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Primary Care should be accessible to everyone. Discuss the challenges faced in achieving this, using examples from across Block 3.

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Primary Care should be accessible to everyone. Discuss the challenges faced in achieving this, using examples from across Block 3. In order to answer the above question I will need to research what exactly primary care means, discussing the challenges faced by both the public receiving primary care and the care professionals themselves. First, I turn to the National Health Service hoping to find its description of Primary care. The NHS website (National Health Services England, 2006) talks of primary care being the first point of contact the public have with the NHS, and that it is delivered by professionals such as family GPs, nurses, dentists, pharmacists and opticians. If I take this description as accurate I would then place midwives, chiropodists and chiropracters as primary care providers also. I compare this to the definition of primary care provided in the coursebook. (Unit 10, p.19). This definition incorporates four functions of primary care which together define it. The first being, as the NHS described, that primary care is the first point of contact for all new needs and that its existance means that entry to secondary care facilities such as hospitals can be controlled. ...read more.


ie hospital and community health services, prescribing (the drugs bill), primary medical services and HIV/AIDS, totalled �135 billion for 2006 - 2008 (Department of Health, 2006). This seems an adequate amount of money until I learn of one health authority's decision to close a drug rehabilitation centre in favour of financing an accute psychriatric care facility in 1997. (Unit 10.p.14) It would seem then that budgets are strained and that morals and ethics play a big part in deciding who is more in need or, in reality, who is more deserving. Morals can play a large part in determining how much help a patient actually recieves once registered with the NHS. An example of this is found on P53 of the reader (Allott and Robb, 1998). The GP involved debates how to deal with Julia, a heroin addict, and her poorly child. He is morally torn, sacrificiing an evening with his family for someone who has "prioritised her own selfish needs as higher than paying for gas or electricity." He wonders if his surgey should go with the 'moral majority' and punish people who have fallen on hard times. ...read more.


Perhaps this statistic opens the door for specialist GP's interested in working in such a field or perhaps extra training in trying to eliminate fears of the infection side of such dangerous practices. This will then help to open lines of communication between patient and doctor. Extra information and research into culture and background by care providers is needed to ensure that everyone is fully understood, accepted and respected. This is echoed by Jim in Unit 10, p.27 who finds himself going to seek a GP's advice and "apologising for even being there". In conclusion, I feel that it is down to the health professionals themselves to make a greater consious effort to set morals aside when providing care to the community. It would be difficult to change everyones attitudes and misconceptions of those whose lifestyles we know little of, so it is our own personal responsibilty to begin the change within ourselves. This is summed up in Unit 11, p.67 in that carers must be ready to value other peoples way of life. If the attitudes of care givers is changed and compulsory training provided in dealing with cultural differences, I feel that this is a good starting point for primary care truly being accessible to everyone. ...read more.

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