General practice in the new world.

摘要

The institutionalised divide between GP and specialist, and between generalism and specialism is the NHS' worst disease of all. Worse even than the divide between clinicians and managers. It can only be resolved by three actions. Specialists (and many GPs themselves) need to review their perception of what GPs do. Specialists and GPs need to forge an entirely new relationship with each other and then both need to relate to the NHS in an entirely different way. Unless this happens, patient services will continue to be poorly organised and coordinated. Politicians and centralist managers will continue to exclude the clinical voice. By default, the NHS will then become unsustainable.