BMJ  2006;332:315-316 (11 February), doi:10.1136/bmj.332.7537.315

Editorial

A new direction for NHS community services

The white paper tackles the right issues but may be hard to implement

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

The government's new white paper on the future of primary, community, and social care heralds more emphasis on preventive care, a greater choice of services from general practitioners; reduced health inequalities, and better support for people who need long term care.1 The plan also promises more convenient access to general practices, together with an expanded range of other sources of primary care, such as walk-in centres. The NHS will seek new providers from the independent sector to tackle longstanding problems of poor access to health care in deprived areas, and perhaps elsewhere. In addition, many services—including up to half of all outpatient care for some specialties—will be shifted out of hospitals and into community settings.

Patients will gain more power within the NHS. They will be offered greater choice over where and when they receive primary care, more information about their health and health services, more direct control over . . . [Full text of this article]

Richard Q Lewis, senior fellow

King's Fund, London W1G 0AN
(r.lewis@kingsfund.org.uk)


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