BMJ  2006;332:1172-1173 (20 May), doi:10.1136/bmj.332.7551.1172

News

Can GPs compete with big business?

Sophie Arie

London

This week a decision by a primary care trust to award a contract for services to a private company is being challenged in the High Court. Sophie Arie explains why the trust's decision is ringing alarm bells

The first 150 words of the full text of this article appear below.

In a scruffy corner of the village playing field, facing rows of small, red brick, terraced houses, the Langwith village surgery cares for about 2000 people, many of whom spent every day working bent double in cramped mine shafts, until the local pit was closed down in the 1980s.

Figure 1
In the eye of the storm: the Langwith village surgery

Credit: ALEX NUNNS

Like the abandoned pits throughout Derbyshire, the surgery was once a thriving local point of reference and is now more of a blot on the landscape: a small, run down bungalow, with several windows boarded up after being smashed by local kids with nothing better to do.

For the past few years a nurse has struggled to run the surgery, and complaints were growing about short opening hours and lack of postal prescription services. Last year, the local primary care trust (PCT) began searching for a new team . . . [Full text of this article]

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