College of Medicine, Swansea University.
Clin Med (Lond). 2013 Feb;13(1):24-6. doi: 10.7861/clinmedicine.13-1-24.
The NHS, yet again, is in transition with an emphasis on groups of general practitioners (GPs) (clinical commissioning groups) making decisions on which specialist services should be chosen for patients requiring referral from primary care. It is an area of new terminology with a new language and further change for all working in the NHS and the all-important interface between primary and secondary care, and its impact on teamwork. There are many drivers including choice, efficiency, franchising of services, coordination and leadership in an enormous organisation, but not least reducing costs and keeping to a budget. There are many logistical issues and ethical anxieties, and only time will inform patients, practitioners, stakeholders and politicians as to its success.
英国国家医疗服务体系（NHS）再次处于转型之中，重点是由一组全科医生（GPs）（临床委员会）决定哪些专科服务应提供给需要从初级保健转介的患者。这是一个新术语领域，使用新的语言，对于在 NHS 工作的所有人以及初级保健和二级保健之间至关重要的界面及其对团队合作的影响，都需要进一步改变。有许多驱动因素，包括选择、效率、服务特许经营、协调和领导一个庞大的组织，但最重要的是降低成本和维持预算。存在许多后勤问题和道德焦虑，只有时间才能告知患者、医生、利益攸关方和政治家该体系的成功与否。
