Primary Care Groups and Trusts: Stages in a Process of Organizational Evolution

2000 ◽  
Vol 13 (4) ◽  
pp. 223-230 ◽  
Author(s):  
J. Smith
Keyword(s):  
Primary Care ◽  
Organizational Development ◽  
Evolutionary Process ◽  
Organizational Evolution ◽  
Organizational Growth ◽  
National Network ◽  
Early Experiences ◽  
Care Groups ◽  
New Organizational Forms ◽  
Control And Management

In this paper, the origins and early experiences of the new national network of primary care groups (PCGs) in the NHS are explored, emphasizing that they represent the latest stage in an evolutionary process in the development of primary care organizations. Using Greiner's five stages of organizational growth, an analysis is made of the development of PCGs and the future primary care trusts (PCTs). The author asserts that, having grown through creativity in the pre-1997 NHS, primary care organizations in the ‘New NHS’ are experiencing growth through direction, with a much greater degree of central control and management being brought to bear on PCGs. The likely future shape of PCGs and PCTs is then described, drawing on the analysis of PCGs within Greiner's framework for organizational growth. The paper concludes by setting out guidelines for managers and clinicians charged with the responsibility of developing PCGs and PCTs, based on the premise that these new organizational forms are not an end in themselves, but a stage in the organizational development of primary care in the NHS.

scholarly journals The costs of computing for primary care groups

BMJ ◽  
1998 ◽  
Vol 317 (7168) ◽  
pp. 1265-1266
Author(s):  
A. Willis
Keyword(s):  
Primary Care ◽  
Care Groups

The early days of primary care groups: general practitioners' perceptions

2002 ◽  
Vol 10 (1) ◽  
pp. 46-54 ◽  
Author(s):  
George Dowswell ◽  
Stephen Harrison ◽  
John Wright
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Care Groups

scholarly journals A randomized controlled trial of the effect of providing information on accidental injury admissions and their costs to Primary Care Groups and Trusts

2005 ◽  
Vol 22 (3) ◽  
pp. 249-252
Author(s):  
Carol AC Coupland ◽  
Boki SP Savelyich ◽  
Julia Hippisley-Cox ◽  
Denise Kendrick ◽  
Lindsay Groom ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Accidental Injury ◽  
Randomized Controlled ◽  
Care Groups

A collective organizational learning model for organizational development

2019 ◽  
Vol 40 (1) ◽  
pp. 107-123 ◽  
Author(s):  
Kung Wong Lau ◽  
Pui Yuen Lee ◽  
Yan Yi Chung
Keyword(s):  
Organizational Learning ◽  
Knowledge Transfer ◽  
Organizational Development ◽  
Learning Model ◽  
Learning Needs ◽  
Learning Models ◽  
Organizational Growth ◽  
Content Type ◽  
New Model ◽  
Business Environments

Purpose Organizational learning is traditionally structured with conventional in-house learning models aiming to equip employees with practical skills for operational needs. In contrast, contemporary goals emphasize unstructured organizational learning provided with learning environments to facilitate employees’ formal and informal knowledge creation. Therefore, the conventional organizational learning models are facing tremendous challenges, and it is crucial to change the traditional modes of practice into a new approach of collective learning and knowledge transfer. As well, the emergence of innovative business environments and tacit knowledge-based society urges a new form of organizational learning model to cope with employees’ learning, knowledge transfer and even knowledge management. The paper aims to discuss these issues. Design/methodology/approach In this study, the authors’ team applied a typological review for systematically analyzing current organizational learning models aiming to modify and create a new collective model. Findings The new model covers the strengths of existing approaches from which the fundamental 3Ps (i.e. principles, purposes and processes of organizational learning) concept is derived from incorporating a development perspective of organizational trajectories and technological innovations. Originality/value The authors envisage that the new model can facilitate organizations to assess and adapt their organizational learning needs and orientations by applying this organic and dynamic model which emphasizes assessment in relation to the competitive environment, technological trends and organizational growth.

scholarly journals Performance indicators for primary care groups

BMJ ◽  
1999 ◽  
Vol 318 (7186) ◽  
pp. 803-803 ◽  
Author(s):  
P. Myers ◽  
S. Shah ◽  
A. Cook ◽  
T. Scanlon ◽  
P. Tarrant ◽  
...  
Keyword(s):  
Primary Care ◽  
Performance Indicators ◽  
Care Groups

scholarly journals Career Regret Among Physician Assistants: A Comparative Survey of Primary and Specialty Care Careers

2019 ◽  
Author(s):  
Talia Sierra ◽  
Jennifer Forbes ◽  
Michael Nelson
Keyword(s):  
Primary Care ◽  
Statistical Significance ◽  
Career Path ◽  
Physician Assistants ◽  
Student Loan ◽  
Care Physician ◽  
Specialty Care ◽  
Care Group ◽  
Care Groups ◽  
Comparative Survey

Purpose: This study investigated if career regret varies among physician assistants (PAs) practicing in primary and specialty care fields. This information may assist practicing and aspiring physician assistants when selecting or changing their career path. Methods: A survey was emailed to 5,000 primary and specialty care physician assistants. Items indicating career regret were compared between primary and specialty care groups. Results: Eight hundred and thrity-four (16.7%) completed surveys were received back. Career regret is similar between primary and specialty care physician assistants, with low reports from both groups. No statistical significance was found between primary care and specialty care groups with regards to career regret or student loan debt. The primary care group noted a less sustainable work/ life balance and higher perceived burnout. Specialty care physician assistants reported higher annual gross income. Regret and disappointment correlated highly with burnout. Conclusions: Physician assistants and prospective physician assistants should carefully consider their career path as regret and disappointment correlated highly with burnout.

scholarly journals Commissioning mental health services: role of the consultant psychiatrist

2000 ◽  
Vol 6 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chris Simpson
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practitioner ◽  
National Health Service ◽  
Health Service ◽  
Health Services ◽  
Consultant Psychiatrist ◽  
Health Authorities ◽  
Care Groups

The current National Health Service (NHS) approach to commissioning health services is in flux. The purchasing of care from providers by general practitioner fundholders (GPFHs) and health authorities has changed with the new White Papers. GPFHs no longer exist and the commissioning role is being handed over from health authorities to primary care groups (PCGs). An understanding of the reasons for change and current arrangements will aid the consultant psychiatrist in influencing this process.

BMA wins guarantees on primary care groups

BMJ ◽  
1998 ◽  
Vol 316 (7149) ◽  
pp. 1927-1927 ◽  
Author(s):  
J. Wise
Keyword(s):  
Primary Care ◽  
Care Groups
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