ABSTRACT

The National Health Service (NHS) is the largest employer of personnel in the UK with over one million employees. (It was said that the National Health Service (NHS) was second only in numbers ‘employed’ to the Red Army – both organisations recently having undergone major change at the same frantic pace.)

The NHS is in a state of great change at present, changes which mark 50 years of the service, and in general practice there is a changing emphasis from disease management to health promotion and preventative care as well as the incorporation of consumerism so prevalent nowadays.