Series and diabetes. The cardinal feature of his practice was an unconditional approach to all of the problems presented by his patients, providing continuity and coordination, and using epidemiology to measure what he had and hadn't done. The epidemiology was new, but the interventions were mainstream. As part of the Deep End Project, 20 GPs from Glasgow, Edinburgh and Inverclyde met to review...

BACKGROUND Most patients with depression are managed in general practice. In deprived areas, depression is more common and poorer outcomes have been reported. AIM To compare general practice consultations and early outcomes for patients with depression living in areas of high or low socioeconomic deprivation. DESIGN AND SETTING Secondary data analysis of a prospective observational study i...

Series difficulties in moving beyond reactive patterns of patient and practitioner behaviour. The incentives of the Quality and Outcomes Framework do not reward practitioners for extending consultations beyond a narrow range of targets and the QOF agenda, highlighted via computer alerts, can be felt as an intrusion in the consultation. Current NHS initiatives concerning patient self-help and se...

OBJECTIVES To establish the association between measures of social deprivation, mechanisms of injury, patterns of care, and outcome following closed head injury. METHODS All Scottish adult A&E attendees with closed head injury (AIS Head > or =3) between July 1996 and December 2000 were studied. RESULTS Trauma was more common in individuals from more deprived areas. Within the trauma populat...