Peter Davies: Is it time to scrap the primary-secondary care divide?

Suppose a pathologist was to say, “Because I am not a GP I do not belong here.” Or a GP was to say, “Because I am not a cardio-thoracic surgeon I do not belong here.” No, (paraphrasing St Paul) we are all parts of one body of medical enterprise, and the patients need different doctors […]

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Martin McShane: Development through delivery and delivery through development.

Almost all our emergent consortia have completed their elections. Chairs are being identified and the process of change and transition is accelerating. Someone asked me last week whether the process we were embarking on was irreversible. Psychologically, I think it would be very hard to reverse it but, more importantly, across the country the clustering […]

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Martin McShane: Where to start?

We are only two months away from it becoming real for GP consortia. I was looking through the information going to one of our pathfinder executive meetings in the next week. The GP consortium is looking good for this year and will deliver within budget unless something unexpected happens. Buried within the report was some worrying […]

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