Parity of Esteem A primary care and CCG perspective Dr Guy Pilkington

Holism Natural perspective for primary care –Generalists –Common primary care presentations –Bio psychosocial components Definition of health –WHO definition (1948) –Or The ability to adapt and self manage M Huber et al –BMJ 2011;343:d4163

A new commissioning landscape? Payment by results (PBR) vs Block contracts

Chronic disease model How do we apply models used in physical LTCs to LTCs of largely mental health dimensions? –Prevention –Case finding –Early detection / Early intervention –Supported self management –Self determination –Compassion and care at the end of life