The Health service journal
The most recent articles from:
Health Serv J
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A primary care unit established in an A&E department is well attended and has cut waiting times. Nurse practitioners running the unit have powers to prescribe and refer to specialists. The unit reflects growing recognition that A&E departments must serve patients previously considered the responsibility of GPs.
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Almost two-thirds of health authorities believe their relationships with GPs have improved since the merger. Forty-four percent of LMCs think there has been no change, and 42 per cent report a deterioration. More than half the LMCs believe knowledge and understanding of GPs' contracts, and payments, have declined since the merger.