Health promotion in primary care

doi:10.1136/bmj.312.7041.1304a

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Scheme should be comprehensively reviewed

Hugh Bethell

General practitioner Health Centre, Alton, Hampshire GU34 2QX

EDITOR,—Stephen Gillam and colleagues are right to question the recent modifications to the health promotion package for general practice.1 I believe, however, that they have failed to identify the changes that could make the scheme worth while.

The package, which was introduced in 1993, was a curious mishmash of data collection, primary prevention, secondary prevention, and management of chronic …