In July 2001, the Government published "Shifting the balance of power within the NHS-securing delivery", its blueprint for organisational change in the National Health Service. This was followed in December 2001 by "Shifting the balance of power - the next steps" (see www.doh.gov.uk/shiftingthebalance). The implications for primary care of the changes set out in the first paper have been reviewed by Dr Hopkin Maddock.
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