title: Changes in primary care and their impact on nurses' jobs.
abstract: The primary care landscape is changing. Primary care trusts are reconfiguring in an effort to reduce management costs by 15% and to divide services into purchaser and provider arms. These changes are affecting staff at all levels within PCTs and in some organizations hundreds of jobs are at risk. This article explains the process of reconfiguration and outlines your options if your post is at risk.
authors.affiliation: Richmond and Twickenham Primary Care Trust, Richmond. linda.nazarko@rtpct.nhs.uk
authors.forename: Linda
authors.initials: L
authors.lastname: Nazarko
mesh_terms: D003152:Community Health Nursing / Q000458:organization & administration*; D018166:Health Care Reform / Q000458:organization & administration*; D006801:Humans; D024802:Nurse's Role; D009936:Organizational Innovation; D009937:Organizational Objectives; D020415:Personnel Downsizing / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D012179:Retirement; D012456:Salaries and Fringe Benefits; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom