Community nursing in systems reform: the London polyclinic experience

Peckham, S. and Wilson, P.M. and Gosling, J. and Osipovic, D. and Wallace, A. (2011) Community nursing in systems reform: the London polyclinic experience. British Journal of Community Nursing, 16 (6). pp. 293-297. ISSN 1462-4753. (The full text of this publication is not available from this repository)

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Abstract

Internationally, the polyclinic has been a feature of many health systems. The recent UK policy shift towards enhanced coordination of care closer to home resulted in the development of polyclinics, most notably in London. This article explores the background to the development of polyclinics and draws on the early experience of developments in London to explore what their impact has been, and is likely to be, on community nursing. Emerging findings from an evaluation of four pilot polyclinics suggests that rather than one model, polyclinics evolved in distinctively different ways more appropriately labelled as polysystems. Although policy makers clearly identified community nursing as being one of the key components of integrated, community-based care, the evaluation suggests a focus on high-level organizational restructuring and system change can shift attention from what many would consider core activities such as community health services.

Item Type: Article
Subjects: R Medicine > RT Nursing
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Tony Rees
Date Deposited: 04 Jul 2012 13:25
Last Modified: 08 Apr 2014 12:28
Resource URI: http://kar.kent.ac.uk/id/eprint/29787 (The current URI for this page, for reference purposes)
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