University of Hertfordshire

From the same journal

Community nursing in systems reform: the London polyclinic experience

Research output: Contribution to journalArticle


  • 905562

    Accepted author manuscript, 507 KB, PDF document


  • S. Peckham
  • Patricia Wilson
  • J. Gosling
  • D. Osipovic
  • A. Wallace
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Original languageEnglish
Pages (from-to)293-297
JournalBritish journal of community nursing
Publication statusPublished - 2011


Internationally, the polyclinic has been a feature of many health systems. The recent UK policy shift towards enhanced coordination of care closer to home resulted in the development of polyclinics, most notably in London. This article explores the background to the development of polyclinics and draws on the early experience of developments in London to explore what their impact has been, and is likely to be, on community nursing. Emerging findings from an evaluation of four pilot polyclinics suggests that rather than one model, polyclinics evolved in distinctively different ways more appropriately labelled as polysystems. Although policy makers clearly identified community nursing as being one of the key components of integrated, community-based care, the evaluation suggests a focus on highlevel organizational restructuring and system change can shift attention from what many would consider core activities such as community health services.


Original article can be found at : Copyright Mark Allen Healthcare

ID: 305024