'Fundamental changes in the Health Service demand a radical shift in approaches to patient core. The NHS is becoming increasingly led by the primary care sector. This has a greater meaning than simply more involvement of GPs in secondary care purchasing. It means that we start from where the patient is, in their own home and community. We provide care for them there and only move them into secondary services if and when it is appropriate to do so. 'Extending Primary Care shows that it is possible to experiment beyond traditional boundaries in these areas. It will provide encouragement to people who work in some of these difficult settings by showing what can be done…This book could not be more timely as a resource to many managers who will need to extend their own understanding of primary care - in the fullest sense of the whole team of people in primary care and the associated community health services.' From the Foreword by Barbara Stocking
Preface. About the authors. Acknowledgements. Introduction - the issues and consequences; working in partnerships. Effective interventions and practical initiatives to reduce teenage pregnancy. Clinical governance - using clinical governance to tackle teenage pregnancy rates and improve access and availability of contraceptive service for young people. Reaching young people - meaningful involvement. Confidentiality and young people's concerns. Contraception for teenagers. Being pregnant and a parent as a young person. Unplanned pregnancy in teenagers. Misconceptions and myths. Sexual diseases and allied problems. Culture, religions and beliefs. Disadvantaged teenagers: by disability or circumstances. Abuse and teenagers. Influencing teenagers - the media and the press.