Beyond skin: The need for a new approach to the management of psoriasis in primary care, and Iona Heath's Harveian Oration

摘要

It is becoming my habitual response as a GP commissioner to take issue with statements in your journal. I think there is a lack of editorial appreciation of the work that many GP commissioners are doing. We are not all entrepreneurial market-driven Tory radicals; in contrast, the ones I work with just want to make things better for patients and to limit the domination of hospital care. If we are to retain and even enhance the traditional GP role closer to that identified in lona Heath's Harveian Oration, we need to work hard at transferring resource from secondary care into primary care. Carolyn Chew-Graham et al expressed concern that 'the continued downward pressure on referrals to specialist services may mean that access to best treatments will be limited for patients whose health needs are as significant and complex as those patients with diabetes.