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November 2002, Vol 92, No. 11 | American Journal of Public Health 1721-1725
© 2002 American Public Health Association

COMMUNITY-ORIENTED PRIMARY CARE

The Community-Oriented Primary Care Experience in the United Kingdom

Stephen Gillam, MA, MSc, FRCP, FFPHM, MRCGP and Alan Schamroth, MB, BS, MRCGP

Stephen Gillam is with the Primary Care Programme, King’s Fund, London, England. Alan Schamroth is with the Bounds Green Health Centre, London.

Correspondence: Requests for reprints should be sent to Stephen Gillam, MA, MSc, FRCP, FFPHM, MRCGP, Director, Primary Care Programme, King’s Fund, 11–13 Cavendish Square, London W1G 0AN, England (e-mail: s.gillam{at}kingsfund.org.uk).

The UK National Health Service has long delivered public health programs through primary care. However, attempts to promote Sidney Kark’s model of community-oriented primary care (COPC), based on general practice populations, have made only limited headway.

Recent policy developments give COPC new resonance. Currently, primary care trusts are assuming responsibility for improving the health of the populations they serve, and personal medical service pilots are tailoring primary care to local needs under local contracts.

COPC has yielded training packages and frameworks that can assist these new organizations in developing public health skills and understanding among a wide range of primary care professionals.




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F. Mullan and L. Epstein
Community-Oriented Primary Care: New Relevance in a Changing World
Am J Public Health, November 1, 2002; 92(11): 1748 - 1755.
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