Ageing and Society



Partnerships, performance and primary care: developing integrated services for older people in England


CAROLINE  GLENDINNING  a1 c1, ANNA  COLEMAN  a1 and KIRSTEIN  RUMMERY  a1
a1 National Primary Care Research and Development Centre, University of Manchester.

Abstract

The development of health services in England is currently shaped by three key factors: the active involvement of front-line health professionals (particularly family doctors – general practitioners) in decisions about resource allocation and service development priorities; the promotion of ‘partnerships’ between health and other organisations in order to deliver ‘joined-up’ services; and the close performance management of organisations and professionals to ensure that they meet externally prescribed objectives and targets. This paper considers the implications and impact of these factors on the development of services for older people. It discusses whether, under these circumstances, health service developments are likely to address some of the most pressing needs of older people.

(Accepted February 6 2002)


Key Words: Primary care; partnerships; National Service Framework; performance management.

Correspondence:
c1 Caroline Glendinning, National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL e-mail: caroline.glendinning@man.ac.uk