Time to specialise the generalised?
How do general practitioners work on opposite sides of the world? Harnaik Johal and Pooja Goel argue that the UK can learn lessons from Australia
One of the cornerstones of the UK National Health Service has always been general practice, offering personalised family care to the whole population. However, there is increasing awareness of stress, declining morale, and increasing frustration and disillusionment among general practitioners. Many reasons have been suggested and solutions proposed, much of which is “old wine in new bottles.” We think that valuable lessons can be learnt from the Australian system.
Primary health and community care is the most visible and commonly used part of the health system. It is also the first point of contact. Primary health care and community support are important in improving health outcomes. A comparative study of primary health systems found better health outcomes and lower costs in countries with stronger primary health systems, particularly for children.1 Also, evidence shows that people with complex needs who often present to emergency departments are a small group who would