title: Care closer to home. Moving care.
abstract: Shifting services from secondary to primary care and tackling referrals may increase the efficiency and effectiveness of outpatient services. Relocating specialists in primary care or developing joint working between primary and secondary clinicians is of more doubtful value. Investigation facilities should be community based.
authors.forename: Martin
authors.initials: M
authors.lastname: Roland
authors.forename: Bonnie
authors.initials: B
authors.lastname: Sibbald
authors.forename: Ruth
authors.initials: R
authors.lastname: McDonald
mesh_terms: D000553:Ambulatory Care / Q000458:organization & administration*; D003153:Community Health Services / Q000458:organization & administration*; D018166:Health Care Reform; D006297:Health Services Accessibility; D006801:Humans; D008511:Medicine; D013038:Specialization; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom