title: Integrated care. Primary dolours.
abstract: A primary care-led NHS has enjoyed gains, but at significant cost. The policy has failed to address public health issues, inequalities and problems in access to services. The policy has caused divisiveness and is seen as exacerbating deep-rooted competitiveness between GPs and consultants. A new concept is needed to unite the aspirations of the whole NHS.
authors.affiliation: Centre for Health Planning and Management, Keele University, UK.
authors.forename: A
authors.initials: A
authors.lastname: McCulloch
authors.forename: L
authors.initials: L
authors.lastname: Ashburner
mesh_terms: D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005069:Evaluation Studies as Topic; D017146:Models, Organizational; D011320:Primary Health Care; D012040:Regional Health Planning / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration*; D006113:United Kingdom