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Linking research and development in primary care: primary care trusts, primary care research networks and primary care academics

Published online by Cambridge University Press:  31 October 2006

Gill Rowlands
Affiliation:
STaRNet London, Department of Community Health Sciences, St George’s Hospital Medical School, London, UK
Tessa Crilly
Affiliation:
STaRNet London, HEReCOM, London, UK
Mark Ashworth
Affiliation:
STaRNet London, Department of General Practice and Primary Care, GKT Department of General Practice, King’s College London, London, UK
Joan Mager
Affiliation:
Richmond Primary Care Trust, UK
Catherine Johns
Affiliation:
NHS Directorate of Health and Social Care for London, UK
Sean Hilton
Affiliation:
Department of Community Health Sciences, St George’s Hospital Medical School, London, UK
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Abstract

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In the UK, primary care groups and trusts (PCG/Ts), also known as primary care organizations (PCOs), are the organizations that will drive forward the primary care development agenda outlined by the government. We undertook a study to investigate the views of PCOs on the place of research in primary care development and their role as participants in the research process. The study population consisted of all PCOs in south London (n = 23). An initial structured questionnaire explored the organizations’ perceived research needs, the potential of the primary care research community to meet those needs and their current research activity. This was followed by semistructured interviews during which the participants were asked to discuss their views on the place of research in their primary care development agenda and in particular how research might inform the development of clinical skills and services in the short and medium term. The third stage of the project was an action based workshop at which general practitioners (GPs) and primary care nurses developed research questions arising from the earlier stages of the study. The PCOs identified three key areas of research support: public health, health economics and nursing research expertise. Research support was needed to help them identify population health needs and to evaluate new models of care and shifting professional boundaries. In contrast to traditional primary care research, PCOs required rapid delivery of research results, particularly when these were used to inform the commissioning of services. Our study has highlighted that PCOs have a development agenda requiring rigorous research and evaluation to ensure the best outcomes for patients. The differing skills, roles and responsibilities of PCOs, PCRNs and academic departments show how partnerships might develop to further research and development in primary care.

Type
Original Article
Copyright
2004 Arnold