This provocative and timely book examines the current state of primary care practice and outlines a new vision for the delivery of primary care services, primarily in the UK but also internationally. Encouraging a social compact between citizens, governments and the providers of care, the book describes how this will necessitate a redesign of the welfare sector to ensure it is 'fit for purpose' in the digital world. It explores the respective roles of the inverse care law and the rule of halves, systems theory and learning organisations, mutuality and active citizenship, and how these can be applied to improve service delivery.
- Offers an alternative approach to thinking and a challenge to leaders within primary care and to those with administrative responsibility for the sector
- Reflects the multiple challenges facing primary care, including the rise in frail elderly patients, increasing multi-morbidities, the impact of changing demography with migration and much more
- Sets these challenges in a context of increasing workforce pressures, including changing attitudes to professionalism, burnout and recruitment difficulties
- Outlines a road map for improvement, responding to current challenges around social care as well as digital/e-health
Aimed at, and written for, all those committed to improving the future of the primary care sector in the UK and internationally, this important book will be of interest to students, clinicians, managers, commissioners, policy makers and service users.
Table of Contents
1 Introduction: The burning platform. 2 Keystones. 3 The sector's heritage. 4 The curent situation in primary care: From analysis to interpretation. 5 Synergy. 6 Learning to support effective care. 7 Systems thinking in primary care "system archetypes." 8 Mutuality. 9 Thinking outside the box. 10 New dawn: Welfare in NHS Mk 2 – A new social compact. Glossary.
Nigel Starey is a retired family doctor and academic GP, and is currently an advisor to the Care Quality Commission, UK.