This research summary, based on interviews with stakeholders in London and nationally, plus a review of recent policies and commentaries, analyses the public health issues faced by local strategists and managers, and offers recommendations to support the development of the function locally. It demonstrates the need to embrace the complexity ...
Primary care has been the subject of a quiet revolution in recent years, with the ending of the monopoly of provision by independently contracted GPs and the introduction of a range of new targets and new forms of first contact care. Now it is poised for further radical change with ...
Primary care trusts (PCTs) provide a broad and complex range of community-based services. However, the commissioning and management of these services have been a challenge for the NHS and in particular for PCTs. As PCTs provide community health services, there is a potential conflict of interest for their role as ...
Unhealthy behaviours - smoking, alcohol misuse, poor diet, lack of exercise - lead to ill health, with resulting costs to individuals, to the NHS and to society as a whole. PCTs are expected to commission support to help people change their behaviour to adopt healthier lifestyles - but what should ...