title: NHS reforms. Hidden agenda.
abstract: The NHS and Community Care Act and the effects of the GP contract are beginning to alter many health visitors' work. Fundamental change in nurse training, the first wave of self-governing trusts, the continuing squeeze on community budgets, the growth of consultant-led directorates and downgrading of nurse managers in favour of medically-led teams inter-relate in a way few find consoling.
authors.forename: C
authors.initials: C
authors.lastname: Potrykus
mesh_terms: D001291:Attitude of Health Personnel; D003152:Community Health Nursing / Q000639:trends*; D005544:Forecasting; D006801:Humans; D009740:Nursing Staff / Q000523:psychology*; D013222:State Medicine / Q000639:trends*; D006113:United Kingdom