title: Management and advice at the grass roots.
abstract: The new management structure of the National Health Service leaves a gap between multidisciplinary management at district level and the multiprofessional clinical teams caring for patients. This gap is not satisfactorily bridged by single-profession sector management or existing advisory machinery. This is most clearly seen for community services, and experience of a possible solution in an experimental community hospital setting is described.
mesh_terms: D003153:Community Health Services / Q000592:standards; D003695:Delivery of Health Care; D005194:Family Practice; D006739:Hospital Administration; D006764:Hospitals, Community; D006801:Humans; D007400:Interprofessional Relations; D010564:Personnel, Hospital; D011320:Primary Health Care; D011367:Professional Staff Committees; D013222:State Medicine; D006113:United Kingdom