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Specialty care in the community: the birth of a new discipline

Correspondence to:
Correspondence to:
John F Mayberry Postgraduate Medical Journal, Gwendolen Road, Leicester LE5 4PW, UK; pmj@bmjgroup.com

Keywords: healthcare; community; GPs; NHS

The first 150 words of the full text of this article appear below.

The delivery of healthcare in the UK is coming under the intense scrutiny of politicians.¹ Central to their argument is the concept that good quality diagnosis and management can be moved out of large hospital facilities and brought closer to patients. The philosophy behind such an approach is both that it is more user friendly and more cost effective.

This rapid and determined quest for reform means that many of the core traditions and values of the National Health Service will need to be reassessed. For hospital-based consultants and specialists this will present a very specific challenge. Will they need to be based in large hospital units? Should they continue to have a commitment to patients outside their specialist expertise?

Just as acute medicine emerged as a distinct specialty during the past decade, specialist care in the community will be the emergent specialty of this . . . [Full text of this article]

This article has been cited by other articles:

				N Azam, T Moshkovska, and J F Mayberry Views of specialist registrars on specialty care in the community: employment prospects and the need for additional training Postgrad. Med. J., January 1, 2007; 83(975): 59 - 61. [Abstract] [Full Text] [PDF]