>1) Those who truly believe PCGs are a good thing.
I am a fairly pragmatic sort and, although I agree with parts of your
argument I think that the PCG is a useful practical concept. Primary
care does need communication accross the proffessional boundries and
could benefit from a re-negociation/reassessment of its position with
secondary care, especially on a local basis. I believe that a future
front line team will be a very fluid mix of skills that moves onto a
problem that it is alerted to. Ihe majority of "illness" problems will
remain efficiently handled at practice level and would become
"expwnsive" if handled in any other way - that is why a GP is effective.
However, data gathering for planning of care needs to be co-ordinated
and is a part of the "evidence based" movement of the moment. Its
weakness is its need for evidence! Only high levels of diagnostic skill
in contact with social dis-ease provide the raw material.
Wandering into irrelevence
--
Don
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