Service increment for teaching and research

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6948.197a (Published 16 July 1994) Cite this as: BMJ 1994;309:197
  1. D Plamping,
  2. A Towle
  1. City and East London Family and Community Health Services, London E13 8HJ
  2. King's Fund Centre, London NW1 7NF

    EDITOR, - Traditionally, most research and education has taken place in hospitals, which was where the service increment for teaching and research was allocated. But the shift to services based in the community requires harmonisation of the new service patterns, education, and research.

    At a meeting of the community health services (trusts) operating around London medical schools we learnt how little coordinated strategic activity has taken place. Despite huge investments in education and training only a tiny proportion is spent …

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