Using rapid appraisal to assess need Inappropriate in inner cities

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6934.979 (Published 09 April 1994) Cite this as: BMJ 1994;308:979
  1. T Hares,
  2. K Finch
  1. Health Communities Project, Save the Children Fund, Newcastle upon Tyne NE1 1LF
  2. Department of Paediatrics, Unityne Health, Newcastle General Hospital, Newcastle upon Tyne NE4 6BE
  3. Prevention of Heart Attack and Strokes Enterprise, Health Promotion Service, North Staffs Medical Centre, Stoke on Trent ST4 7JN.

    EDITOR,- The endeavour to link community perceptions of need to local provision of services is laudable, but there are difficulties with the general applicability of the modified rapid appraisal technique outlined by S A Murray and colleagues.1 The practice based model described was used in an estate with a homogeneous, stable community, half of which was served by a single general practice. In our experience of needs assessment in two small inner city wards in the west end of Newcastle we have encountered highly mobile populations (21% of residents had moved house in the previous year)2 and diverse ethnic populations served by 16 general practices.

    Given …

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