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The creation of Primary Care Groups, the development of NHS Direct and the implementation of clinical governance will all have an effect on GP services for decades to come.  In \"What has New Labour done for primary care?\", analysts from the King's Fund examine the effects of those changes in England to date, and the likely outcomes for patients, doctors and other health professionals in the longer term.  The book examines whether or not the new entry points to the NHS (including NHS Direct, walk-in centres and PMS pilot schemes) might make primary care more accessible at the risk of continuity of care; the tension within primary care between local autonomy and central direction; and the impact of clinical governance on the quality of care provided to patients.  Edited by Dr. Stephen Gillam, Director of the Primary Care Programme at the King's Fund, this book develops a balance sheet for New Labour's contribution to primary care.  It shows that while many of the Government's reforms will take some years to affect people's health, they have already had a major effect on the working practices of primary care professionals.  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At the core of health care in this country are the relationships between GPs, practice nurses, therapists and their patients.  What matters most for these users of health services is that they have access to professionals they can trust.  Yet for many decades, the health care relationship has been unequal.  Doctors have the power and NHS patients are expected to be grateful for what they get.  However, the balance is changing and there is growing evidence that patients who are involved in decisions about their treatment may experience better health care results.  \"New beginnings\" sets out to explore the value of public and patient involvement in primary care.    No DIY manual, this book analyses the complex issues surrounding user involvement in an accessible way.  In particular, the authors explain the shifts in culture and attitudes that are required in order for health practitioners to achieve effective user involvement.  Drawn from recent research with a wide range of user groups undertaken by the King's Fund and the Institute for Health Services Research at the University of Luton, the book uses illustrative case studies to show the impact user involvement can have on primary care.  The NHS Plan outlines how the health service will become more responsive to patients and the public.  This timely book takes up the challenge of effective public involvement and explains how it can add to the value of the NHS."],"date_published_tesim":["2001"],"date_published_ssi":"2001","editor_tesim":["Brooks, Fiona","Gillam, Steve"],"isbn_tesim":["1857174399"],"pagination_tesim":["153"],"place_of_publication_tesim":["London"],"rights_statement_tesim":["http://rightsstatements.org/vocab/InC/1.0/"],"license_tesim":["http://creativecommons.org/licenses/by-nc-nd/4.0/"],"creator_tesim":["Institute for Health Services Research (University of Luton)","King's Fund"],"date_tesim":["2001"],"date_ssi":"2001","publisher_tesim":["King's Fund"],"resource_type_tesim":["Monograph"],"subject_tesim":["Clinical effectiveness","Primary care","General practice partnerships","Patient participation","User participation"],"note_tesim":["Pagination: xiii, 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