All Change: What is Happening in NHS General Practice?

Research output: Contribution to journalArticlepeer-review


Considers the changes which are being implemented in primary care, and the patterns which are now beginning to emerge. Examines the changing context within which practices now function (both political and managerial), and considers the power which GPs are beginning to exert, as well as the impact which they may have on the interface between primary and secondary care. Examines the systems being developed for assuring quality in general practice. Predicts an explosion in the need for appropriate information for management and for medical audit in UK primary care, because the context within which general practitioners (GPs) deliver primary care in the NHS is changing rapidly. It is only now becoming evident that this turbulence may well offer major new opportunities to GPs, as well as permanently altering the balance of power in the NHS between primary and secondary care.

Original languageEnglish
Pages (from-to)5-12
Number of pages8
JournalInternational Journal of Health Care Quality Assurance
Issue number1
Publication statusPublished - 1 Jan 1991
Externally publishedYes


  • National Health Service
  • doctors
  • organizational change
  • quality assurance

ASJC Scopus subject areas

  • Business, Management and Accounting(all)
  • Health Policy


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