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- W1917045470 abstract "> ‘The art of medicine consists of amusing the patient while nature cures the disease.’ (Voltaire)This humbling comment by Voltaire sets the scene for a controversial discussion focusing on the delivery of primary health care. In the last 10 years, two new GP contracts and the introduction of an NHS internal market have dramatically altered the day-to-day workload of the GP. These vast changes have also been accompanied by ever broadening roles for different health professionals, notably practice nurses. As a GP registrar, I have been struck by the amount of traditional general practice that is now being provided in nurse-led clinics, often in longer consultations and by experienced nurses, who have gained considerable autonomy after completing supplementary training. Notably, the first totally nurse-led pilot practice was set up 5 years ago and at least two others have expanded,1 suggesting a viable alternative to traditional general practice. This paradigm shift in healthcare delivery is radical and cannot be ignored. Some may resent these changes as a perceived erosion of the GP's traditional role. However, the evidence evaluating the effectiveness of these different health professionals in their changing roles does deserve careful examination and has implications for the future of general practice.Traditional general practice took shape at the turn of the 20th century as the role of the GP, the personal doctor working in the community, separated from that of physicians and surgeons, who specialised in a particular field and controlled the hospitals' scientific and technical facilities. Three major roles characterise the traditional model of general practice:" @default.
- W1917045470 created "2016-06-24" @default.
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- W1917045470 date "2006-08-01" @default.
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- W1917045470 title "Nurse-led general practice: the changing face of general practice?" @default.
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