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- Page navigation anchor for RE: Rhetoric and reality in person-centred care: introducing the House of Care frameworkRE: Rhetoric and reality in person-centred care: introducing the House of Care framework
Many GPs have read NHSE Transformation plans and met the Primary Care Home model. This article promotes the model from a different perspective and suggests benefits from enhancing patient-centred care (PCC), professional exchange and reducing care inequity. The irony of the imperative to revolutionise and address perceived deficiencies in delivering PCC in the name of patients' opportunity to take control is however awe-inspiring. By the authors’ admission the PCC construct is immature and it 'probably leads to only small improvements in some indicators of physical health'. By contrast traditional GP care has high patient satisfaction and given the opportunity patients choose technical quality of care and relationship continuity over PCC.1
The RCGP was founded to promote our profession and unique academic discipline, which it has done with distinction over 50 years. We are fortunate that our present Chair is a respected GP who has done a remarkable job, in the most trying of circumstances, making science and the College more accessible to the breadth of our profession. In an austere environment in which scant primary care resources are dwindling, attracting staff is becoming impossible, the demand for performativity (being seen to do rather than really do) escalating and morale at a nadir, GPs are pragmatism experts. Inevitably, resilience in primary care is essential and at its core lies a moral compass.2 My compass as...
Competing Interests: None declared.