the introduction of 1000 specialist GPs to establish clinics in community settings for selected patients. A key aim of this initiative was to improve access in specialities that had long waiting times such as dermatology and ophthalmology. As a result, it was expected that hospital consultants would be able to offer faster access to patients with complex needs.

W. Little

Health Service Journal, vol.116, Apr. 6th 2006, p.26-29

Article reports progress in the creation of a new generation of large local health centres, many of which are funded by the local improvement finance trust (LIFT) programme. These health centres enable to co-location of GP surgeries with health improvement services, social services, benefits advice, and potentially diagnostics and minor surgery.

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