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Most primary care groups and trusts in England report that they have
inadequate resources to manage the change expected of them. Most
primary care groups aim to become trusts by April 2002 to achieve
greater integration of primary and community services, and, according
to the NHS plan, all have to be trusts by 2004. However, as Wilkin et
al explain on p 1464, the demands of rapid organisational change being
undertaken with limited managerial resources may divert attention from
the tasks of modernising services and improving health.
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| (Credit: SUE SHARPLES) |