Darzi centres: an expensive luxury the UK can no longer afford?

@article{Davies2010DarziCA,
  title={Darzi centres: an expensive luxury the UK can no longer afford?},
  author={P. Davies},
  journal={BMJ : British Medical Journal},
  year={2010},
  volume={341}
}
  • P. Davies
  • Published 2010
  • Medicine
  • BMJ : British Medical Journal
Labour’s “open all hours” health centres were a centrepiece of its health service reforms. Now the first has closed after only a year. Do any stand a chance of surviving elsewhere in England? Peter Davies investigates 

Topics from this paper

Should general practices open for longer?
TLDR
The government wants general practices to open longer for scheduled care to reduce pressure on emergency services, but Peter Swinyard thinks it is unaffordable in the current fiscal climate. Expand
Are Darzi-style clinics set to make a comeback?
They were white elephants of the noughties, but Gareth Iacobucci reports how a new incarnation of the polyclinic could help GPs deliver the NHS reform agenda
Not “costly duplication,” but a complementary service
As the medical director of the first GP led health centre to close, I must reply to the misleading comments given by a primary care trust “spokesman” in your article on the closure of Darzi centres.1Expand
The future of community-centred health services in Australia - an alternative view.
  • P. Cunningham
  • Medicine
  • Australian health review : a publication of the Australian Hospital Association
  • 2012
TLDR
The author, as a hospital-based emergency specialist, has observed case load and models of care in hospitals and emergency departments for 30 years and is sceptical of promises to substantially further decrease emergency department demand and acute bed requirements. Expand
Flawed assumptions have hampered emergency care
The demise of the polyclinic is predictable given the largely evidence-free nature of this initiative.1 Much of the pressure to impose these models was predicated on the incorrect assumption that 60%Expand
Integration and continuity of primary care: polyclinics and alternatives – a patient-centred analysis of how organisation constrains care co-ordination
TLDR
On balance, an integrated organisation seems more likely to favour the development of care co-ordination and, therefore, continuities of care than a system of care networks. Expand
The experience of paediatric care closer to home: a place and space perspective
TLDR
Place, time and human relations were shown to be meaningful constituents of the experience of paediatric outpatient care, and previously ‘taken-for-granted’ nuances of healthcare delivery have implications for the design and implementation of effective ‘closer to home’ services. Expand
Determining the true burden of general practice patients in the emergency department: The need for robust methodology
Yusuf Nagree, David Mountain, Peter Cameron, Daniel Fatovich and Sally McCarthy Emergency Medicine, Fremantle Hospital, Fremantle, University of Western Australia, Academic Emergency Medicine,Expand
How do clinicians with different training backgrounds manage walk-in patients in the ED setting?
TLDR
The clinician groups studied here demonstrated different patterns of discharge and referral, reflecting their training and experience, and when planning operational procedures, the training and background of the staff allocated to each area should be considered. Expand