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GPs condemn new specifications for primary care networks
The BMJ ( IF 105.7 ) Pub Date : 2020-01-27 , DOI: 10.1136/bmj.m258
Richard Murray

Lack of capacity means the specifications are set up to fail
Back in July when primary care networks (PCNs) got off to a flying start, I warned of two key risks to this good beginning.1 The first was that these emergent PCNs would get overburdened with too many commitments, and the second that some commitments might look sensible in theory but prove too hard to implement in practice.
These risks exist because of the multiple challenges to which primary care networks are meant to be the answer: firstly, to stabilise general practice given the current workforce and morale crisis; secondly, to bridge a gap in the evolving reformed structure of the NHS by acting as the principal link between general practice and the rest of the health and care system; and, lastly, to deliver key elements of the long term plan through a set of new service specifications.
In December, NHS England and NHS Improvement released five …


中文翻译:

全科医生谴责基层医疗网络的新规范

容量不足意味着规格将失效。
早在7月份,当初级保健网络(PCN)刚刚起步时,我警告过这个良好开端的两个主要风险。1首先是这些新兴的PCN将承担过多的承诺,而第二,某些承诺在理论上可能看起来很明智,但在实践中却很难实施。
之所以存在这些风险,是因为初级保健网络将要应对这些挑战:首先,鉴于当前的劳动力和士气危机,要稳定全科医生。第二,作为全民医疗保健与卫生保健体系其他部门之间的主要纽带,弥合NHS不断发展的改革结构中的差距。最后,通过一系列新的服务规范交付长期计划的关键要素。
12月,英国NHS和NHS改进发布了五份…
更新日期:2020-01-27
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