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International Primary Care Association

Clinical Focus Volume 1 N3

Volume 1 Issue 3 - 2006


All health systems are seeking ways of reconfiguring their services to provide care more effectively and efficiently. One option is to deliver services from general practitioners with a special interest. In the UK, this model is being developed across a number of specialities within the context of a NHS modernisation agenda. The objective of this paper is to describe the operation of an intermediate care headache and from a more general perspective, the problems of obtaining evidence of effectiveness and cost effectiveness in the area of intermediate care.


Point-of-care testing involves a range of tests within pathology and has been highlighted as an area of importance for service development. However, in moving testing away from the carefully managed environment of the central laboratory it is essential to ensure that quality of service is maintained. Provided this is achieved, Point-of-care testing has the potential to bring about improvements in clinical care.


The majority of referrals from general practitioners to a children's orthopaedic department are variations of normal. They are referred because the parents are not convinced by the explanations given. The most common of these are considered here.


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