title: Developing the effectiveness of primary care organisations in the UK National Health Service. A case study.
abstract: This paper aims to explore the early experiences of a new primary care organisation in the NHS. It reports the findings of a longitudinal qualitative case study of one primary care group in its first year of operation. It concludes and makes recommendations in four key areas relevant to the development of the primary care group: the experiences of individuals and their readiness for change; clarity and consensus about roles and responsibilities in the new organisation; the process of change, and the impact of culture/power structures; and developing relationships with internal and external stakeholders.
authors.affiliation: Department of Health Studies, University of Central Lancashire, Preston, Lancashire, UK.
authors.forename: Steve
authors.initials: S
authors.lastname: Willcocks
mesh_terms: D003159:Community-Institutional Relations; D017598:Efficiency, Organizational; D005194:Family Practice / Q000592:standards*; D017408:Guidelines as Topic; D006301:Health Services Needs and Demand; D006801:Humans; D007400:Interprofessional Relations; D008137:Longitudinal Studies; D019982:Organizational Case Studies; D015279:Organizational Culture; D009936:Organizational Innovation; D011320:Primary Health Care / Q000458:organization & administration / Q000592:standards*; D024382:Professional Role; D012944:Social Support; D013222:State Medicine / Q000458:organization & administration*; D017749:Total Quality Management / Q000379:methods*; D006113:United Kingdom