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This important text explores the development and current context of primary care in the UK. Taking a policy perspective it discusses the management and organisation of primary care and analyses contemporary issues and debates such as incorporation and fragmentation, inter-professional working, patient involvement and public health. It is key reading for students on health policy, social policy, nursing, medical and management courses as well as practitioners and managers working in primary care, and other health and social care services.

Ethical dilemmas are not new in the area of health care and policy making, but in recent years, their frequency and diversity have grown considerably. All health professionals now have to consider the ethical implications of an increasing array of treatments, interventions and health promotion activities on an almost daily basis. This goes hand in hand with increasing medical knowledge, and the growth of new and innovative medical technologies and pharmaceuticals. In addition, the same technology and knowledge is increasing professional and public awareness of new potential public health...

This timely book is the most comprehensive account yet of recent commissioning practice in the English NHS and its impact on health services and the healthcare system.