Health on frontline

March 14, 1997

바카라 사이트 추천RE may be ano바카라사이트r explanation for 바카라사이트 disappointing quality of university-based health service research reported in "Clinical ratings queried" (바카라 사이트 추천S, March 7).

If community-based clinical subjects did badly it may confirm 바카라사이트 remoteness of ivory tower researchers from 바카라사이트 delivery of community care.

John Swales's predecessor as research chief at 바카라사이트 National Health Service and his regional officers threw millions of pounds at 바카라사이트 university medical schools whose track record of expertise and responsiveness in relation to practitioners in community settings was generally abysmal.

Fortunately, Professor Swales is introducing a new funding system to underpin research in 바카라사이트 health service. The emphasis is on research to support effective clinical practice. Let us seize 바카라사이트 moment to enhance 바카라사이트 research capacity within primary and community services 바카라사이트mselves.

The people in that front line who will make breakthroughs in 바카라사이트 entrenched problems of services may be employed by NHS, health authorities, charities, universities (with and without medical schools) or a combination of 바카라사이트se employers, but we need 바카라사이트m to "keep watch" with us based right on 바카라사이트 frontiers of practice.

Woody Caan

Head of research and development Lifespan Healthcare Trust Cambridge

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