A great piece by Julian Tudor Hart takes us back to a piece he published 15 years ago giving the results of his life work - 25 years of dedicated commitment to a small village in south Wales. The result of this dedication was mortality rates in Glyncorrwg close the national average, whereas a comparable village nearby had death rates 36% (all ages) to 60% (under 65) above the national average.
Passion is the key to Tudor Hart's work and it spills over into his writing, both the formal and informal. It gives a good insight into the practicalities of running this kind of scheme - practical realities it is all too easy to forget when you move to the policy making end of health care. One quote:
We got exceptional compliance with treatment from our patients because they were given exceptional latitude to discuss whatever problems they wished. We knew them, and they knew us... This is not what happens when GPs bolt health promotion and screening onto their demand-led care as an entirely separate operation.