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A History of Accident and Emergency Medicine, 1948–2004Primary Care in A&E

A History of Accident and Emergency Medicine, 1948–2004: Primary Care in A&E [As has been seen, before the NHS, many families relied on the casualty department to obtain primary care. Although following the 1911 National Insurance Act, workers could obtain free care from their general practitioner, this was not extended to their families. With the start of the NHS, it was expected that hospitals would cease to provide primary care, as all patients would be able to obtain free treatment from their general practitioner. Clarkson reported that at Guy’s Hospital there was a 20 per cent reduction in the numbers of sick attending and a 60 per cent fall in the number of children1 following the introduction of the NHS. However the NHS system of capitation payments offered the GP no incentives for discouraging patients from attending A&E and a GP has written: ‘Instead GPs became increasingly concerned that any shift of demand away from A&E would lead to increased GP workload without parallel increases in resources.’2] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A History of Accident and Emergency Medicine, 1948–2004Primary Care in A&E

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References (42)

Publisher
Palgrave Macmillan UK
Copyright
© Palgrave Macmillan, a division of Macmillan Publishers Limited 2005
ISBN
978-1-349-52420-4
Pages
135 –150
DOI
10.1057/9780230000742_10
Publisher site
See Chapter on Publisher Site

Abstract

[As has been seen, before the NHS, many families relied on the casualty department to obtain primary care. Although following the 1911 National Insurance Act, workers could obtain free care from their general practitioner, this was not extended to their families. With the start of the NHS, it was expected that hospitals would cease to provide primary care, as all patients would be able to obtain free treatment from their general practitioner. Clarkson reported that at Guy’s Hospital there was a 20 per cent reduction in the numbers of sick attending and a 60 per cent fall in the number of children1 following the introduction of the NHS. However the NHS system of capitation payments offered the GP no incentives for discouraging patients from attending A&E and a GP has written: ‘Instead GPs became increasingly concerned that any shift of demand away from A&E would lead to increased GP workload without parallel increases in resources.’2]

Published: Sep 26, 2015

Keywords: Primary Care; Primary Care Patient; Primary Care Centre; Emergency Centre; Triage Nurse

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