title: Clinical management. Close encounters.
abstract: Primary care trusts are increasingly using 'local enhanced service' programmes to target excluded groups, according to new research. One in seven PCTs were using an LES for asylum seekers and other examples include homelessness, learning disabilities and work with young people. Other PCTs are using LESs to shift work from secondary to primary care via referral management incentive schemes, while one in five had set up an LES-based phlebotomy service.
authors.forename: Nick
authors.initials: N
authors.lastname: Summerton
authors.forename: Ann
authors.initials: A
authors.lastname: Dix
mesh_terms: D003153:Community Health Services / Q000458:organization & administration*; D003625:Data Collection; D005194:Family Practice / Q000458:organization & administration*; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D011320:Primary Health Care / Q000458:organization & administration*; D013222:State Medicine; D006113:United Kingdom